Bodywork

Bodywork is gentle manipulation of the body which releases muscle tension and helps with musculoskeletal problems. There are many sorts of bodywork, including infant massage which helps with muscle tightness, and osteopathic manipulative medicine which can help treat virtually any body tissues.

Osteopathic Manual Medicine (OMM) services in Glendale and Chandler offered by Katie Neuer, DO.

OMM is applied physiology, and Dr. Neuer's understanding of the body's anatomy allows her to use her hands to help treat affected body tissues. Virtually all tissue can be treated using OMM. Different techniques are utilized based on the type of problem that is present as well as the patient and their body. 

  

Diseases that affect children, such as acid reflux, constipation, feeding issues, colic, torticollis, and plagiocephaly can be treated with OMM.[1-5] For more information see the FAQs below.

Insurances Dr. Neuer accepts: Aetna, BCBS, Cigna, Tricare, UHC, and their third party carriers, as well as AHCCCs plans, excluding Mercy Care.

Please contact us to make an appointment.

SLP & Myofunctional Therapy services in Glendale offered by Ramya Kumar MS, CCC-SLP,  IBCLC.

Feeding your child and helping them communicate should be times that you cherish - times to bond and nurture a lifelong relationship. Ramya is here to help support your family through this journey with individualized plans that help you and your child succeed. 

 

 

Skilled therapy sessions include elements of Pediatric Feeding Therapy, Orofacial Myofunctional Therapy, Craniosacral Therapy, Infant Massage and more. For more information see the FAQs below.

Insurance Ramya accepts: Aetna, Aetna Banner, BCBS, UHC.

Please contact us to schedule an appointment.

All About OMM

What is a DO? What is the difference between a DO and an MD?


A DO is a Doctor of Osteopathic Medicine. In the United States, there are only two ways to become a fully licensed medical physician: either DO or MD. Both have equal training and universal practice rights. MDs and DOs work side by side in all medical settings. The main difference that sets a DO apart from an MD is the Osteopathic Philosophy.




Where did OMM and DOs originate from?


Osteopathic medicine is a medical philosophy that was founded by Dr. Andrew Taylor Still, MD, DO. He initially served as a major in the Union Army, and also served as a Civil War era statesman, emancipation activist, and pioneer physician and surgeon. He treated those who were suffering with great compassion and came to understand that medicine at the time was very ineffective. For example, at the time medications prescribed often contained extremely harmful ingredients like mercury.

Dr. Still realized that traditional medicine was failing his patients and those suffering from the Civil War. Sadly, medicine at the time failed his family when he lost three of his children to brain infections. From this loss, Dr. Still was inspired to spend the rest of his life gaining a new understanding of the human body. His goal was to establish a new philosophy called Osteopathy in hopes of changing the course of medicine.




What is OMM/OMT?


OMM stands for Osteopathic Manual Medicine/Osteopathic Manipulative Medicine. It can be also be abbreviated as OMT, which stands for Osteopathic Manipulative Treatment (OMT). This is a medical procedure completed by a DO (Doctor of Osteopathic Medicine). While OMM is widely recognized for treating musculoskeletal concerns, any body system can benefit.

OMM is able to treat the soft connective tissues, the nervous system, the digestive system, the lymphatic system, the musculoskeletal system, and more simultaneously. As a fully trained physician, Dr. Neuer is able to understand in completion how these systems all correspond to one another and how if one system has a dysfunction, this can manifest as a disease in another area of the body.




What is the Osteopathic Philosophy?


DOs have 4 tenets:

1. The human person is a UNIT, including the body, mind, and spirit. All three need to be considered by the physician when seeking health.

2. The body is able to SELF-HEAL. For example, even when a person suffers an injury such as a cut, while stiches may need to be placed, it is the body that must ultimately heal the wound.

3. STRUCTURE is closely related to FUNCTION. As a result, dysfunctions within the structure can affect function. If we are able to improve the structure, we can restore function.

4. OMM is based on careful application of the above three principles.




What is OMM actually doing?


OMM is essentially applied physiology. Our understanding of the body's anatomy allows us to use our hands to help treat affected body tissues.

Example: a patient has an ankle sprain and associated swelling. Our goal would be to reduce swelling, improve healing time, reduce pain, and allow anti-inflammatory medications to better reach the tissues. To do so, the OMM treatment would focus on:

-Treating the pelvis to alleviate lymphatic congestion

-Addressing the adductor muscles to alleviate any strain in the adductor canal (where the lymphatic vessels run)

-Treating the hamstring insertion point at the popliteal fossa (also where the lymphatic vessels run)




What body tissues can OMM treat?


Virtually all tissue can be treated using OMM, including:

-Fascia (the saran-wrap like substance that is integrated throughout the body)

-Bones

-Joints

-Ligaments

-Muscles

-Tendons

-Nerves

-Spinal cord and spinal nerves (example: using techniques to help alleviate pressure on a stenotic central canal or stenotic neuroforamen)

-Brain, dura (like helping alleviate tension on the dura from the sacrum)

-Viscera (like helping move stool through the colon)

-Lymphatic fluid (helping reduce swelling)




What do you mean you can work on structures like nerves?


Many disease states represent an imbalance within the autonomic nervous system.[6,7]

-Sympathetics: These are responsible for "fight or flight," including heart rate, respiratory rate, etc. The sympathetic nervous system can be directly treated along the rib heads of T1-T12, and at specific ganglia within the cervical spine.

-Parasympathetics: These are responsible for "rest and relaxation," including digestion, stools, etc. The parasympathetic nervous system can be directly influenced within the upper cervical spine and within the sacral region.

Gently treating these regions can help bring the two systems back into harmony with each other, and reduce symptoms of a specific condition. This has a cascade-like effect on hormones, brain functioning, heart, and lung functioning as well.




What kind of manual techniques will a DO use?


Techniques are utilized based on the type of problem that is present as well as the patient and their body. There are numerous techniques, the common ones are listed below:

-If a range of motion issue is present, we often use a technique called "muscle energy"

-Strain/counterstrain is used for muscle spasms

-High-velocity, low-amplitude (hv/la), a still technique, articulatory, used for joint capsules

-Soft tissue, myofascial release both direct and indirect are used for fascia, muscles, and fluid buildup




What does the term "somatic dysfunction" mean?


Somatic dysfunction (SD) refers to a change or dysfunction that is palpated by a DO within the body. This is also what we diagnose and then directly treat with OMM. This does not mean that something is "out of alignment," rather, that part of the body (like a vertebra) may be held by a sustained muscular contraction within its normal range of motion.[7]

Additionally, we can treat an area of restricted range of motion, tissue texture change (swollen/boggy tissue), asymmetry, sensitivity, or tenderness that is found within the body (the soma, hence the term "somatic").

For example: after long days of working on the computer, a sustained contraction of the paraspinal musculature at the junction between the neck (cervical spine) and the thoracic spine can occur, often palpated at the T1 level. This can result in a minor change of rotation, sidebending, and flexion or extension at that vertebral level. We would address this with OMM.




Does OMM have any negative side effects?


After an OMM treatment:

-Infants can sometimes experience a deep sleep the day of treatment; a mild temperature increase (this would not cross the fever threshold); some babies can have a mild temporary increase in spitting up.

-Older children/teenagers can also experience a deep sleep the day of treatment; they can also feel sore for a couple of days after treatment, similar to how a work-out would feel due to release of lactic acid.





What We Treat

Plagiocephaly


Unfortunately, cranial helmets/bands have been linked to causing headaches and migraines later in life, even into adulthood. Craniosacral therapy or OMM are excellent treatments for plagiocephaly. This can take a higher frequency of visits than most diagnoses to help.




Torticollis, or neck muscle spasm


Both craniosacral therapy and OMM work very well to alleviate a spasm of neck musculature. Oftentimes we can achieve positive results within one treatment, with some increase in range of motion (ROM) and spontaneous turning of the head to the restricted side.




Constipation


OMM can be used to help treat the sacrum, as an example. The parasympathetic nerves at the sacrum are responsible for controlling the colon. The sacrum (tailbone) is cocooned within a giant network of suspensory ligaments and an intricate concentration of fascia. A strain within this biomechanical region, for both adults and children, can impact stools. Rebalancing the pelvis and treating the sacrum can help a patient have softer, more regular stools.




Reflux


OMM can help treat the thoracic spine, where the stomach and gastrointestinal visceral nerves are located. Additionally, aiming treatment at the parasympathetics within the upper cervical spine can help reduce reflux.





References:

1. Bjørnæs KE, Elvbakken G, Dalhøi B, Garberg TH, Kaufmann J, Glomsrød E, Reiertsen O, Larsen S. Osteopathic manual therapy (OMT) in treatment of gastroesophageal reflux disease (GERD). Clin. Pract. 2019;16(3):1109-1115.

2. Belvaux A, Bouchoucha M, Benamouzig R. Osteopathic management of chronic constipation in women patients. Results of a pilot study. Clin Res Hepatol Gastroenterol. 2017;41(5):602-611. doi:10.1016/j.clinre.2016.12.003

3. Barni A, Zecchillo D, Uberti S, Ratti S. Osteopathic Manipulative Treatment in a Paediatric Patient with Oesophageal Atresia and Tracheo-Oesophageal Fistula. Case Rep Gastroenterol. 2019;13(1):178-184. doi:10.1159/000499445

4. Hayden C, Mullinger B. A preliminary assessment of the impact of cranial osteopathy for the relief of infantile colic. Complement Ther Clin Pract. 2006;12(2):83-90. doi:10.1016/j.ctcp.2005.12.005

5. Philippi H, Faldum A, Schleupen A, et al. Infantile postural asymmetry and osteopathic treatment: a randomized therapeutic trial. Dev Med Child Neurol. 2006;48(1):5-4. doi:10.1017/S001216220600003X

6. Rechberger V, Biberschick M, Porthun J. Effectiveness of an osteopathic treatment on the autonomic nervous system: a systematic review of the literature. Eur J Med Res. 2019;24(1):36. doi:10.1186/s40001-019-0394-5

7. Carnevali L, Lombardi L, Fornari M, Sgoifo A. Exploring the Effects of Osteopathic Manipulative Treatment on Autonomic Function Through the Lens of Heart Rate Variability. Front Neurosci. 2020;14:579365. doi:10.3389/fnins.2020.579365