Osteopathy () is a pseudoscientific system of alternative medicine that emphasizes physical manipulation of the body's muscle tissue and bones. In most countries, practitioners of osteopathy are not medically trained and are referred to as osteopaths.
Osteopathic manipulation is the core set of techniques in osteopathy. Parts of osteopathy, such as craniosacral therapy, have no therapeutic value and have been labeled as pseudoscience and quackery. The techniques are based on an ideology created by Andrew Taylor Still (1828–1917) which posits the existence of a "myofascial continuity"—a tissue layer that "links every part of the body with every other part". Osteopaths attempt to diagnose and treat what was originally called "the osteopathic lesion", but which is now named "somatic dysfunction", by manipulating a person's bones and muscles. Osteopathic Manipulative Treatment (OMT) techniques are most commonly used to treat back pain and other musculoskeletal issues.
Osteopathic manipulation is still included in the curricula of osteopathic physicians or Doctors of Osteopathic Medicine (DO) training in the US. The Doctor of Osteopathic Medicine degree, however, became a medical degree and is no longer a degree of non-medical osteopathy.
Osteopathic medicine in the United States: History
The practice of osteopathy began in the United States in 1874. Osteopathy was founded by Andrew Taylor Still, a 19th-century American physician (MD), Civil War surgeon, and Kansas state and territorial legislator. He lived near Baldwin City, Kansas, during the American Civil War and it was there that he founded the practice of osteopathy. Still claimed that human illness was rooted in problems with the musculoskeletal system, and that osteopathic manipulations could solve these problems by harnessing the body's own self-repairing potential. Still's patients were forbidden from treatment by conventional medicine, as well as from other practices such as drinking alcohol.
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Spinal manipulation is an intervention performed on spinal articulations, synovial joints, which is asserted to be therapeutic. These articulations in the spine that are amenable to spinal manipulative therapy include the z-joints, the atlanto-occipital, atlanto-axial, lumbosacral, sacroiliac, costotransverse and costovertebral joints. National guidelines come to different conclusions with respect to spinal manipulation with some not recommending it, and others recommending a short course in those who do not improve with other treatments.
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