Advanced search


Search results        Search results      Copy URL to E-Mail

Achieving Effective and Efficient Musculoskeletal Pain Relief Through TCM and OMM
Moy, C. [1]
Yu, J. [1]
Chiu, R. [1]
Hwang, Y. C. [1]
Lin, W. [2]
Lin, S.L. [1]
Burns, J. [13]
Lin, A. [6]

Journal: The Journal of the American Osteopathic Association Date: 2013/03, 113(3):Pages: 237-238. doi: Subito , type of study: mixed methods study

Full text    (https://www.degruyter.com/document/doi/10.7556/jaoa.2013.113.3.224/html)

Keywords:

mixed method study [100]
OMT [3752]
osteopathic manipulative treatment [3772]
TCM [2]
traditional Chinese medicine [4]

Abstract:

Background: More than 100 million Americans suffer from acute or chronic pain. Living with pain impinges on all aspects of life: health, structure and function, work, and emotional well-being. In addition, the cost of treating patients with pain is expensive. For example, in 2005, $85.9 billion was spent on managing back and neck pain alone. The goal of this research is to understand the advantages of pain management approaches using traditional Chinese medicine (TCM) and osteopathic manipulative medicine (OMM). Hypothesis: We hypothesized that OMM and TCM can be blended to improve pain treatment. Methods: Observational data were collected at the Traditional Chinese Medicine Hospital in New Taipei City, Taiwan, as part of Touro University-California's Global Health Internship program in June 2012. Eighty cases of pain and how these patients were examined and how the conditions were diagnosed and managed through TCM were documented. Literature research was also performed to compare TCM with OMM approaches. Results: The general TCM approach to treatment consisted of the following: (1) palpation of the location of the pain, (2) Tui-Na, (3) acupuncture, if Tui-Na was not sufficient or pressed for time, and (4) patient education on stretches, correction to posture, and herbal medication (if prescribed). Each patient who presented with pain was treated, on average, for 30 minutes and left the clinic with no pain or a substantial reduction of pain. The most common TCM treatment modality used for pain management was Tui-Na, which is a branch of TCM manual manipulation. During observation of 80 patients with these practitioners, the Tui-Na screening, diagnosis, and treatment seemed to be integrated into 1 process, similar to how OMM is practiced by an experienced osteopathic physician. Two distinct Tui-Na methodologies were observed. Dr Hwang used an articulatory approach similar to high-velocity, low-amplitude, and cavitation could be appreciated by the patient and practitioner utilizing a single impulse. Although patients left pain free or with substantially less pain, Dr Hwang told them that their dysfunction and discomfort would return if the myofascial plane was not also treated. Dr Chiu used a method similar to myofascial and balanced ligamentous tension to balance tissue tension to achieve release followed by articulatory techniques if needed to achieve restoration of joint motion. This approach took more time, but patients experienced greater long-term pain relief. Patients treated by Dr Chiu also received acupuncture for further relief if needed or if Dr Chiu needed a quicker method to relieve the tissue tension. It was also observed that patients who received Tui-Na and acupuncture had longer relief from their symptoms. Conclusion: Both OMM and Tui-Na have effective methods for dealing with pain and structural dysfunctions. The 2 Tui-Na approaches observed appeared to use similar mechanisms of action to high-velocity, low-amplitude; articulatory; and myofascial ligamentous OMM techniques. It is unclear if acupuncture is required because of insufficiencies in particular manipulative techniques or if there is a self-selection bias in the types of patient seen by these practitioners. Patients with complex pain syndromes often require a multi-disciplinary approach to manage their pain. It appears that acupuncture used in conjunction with OMM would be a cost-effective, multi-disciplinary approach to pain. We observed acupuncture used as adjuvant therapy with beneficial outcomes for pain patients. Further research is needed in this area.

Search results      Copy URL to E-Mail

 
 
 






  • Impressum • Legal notice • Datenschutz •


ostlib.de/data_gvckrhmsapbzxutjdwfn



Supported by

OSTLIB recommends