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Tag Archive for: omt

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Chronic Pain: Integrative Strategies for Relief

Chronic Pain: Integrative Strategies for Relief

May 8, 2024/in Inflammation, Treatments/by Kaplan Center

Finding relief from chronic pain may feel like a never-ending, uphill battle. Maybe you’ve been prescribed a medication or you’ve tried some type of therapy to address your most debilitating symptoms only for your pain to eventually return. Or, maybe you’ve gotten to the point of accepting life with it. Many people can’t even fathom attempting to get rid of it because it’s physically and emotionally exhausting to try. Indeed, your chronic pain may never fully go away, but if you are living with chronic pain you must understand the following:

  1. Chronic pain will generally get worse over time and the longer it is neglected the more complex the healing process can be. If you have chronic pain, that means you have been living with a condition for months at minimum, and more likely for years. You may not feel ready now, but the longer you wait to address your condition, the longer the treatment process can be.
  2. Chronic pain is not just physical discomfort, it is intricately tied to our emotional well-being. It is estimated that 60% of patients who have chronic pain, also have depression and this relationship is bidirectional (meaning that depression can cause pain and vice versa). Research also confirms that the more severe your pain is, the more severe your depression becomes, with the reverse also being true. The longer you live with chronic pain the higher your risk of developing anxiety or depression.
  3. Chronic pain is a symptom of inflammation. Inflammation can stem from any number of conditions that are taxing to the body such as an illness or disorder, an injury, infection, toxicity, or nutritional deficiencies, and can be cumulative in their inflammatory effect. Heightened inflammation can affect the nervous system and undermine the function of your immune system exacerbating both physical and emotional pain. Without addressing the underlying source(s) of inflammation, your chronic pain will not get better or go away. Once the inflammation is addressed, the severity and frequency of symptoms can improve, sometimes drastically and sometimes completely.

How We Can Help

Seeking guidance from healthcare professionals who specialize in treating chronic pain is key. You want a pain specialist who will 1) uncover ALL of the reasons why your body is inflamed and in pain, and 2) offer you a comprehensive and multifaceted treatment so your healing is as complete as it can be. This functional medicine approach is centered on improving the function of your body as a whole. This may not mean living completely pain-free, it means getting back your energy to reengage in life and feel good both mentally and physically.

Our team is made up of physicians, nurses, PTs, a nutritionist, a psychotherapist, and an acupuncturist so that the most appropriate treatment for you is available under one roof. We will take time to explore the onset of your pain, the specific nature of your symptoms, and the overall status of your health. Once accurately diagnosed we’ll work with you to come up with targeted solutions that suit your lifestyle and your preferences.

Our Integrative Treatments

Integrative medicine combines the best of conventional and alternative treatments to get the outcome you need to live with less pain and an improved quality of life. Your chronic pain could be treated by one or a combination of the following,

  • Manual Therapies (osteopathic manipulative medicine, physical therapy)
    Osteopathic techniques restore function to an unbalanced and restricted musculoskeletal system. Gentle stretching and manipulation can improve the mobility of your muscles, soft tissues, and joints, for an improved range of motion. In the same vein, physical therapy will employ exercises to restore function to a particular area. When manual therapy is recommended, you and your provider will discuss which type is most appropriate for your condition.
  • Injection Therapies (prolotherapy, platelet-rich plasma/PRP, perineural injections/PIT, trigger point injections, steroid injections)
    Depending on the nature and location of your pain, injection therapy may be recommended. While all injection therapies deliver some type of solution to a targeted area, some are used to treat musculoskeletal injuries, and others are used for treating neuropathic pain.
  • Nutrition and Lifestyle Modifications
    Eating a balanced diet and maintaining a healthy lifestyle can play a significant role in managing chronic pain. Certain foods and beverages, such as inflammatory foods, caffeine, and alcohol, may exacerbate pain symptoms, while others, such as anti-inflammatory foods, antioxidants, and vitamins, can help reduce inflammation and promote healing. If inflammation in the gut or food sensitivities are identified, it’s even more crucial to make changes to your nutrition right away to control the inflammation they may be causing.
  • Detoxification Therapy
    When toxins accumulate in the body over a long period, it can cause damage to your tissues and organs and a toxicity disorder can develop. Unidentified pain can sometimes be caused by such disorders. If toxicity is suspected and confirmed via testing, medications may be prescribed to bind to and eliminate the harmful toxins from your body.
  • Acupuncture, Biofeedback, Cognitive Behavioral Therapy
    Therapies based on the connection between the mind and body can greatly influence our physical health and emotional well-being. Practices such as acupuncture, biofeedback, and cognitive-behavioral therapy can help individuals with chronic pain learn to manage their symptoms more effectively.
    ♦ Acupuncture – involves inserting thin needles into specific points on the body to stimulate energy flow and promote healing
    ♦ Biofeedback – teaches individuals to control physiological responses such as heart rate and muscle tension through relaxation techniques
    ♦ Cognitive-behavioral therapy – helps identify and modify negative thought patterns and behaviors that contribute to chronic pain
  • Stress Management and Relaxation Techniques
    Chronic pain and stress often go hand in hand, creating a vicious cycle that exacerbates discomfort. Learning to manage stress and incorporate relaxation techniques into your daily routine can help lower inflammation (this is proven!) and reduce your perception of pain. Techniques such as deep breathing exercises, progressive muscle relaxation, guided imagery, and mindfulness meditation can promote relaxation, reduce muscle tension, and alleviate pain. Engaging in activities that bring you joy and foster a sense of well-being, such as spending time with loved ones, pursuing hobbies, or connecting with nature, can also help to distract you from pain and improve your overall outlook on life.
  • Exercise and Movement
    Physical activity is crucial for managing chronic pain since it helps strengthen muscles, improve flexibility, and release endorphins, your body’s natural painkillers. While it’s essential to choose activities that are gentle on your body and appropriate for your condition, incorporating regular exercise into your routine can have significant benefits. This may include activities such as walking, swimming, yoga, or tai chi, which promote relaxation, reduce stress, and enhance overall physical function. Start slowly, listen to your body, and gradually increase the intensity and duration of your workouts as tolerated.

The complexities of chronic pain are not just in its causes but in its effects. It can lead to decreased mobility, a constant state of alertness, and emotional distress. We can help you. We understand that your chronic pain is as unique as you are. We also understand that how and when you choose to address your pain is no small decision. Our team is ready to support you every step of the way.

If you have been experiencing chronic pain and need help managing the condition, be sure to speak to one of our experienced nurses today. Please give us a call at 703-532-4892.

References:

Roughan WH, Campos AI, García-Marín LM, Cuéllar-Partida G, Lupton MK, Hickie IB, Medland SE, Wray NR, Byrne EM, Ngo TT, Martin NG, Rentería ME. Comorbid Chronic Pain and Depression: Shared Risk Factors and Differential Antidepressant Effectiveness. Front Psychiatry. 2021 Apr 12;12:643609. doi: 10.3389/fpsyt.2021.643609. PMID: 33912086; PMCID: PMC8072020.

Transforming Gut Health

Transforming Gut Health with Osteopathic Manual Therapy: Overcoming IBS Naturally

February 22, 2024/in Digestive Issues/by Kaplan Center

Irritable Bowel Syndrome (IBS) is a chronic, functional disorder of the digestive system. People with IBS can experience several unpleasant symptoms, including cramping, constipation, bloating, diarrhea, and abdominal pain. It is not uncommon for people with IBS to also experience bouts of anxiety and depression.

Research has not confirmed an exact cause of IBS, but has identified several factors that may contribute, including childhood trauma, stress, genetics, bacterial or viral infections, or changes in a person’s microbiome.

Treatments

There is no cure for IBS. Treatment focuses on identifying triggers to reduce the frequency of flare-ups and managing symptoms when they do arise.

Dietary modifications are a must. Working with a nutritionist can help you determine which foods are triggers and need to be eliminated and which foods can help restore balance to your microbiome.

Daily activity, relaxation techniques, and improving sleep habits are also highly encouraged. Depending on your symptoms and their severity, your provider may also recommend prescription medications, over-the-counter medications, or supplements.

Outside of allopathic (traditional western) medicine, visceral manipulation, a type of osteopathic manual therapy (OMT), is another effective therapy used by both physicians and physical therapists to treat IBS and other gut disorders.

To understand how a manual therapy can treat a disorder of the digestive system, one should first understand one of the basic principles of OMT: structure and function are reciprocally interrelated. This means that when there are structural imbalances within one of the body systems, the proper functioning of other body systems is limited.

Providers trained in osteopathic manual therapy use their hands and gentle touch to locate these structural imbalances and once identified, manual therapies can assist the patient in recovering.

Visceral manipulation is an organ-specific massage technique that helps your internal organs (visceral organs) move smoothly and naturally.

How OMT & Visceral Manipulation Improves Symptoms of IBS and Other Digestive Disorders

The digestive system is composed of the GI tract (mouth, pharynx, large and small intestines, esophagus, and anal canal) and the biliary system (liver, gallbladder, pancreas, and bile ducts), and relies on the smooth muscles of the muscular system to push food and liquid through the GI tract. During this process important nutrients are broken down and absorbed while waste is eliminated. A healthy muscular system is crucial to maintain the motility (natural movement) and function of digestive system’s visceral organs.

Motility becomes restricted when the connective tissue around the organs become inflamed. This can be a result of infections, trauma, poor diet, surgical scar tissue, toxins, or stress. As a result, functional and structural imbalances occur and manifest as symptoms. In the case of IBS, they can manifest as pain, gas, bloating, constipation, or any of the other symptoms mentioned above.

First, a manual assessment is done to determine if restrictions are the cause of your symptoms. If so, visceral manipulation techniques are then used to improve the function of the organ by relaxing smooth muscle tissue (improving gut motility), increasing blood flow (promoting healing), and improving lymphatic drainage (reducing swelling).

Our bodies are in constant motion, but we don’t often think about internal motion and what happens when our internal organs lose their motility. With visceral disorders, there is always a structural component. OMT can be a serious help in treating IBS as well as other digestive disorders such as colitis, GERD, irritable bowel disease, etc.

Fundamental health relies on all body systems working harmoniously. Visceral manipulation is one of many tools we use at the Kaplan Center to maintain the internal harmony of the body. Please give us a call at 703-532-4892 if you have IBS or other chronic pain symptoms that have not responded well to traditional treatments.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

References

Bath M, Owens J. Physiology, Viscerosomatic Reflexes. [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.

Lotfi C, Blair J, Jumrukovska A, Grubb M, Glidden E, Toldi J. Effectiveness of Osteopathic Manipulative Treatment in Treating Symptoms of Irritable Bowel Syndrome: A Literature Review. Cureus. 2023 Jul 24;15(7):e42393. doi: 10.7759/cureus.42393. PMID: 37621836; PMCID: PMC10446503.

https://www.aacom.org/become-a-doctor/about-osteopathic-medicine#

https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016

 

Drug Free Migraine Treatments

5 Ways to Treat a Migraine without Drugs

April 15, 2023/in Treatments/by Gary Kaplan, DO

As migraine sufferers will attest, a migraine headache can be caused by any number of factors, meaning that there is no one-size-fits-all remedy. Therefore, keeping an open mind and exploring some alternative treatments could actually be the key to becoming migraine-free. Fortunately, people seeking migraine relief have a wide range of treatments available to them, outside the realm of conventional medicine, that are clinically-proven to help reduce migraine frequency and severity.

Here are 5 drug free migraine treatments that can help keep your migraine at bay:

1. Craniosacral Therapy — By using a gentle, “light-touch” to help release both emotional and physical imbalances that have been stored in the body’s membranes and connective tissue, craniosacral therapy allows the body to respond and relax. Practitioners trained in craniosacral therapy are able to feel and monitor changes in the body by placing their hands in the areas that are the source of dysfunction, following the body’s cues as it works to release the tensions that are causing pain. Over time this non-invasive touch helps decrease the symptoms of headache and migraine.

2. Acupuncture — According to a review of 22 clinical trials studying more than 4,000 migraine sufferers, acupuncture was found to be as effective as medication – and sometimes even more effective than medication – for preventing migraines.

Questions? Give Us a Call!

703-532-4892 x2

3. Nutritional Supplements — People who suffer with frequent migraines often look to vitamins and/or supplements in place of prescription medication. Riboflavin (vitamin B2), magnesium, and coenzyme Q10 (CoQ10) have all demonstrated protective effects against migraines.

Although side-effects are generally milder than those from prescription medications, supplementing is not risk free. Make sure to buy from a reliable source and talk to your doctor about dosages and possible interactions with other medications.

4. Trigger Point Therapy — Sometimes headache pain can be caused or worsened by trigger points or a strain/sprain located in the neck. If this is the case, trigger point injections can be very effective in relaxing tight areas in the neck and back, thereby reducing the incidence and severity of migraines.

5. Osteopathic Manipulative Therapy — Osteopathic Manipulative Therapy (OMT), also known as Osteopathic Manipulative Medicine (OMM), is a non-invasive, manual therapy that relieves tense muscles, tendons, and ligaments to allow the body to work more efficiently. A number of studies have shown that the hands-on techniques used in OMT, including massage, soft tissue and muscle stretching, and joint mobilization, are particularly effective for preventing migraines.

When it comes to migraines, symptoms vary from individual-to-individual, so prevention and treatment options may have mixed levels of success depending on an individual’s medical condition, history, and specific needs. Thinking outside-the-box when considering treatment options is the best approach when searching for relief from migraine symptoms.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

This article originally appeared in Dr. Kaplan’s column on MindBodyGreen.com. It was reviewed and updated on 4/4/2023.

 

Visceral Manipulation, What is it? How does it work?

Visceral Manipulation: What Is It & How Does It Work?

June 5, 2018/in Treatments/by Patricia Alomar, M.S., P.T.

Within the foundation of osteopathy is the concept that freedom of movement within all structures of the body is the key to their healthy functioning and self-healing abilities. Life is movement, a result of our muscles, bones and organs moving together harmoniously. Visceral manipulation is one such manual technique that fully embraces this concept.

How it works

The viscera, or the internal organs located within the chest and abdomen, have an inherent motion and this motion is connected to the physiological functioning of the organs. Most people don’t realize that our organs are indeed in constant motion as we move. For example, our kidneys slide up and down our Psoas muscle, a major hip and trunk flexor. This is possible because our vertebrae create a frame which is supported by our muscles. Its job is to protect our organs that are enveloped by membranes and serous fluid and allow them to move freely in the cavities formed by the skeleton. When the viscera become restricted, the body is forced to compensate in various ways, leading to a functional problem. And if not remediated it could eventually lead to a structural problem. Getting back to the example of our kidneys, if its mobility is restricted, it can contribute to someone’s back pain.

But how does one lose this mobility in the first place? It can be the result of many factors such as surgeries, diet, posture, and physical trauma, to name a few. A small dysfunction in one area can lead to problems elsewhere in the body due to the interconnectedness of the fascial system. Therefore, the origin of pain can actually be in a different place. The body is essentially forced to develop a compensatory pattern until the source of the dysfunction is located and treated.

The goal of visceral manipulation is to restore homeostasis, or stability, within the affected organ(s). This, in turn, will also positively affect the lymphatic, circulatory and neurological systems that surround the organ being mobilized. Palpating, or using gentle touch, to locate tensions in the fascia (muscles) by a trained hand can reveal much about the organ’s function. This technique allows the practitioner the opportunity to affect deep change through a gentle approach.

Jean-Pierre Barral, a Physiotherapist (R.P.T.) and Osteopath (D.O.), is the developer of the Visceral Manipulation technique. He first developed this technique in France and started teaching it in the United States in 1985. His clinical work observing tissue tension patterns in cadavers along with knowledge of biomechanics lead to the development of Visceral Manipulation which is now used by many health practitioners as an important therapeutic tool.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

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