An Osteopathic Approach to Diagnosis and TreatmentEileen L. DiGiovanna, Stanley Schiowitz, Dennis J. Dowling Osteopathic medical students and faculty benefit from a uniquely practical text that organizes osteopathic concepts and step-by-step techniques into a single comprehensive volume. This new edition includes new, all-important updates on somatic and visceral problems, writing the osteopathic manipulative prescription, and case histories to reflect changes in the national licensing examination. The book’s integrated method for diagnosis and treatment embraces basic osteopathic history and philosophy, osteopathic palpation and manipulation, and specific manipulative treatments and concepts. Abundant photographs demonstrate step-by-step techniques. Meticulous illustrations depict underlying anatomy. |
Contents
BASICS OF OSTEOPATHIC MEDICINE | 3 |
The Philosophy of Osteopathic Medicine | 10 |
Somatic Dysfunction | 16 |
General Anatomic Considerations | 24 |
General Physiologic Considerations | 38 |
Structural Examination and Documentation | 53 |
Palpation | 64 |
OSTEOPATHIC MANIPULATION | 75 |
Evaluation of the Sacrum | 313 |
Muscle Energy | 323 |
Counterstrain Techniques for the Sacrum and Pelvis | 331 |
Still Techniques | 340 |
PINS Techniques | 346 |
Exercise | 353 |
THORACIC CAGE | 363 |
Evaluation of the Thoracic Cage | 370 |
Muscle Energy | 83 |
Counterstrain | 86 |
Articulatory and Thrusting Techniques | 93 |
Ligamentous Articular Strain Technique and Balanced Ligamentous Tension | 103 |
Osteopathy in the Cranial Field | 109 |
Inhibition and Progressive Inhibition of Neuromusculoskeletal Structures PINS | 118 |
CERVICAL SPINE | 125 |
Myofascial Techniques | 137 |
Muscle Energy Techniques | 143 |
Facilitated Positional Release | 150 |
PINS Techniques for the Cervical Spine | 158 |
Thrusting Techniques | 161 |
Practical Applications and Case Histories | 169 |
THORACIC SPINE | 175 |
Thoracic Myofascial Techniques | 190 |
Muscle Energy of the Thoracic Spine | 198 |
Facilitated Positional Release | 205 |
PINS Techniques for the Thoracic Spine | 214 |
Exercise Therapy | 220 |
Thoracic Spine Practical Applications and Case Histories | 226 |
LUMBAR SPINE | 233 |
Myofascial Techniques | 243 |
Muscle Energy Techniques for the Lumbar Spine | 246 |
Facilitated Positional Release | 254 |
PINS Techniques | 262 |
Practical Applications and Case Histories | 275 |
Pelvic and Sacral Anatomic Considerations | 285 |
Gait and Postural Considerations | 293 |
Evaluation of the Pelvis | 304 |
Counterstrain Techniques for the Ribs | 379 |
Rib Still Techniques | 385 |
PINS Techniques | 393 |
Exercises for the Thoracic Cage | 400 |
Shoulder Anatomical Considerations | 409 |
Evaluation of the Shoulder | 415 |
Evaluation of the Elbow | 423 |
Evaluation of the Wrist and Hand | 430 |
Counterstrain of the Upper Extremities | 436 |
Facilitated Positional Release of the Upper Extremities | 442 |
Exercise Therapy for the Upper Extremity | 452 |
Practical Applications and Case Histories of the Upper Extremities | 463 |
LOWER EXTREMITIES | 471 |
Knee Anatomical Considerations | 484 |
Foot and Ankle Anatomic Considerations | 495 |
Evaluation of Foot and Ankle Dysfunctions | 502 |
Counterstrain Treatment for Lower Extremities | 514 |
Facilitated Positional Release of the Lower Extremities | 523 |
Exercise Therapy for the Lower Extremity | 530 |
Practical Applications and Case Histories of the Lower Extremities | 537 |
Cranial Anatomical Considerations | 549 |
Cranial Motions and Dysfunctions | 567 |
Lymphatics | 585 |
Autonomic Nervous System | 598 |
Pulmonary Applications | 618 |
Gastrointestinal Applications | 631 |
Gynecologic and Obstetric Applications | 646 |
Neurologic Considerations | 660 |
Common terms and phrases
abduction ankle articular articulation axis barrier bilaterally body bone calcaneus cause cephalad clavicle compression Counterstrain cranial curve diagnosis DiGiovanna DJDOWLING elbow evaluated exhalation extension external rotation fascia fibers flexed flexion foot force function grasps the patient's hip and knee hypertonicity iliac iliac crest increase inferior inferior lateral angles involved joint lateral ligament lordosis lymphatic medial monitoring finger motion testing Muscle energy muscle spindle myofascial neck nerve neutral position normal occiput occur osteopathic manipulation Osteopathic Medicine pain palpation patient is instructed Patient position patient's head pelvic physician grasps physician places Physician position physician's other hand piriformis posterior posteriorly prone reflex region relax release restriction sacral sacrum scapula Schiowitz scoliosis seated seconds shoulder side side-bending soft tissue somatic dysfunction spinal spinous process standing stretch structures supine symptoms temporal bone tender point tendon thoracic spine thumb tient's tion traction transverse process treated treatment upper vertebra wrist