The 5-Minute Osteopathic Manipulative Medicine Consult

CONTENTS
The Importance of This Book—xi
Billing and Coding—xv
OMM Precepting Guide—xviii
Acronyms and Abbreviations—xxxv
SECTION I: DIAGNOSES
Allergy/Postnasal Drip—2
Ankle Sprain—4
Anxiety—6
Arthritis (In? ammatory)—10
Arthritis (Osteoarthritis)—12
Asthma—14
Atelectasis—16
Bell’s Palsy—18
Carpal Tunnel Syndrome—20
Cervical Spondylosis—22
Cholecystitis—24
Chronic Obstructive Pulmonary Disease—26
Colic—28
Common Cold—30
Complex Regional Pain Syndrome (Re? ex Sympathetic Dystrophy)—32
Congestive Heart Failure—34
Constipation—36
Costochondritis—38
Depression—40
Diarrhea—44
Dupuytren Contracture/Trigger Finger—46
Dysmenorrhea—48CONTENTS
Dyspareunia/Pelvic Pain—50
Dysphagia—54
Emesis—56
Erectile Dysfunction—58
Fibromyalgia—60
Frozen Shoulder—64
Gastritis/Gastroesophageal Re? ux Disease/Dyspepsia—66
Headache—68
Hiccups (Singultus)—70
Hypertension—72
Ileus—74
In? ammatory Bowel Disease (Crohn’s Disease or Ulcerative Colitis)—76
In? uenza—78
Irritable Bowel Syndrome—80
Lateral Epicondylitis—84
Low Back Pain—86
Medial Epicondylitis—90
Otitis Media/Serous/Infectious—92
Pelvic In? ammatory Disease—94
Peptic Ulcer Disease—96
Pharyngitis/Tonsillitis—98
Pneumonia—100
Postconcussive Syndrome—102
Pregnancy—104
Premenstrual Syndrome—108
Pyloric Stenosis—110
Restless Legs Syndrome—112
Rhinitis, Allergic—114
Sacroiliitis—116
Sciatica—118
Scoliosis—120
Sinusitis—122CONTENTS
Spinal Stenosis—124
Tachycardia—126
Temporomandibular Joint Dysfunction—128
Thoracic Outlet Syndrome—130
Tinnitus—132
Torticollis—134
Urinary Tract Infection—136
Vertigo/Labyrinthitis—138
SECTION II: STRUCTURAL EVALUATIONS
AND TREATMENT TECHNIQUES
DIAGNOSING SOMATIC DYSFUNCTION
General Overview of Somatic Dysfunction and Diagnosis—143
Motions of the Spine—144
Intersegmental Motion Testing—145
FOCUSED STRUCTURAL EXAMS
Introduction—147
Head and Neck Complaints (Include Upper Respiratory Infections,
Allergies, Headache, Neck Pain)—148
Cardiopulmonary Symptoms—149
Gastrointestinal Complaints—150
Low Back Pain (Including Pregnancy Modi? cation)—151
Lower Extremity Pain (Includes Hip, Knee, Ankle, Foot)—152
Upper Extremity Pain (Includes Shoulder, Elbow, Wrist and Hand)—153
TECHNIQUES
Head
OA Release—155
Sinus Ef? eurage—156
Muncie Technique—157
Pterygoid Release Technique—158CONTENTS
TMJ Unwinding—159
Galbreath Technique—160
Auricular Drainage—161
Venous Sinus Drainage—162
CV4 Technique—165
Cervical
Counterstrain—Anterior Tenderpoints—167
FPR—Anterior Tenderpoints—168
Counterstrain—Posterior Tenderpoints—169
FPR—Posterior Tenderpoints—170
Muscle Energy—Typical: C2–C7—171
Muscle Energy—Atypicals: AA—172
Muscle Energy—Atypicals: OA—173
Soft Tissue—Perpendicular Stretch—174
Soft Tissue—Longitudinal Stretch—175
HVLA—Typicals: C2–C7 (Rotational Thrust Emphasis)—176
HVLA—Atypicals: AA—177
HVLA—Atypicals: OA—178
Thoracic
Seated Forward Leaning Articulatory—179
Counterstrain—Anterior Tenderpoints—180
Counterstrain—Posterior Tenderpoints—182
Muscle Energy—Fryette’s Type 1—184
Muscle Energy—Fryette’s Type 2—185
Soft Tissue—Perpendicular Stretch—186
HVLA—Seated Thoracic HVLA T1–T5 (Full Nelson)—187
HVLA—Supine Double Arm Thrust (Kirksville)—188
HVLA—Prone Double Arm Thrust (Texas) Fryette’s Type 2—190
HVLA—Prone Double Arm Thrust (Texas) Fryette’s Type 1—191
Myofascial Release Direct—Pectoral Traction—192
Lymphatic—Thoracic Pump—193CONTENTS
Lumbar
Counterstrain—Anterior Tenderpoints (General)—194
Counterstrain—Posterior Tenderpoints (General)—195
Soft Tissue—Perpendicular Stretch—196
Muscle Energy—Fryette’s Type 1—197
Muscle Energy—Fryette’s Type 2—198
HVLA—Lateral Recumbent (Lumbar Roll)—200
Sacrum
Articulatory—202
Muscle Energy—Bilateral Sacral Flexion—203
Muscle Energy—Bilateral Extension—204
Muscle Energy—Anterior Torsion—205
Muscle Energy—Posterior Torsion—206
Innominate
Muscle Energy Joint Mobilization—Anterior Innominate Rotation
Dysfunction—207
Muscle Energy Joint Mobilization—Posterior Innominate Rotation
Dysfunction: Patient Supine—208
Muscle Energy Joint Mobilization—Posterior Innominate Rotation
Dysfunction: Alternate Prone Setup—209
Muscle Energy Joint Mobilization—In? are Dysfunction—210
Muscle Energy Joint Mobilization—Out? are Dysfunction—211
Muscle Energy Joint Mobilization/Respiratory Assist—Superior
Innominate Shear Dysfunction—212
Muscle Energy Joint Mobilization/Respiratory Assist—Inferior
Innominate Shear Dysfunction—213
Upper Extremity
Carpal Bone—Articulatory—214
Flexor Retinaculum Release (Carpal Tunnel Treatment)—
Myofascial Release—215
Spencer Technique—Articulatory—216CONTENTS
Spencer Technique—Muscle Energy—224
Counterstrain—Supraspinatus—232
Counterstrain—Infraspinatus—233
Counterstrain—Teres Major—234
Counterstrain—Teres Minor—235
Counterstrain—Subscapularis—236
Counterstrain—Common Flexors of the Wrist—237
Counterstrain—Common Extensors of the Wrist—238
Lymphatic—Ef? eurage—239
Muscle Energy—Posterior Radial Head Dysfunction
(Pronation Dysfunction)—241
Muscle Energy—Anterior Radial Head Dysfunction
(Supination Dysfunction)—242
Lower Extremity
Lymphatic Pedal Pump—243
Lymphatic—Ef? eurage—244
Muscle Energy—Psoas Hypertonicity—246
Muscle Energy—Piriformis Hypertonicity—247
Counterstrain—Psoas Hypertonicity—248
Counterstrain—Piriformis Hypertonicity—250
Ribs
Counterstrain—Anterior Tenderpoints AR1–AR10—252
Counterstrain—Posterior Tenderpoints PR1–PR10—254
Springing Technique (Myofascial Release)—Rib Raising—256
Muscle Energy Using Respiratory Assist—First or Second Rib
Inhalation Dysfunction—258
Muscle Energy—Ribs 3 to 10 Inhalation Dysfunction—259
Muscle Energy Using Respiratory Assist—Ribs 11 and 12 Inhalation
Dysfunction—261
Muscle Energy—First Rib Exhalation Dysfunction—262
Muscle Energy—Second Rib Exhalation Dysfunction—263
Muscle Energy—Ribs 3 to 5 Exhalation Dysfunction—264CONTENTS
Muscle Energy—Ribs 6 to 10 Exhalation Dysfunction—265
Muscle Energy—Ribs 11 to 12 Exhalation Dysfunction—266
Abdomen
Myofascial Release/Lymphatic—Doming of the Diaphragm—267
Myofascial Release Direct Inhibition—Collateral Ganglion
Release—268
Direct Inhibition—Chapman’s Re? ex—270
Myofascial Release—Colonic Stimulation—271
Myofascial Release Direct—Mesenteric Release/Lift—275
SPECIALIZED TESTS
Head
Cranial Nerve Testing—277
Temporomandibular Joint Evaluation—280
Cervical Spine
Distraction Test—281
Cervical Compression Test (Spurling’s Test)—282
Valsalva Test—283
Swallowing Test (Possible Infection, Osteophytes, Hematoma, or
Tumor in the Anterior Portion of the Cervical Spine)—284
Lower Extremity Tests
Trendelenburg’s Test (Gluteus Medius Weakness)—285
Knee Exam—Anterior Drawer Test (Anterior Cruciate Ligament
Tear)—286
Knee Exam—Posterior Drawer Test (Posterior Cruciate Ligament
Tear)—287
Apley’s Compression Test (Meniscal Tears)—288
Apley’s Distraction Test (Ligamentous Tears)—289
Lachman’s Test (Anterior Cruciate Ligament Tear)—290
McMurray’s Test (Posterior Tear of the Medial Meniscus)—291
McMurray’s Test (Tear of the Lateral Meniscus)—292CONTENTS
Patellar Grind Test (Chondromalacia)—293
Valgus Stress (Medial Collateral Ligament Tear)—294
Varus Stress (Lateral Collateral Ligament Tear)—295
Anterior Drawer Test for Ankle Instability (Tear of Anterior Talo? bular
Ligament and Possibly Other Ligaments)—296
Lumbar Spine
Straight Leg Raising Test—297
Hip Drop Test—298
Pelvis Tests
ASIS Compression Test (Locates the Side of Somatic Dysfunction
in the Pelvis)—300
Standing Flexion Test (Locates the Side of Somatic Dysfunction
in the Pelvis)—301
Seated Flexion Test (Locates the Side of Somatic Dysfunction in
the Pelvis, Especially the Sacrum)—302
Lumbosacral Spring Test (Posterior Sacral Base)—303
Upper Extremity Tests
Apley’s Scratch Test (Shoulder Range of Motion)—304
Drop Arm Test (Rotator Cuff Tears, Especially Supraspinatus)—305
Neer’s Test (Impingement of Supraspinatus and Infraspinatus Tendons
under Acromion Process)—306
Hawkin’s Test (Impingement of Supraspinatus and Infraspinatus
Tendons under Acromion Process)—307
Speed’s Test (Biceps Tendonitis, Enthesopathy, or Labral Tear)—308
Yergason’s Test (Stability of the Biceps Tendon in the Bicipital
Groove)—309
Apprehension Test (Anterior Glenohumeral Instability)—310
Adson’s Test (Thoracic Outlet Syndrome) (Brachial Plexus Impingement
between Anterior and Middle Scalene)—311
Military Posture Test (Costoclavicular Syndrome Test) (Brachial Plexus
Impingement between Clavicle and First Rib)—312CONTENTS
Wright’s Test (Brachial Plexus Impingement under
Pectoralis Minor)—313
Tinel’s Sign at Elbow (Ulnar Nerve Entrapment)—314
Cozen’s Test—Tennis Elbow Test (Lateral Epicondylitis)—315
Mill’s Test—Tennis Elbow Test (Lateral Epicondylitis)—316
Golfer’s Elbow Test (Medial Epicondylitis)—317
Tests for Ligamentous Stability at Elbow—318
Allen’s Test (Arterial Insuf? ciency of the Radial and Ulnar Arteries
to the Hand)—319
Finkelstein’s Test (de Quervain’s Disease/Tenosynovitis)—320
Phalen’s Test (Carpal Tunnel Syndrome)—321
Tinel’s Sign at Wrist (Carpal Tunnel Syndrome)—322
SUMMARY CHARTS
Potential Upper Extremity Nerve Impingements—323
Potential Lower Extremity Nerve Impingements—324
Anterior Dermatomes—325
Posterior Dermatomes—326
Re? exes—Upper Extremity—327
Re? exes—Lower Extremity—330
Muscle Strength—Upper Extremity—332
Muscle Strength—Lower Extremity—339
Cranial Holds—341
Sacral Diagnosis—360
References—363
Index—377