An Osteopathic Approach to Migraines and Headaches

Not many people give it a second thought when going to the doctor, but have you ever wondered what all those little letters after your doctor’s name mean? We are accustomed to “M.D.” and even use the letters to mean physicians in general, but have you ever been to a D.O.? Doctors of Osteopathy are fairly common in the United States and, in many cases, practice medicine in a way indistinguishable from their M.D. counterparts. There are many potential differences that are worth knowing, however.

What Is Osteopathic Medicine?:

Osteopathic medicine began in the mid-1800s, and the profession was founded by A.T. Still, a Missouri physician who grew disillusioned with the style of medicine being practiced on Civil War battlefields. Through the years, four basic principles grew out of the teachings of Dr. Still:

• The body is a unit.
• Structure and function are reciprocally interrelated.
• The body possesses self-regulatory mechanisms.
• The body itself has the inherent capacity to defend itself and repair itself.

Applying these four principles to diagnosis and treatment are the focus of osteopathic physicians.

What Kind of Medicine Do Osteopaths Practice?:

Osteopathic physicians can and do practice all types of medicine. They are primary care providers such as family physicians, internists, and pediatricians. They are also specialists, practicing as neurologists, anesthesiologists, and surgeons. They go through four years of medical school just like allopathic physicians (M.D.s), and many go on to residency and specialty training. The American Osteopathic Association has more information about D.O.s and how to find a physician in your area.

What Is Manipulation?:

Osteopathic manipulative rreatment (OMT) is a hands-on treatment aimed at improving the body’s function. There are many forms of OMT, the most recognizable being high-velocity, low-amplitude techniques (HVLA). This closely resembles chiropractic adjustment. There are a number of other techniques that are less aggressive and, in many cases, more effective than traditional treatments. Every D.O. is different in how they apply these treatments, but there is no one single way to treat every patient. Not all D.O.s perform OMT, so be sure to ask before making an appointment.

What Can D.O.s Do for Headaches?:

First of all, your osteopathic physician can treat your headache like any other doctor. He or she can prescribe medicines or therapies that are proven and effective for treating migraines. OMT can also be used for headaches and is quite helpful for certain types. Migraines, cluster headaches, and tension headaches can all be treated with OMT, so this can be a nice alternative if you are looking to avoid unnecessary medications.As with all potential headache treatments, be sure to discuss your goals and concerns with your own primary care physician. He or she can help you select treatment options that will best help you improve your overall health.

_Source:

Ward RC, editor. Foundations for osteopathic medicine. Second edition. Lippincott Williams & Williams. 2003.