OMT

Sometime in November, I decided to just take the many suggestions I've gotten that I apply to osteopathic (D.O.-granting) medical schools as well as allopathic (M.D.-granting). I've been open to it, but I just found a connection to a D.O. to shadow (which osteopathic schools really want you to do when you're applying). In the last month or so, I have been shadowing a doctor who actually does osteopathic manipulative treatment (OMT, the hands-on musculoskeletal manipulations that DOs learn which constitute the difference between them and MDs but that a lot of DOs don't do in practice) one morning a week to see what it's all about.

OMT is pretty cool. And a quick search of PubMed (a database of scientific studies) shows that it works better than placebo or physical therapy to treat some back pain, ankle injuries, and ear infections, actually (which I think is so weird!) among other ailments. With some patients, you actually see a difference in how they move immediately after treatment, which is awesome. It definitely seems like a great treatment option for musculoskeletal pain.

So today as part of my shadowing experience I decided to be the patient. I definitely have some occupation-related back and neck pain (sitting all day with a phone cradled against your shoulder while typing? It gets to you after a year or so) which makes me a good candidate for OMT. Plus, watching a doctor do it doesn't show as much as I would like, because so much of it seems to be small, slow, gentle movements rather than large or jerky movements that would make clear what's happening. To be honest, I sometimes wondered if anything was really happening. So I had my neck, back, and pelvis realigned this morning.

The doctor held my arms in weird positions while putting pressure on the muscles in my back that are always tight (this is called counterstrain, and if I remember right, the idea is that you stretch the tight muscles in the opposite direction). He cracked my T1 vertebra (the only cracking I've seen him do, actually - apparently unlike chiropractic, OMT doesn't involve a lot of that, but it sure felt good). He put pressure with his fingertips on points on my neck and my pectoral muscles. The med student doing a fellowship there had me squeeze my knees together and push them apart against resistance, put pressure on areas of my lower back, and had me move my legs around in a particular way. Very little of it hurt at all, it was not like a massage - they barely moved their hands, it was mostly slow, and it took about half an hour.

This afternoon and still somewhat now, I felt like I'd lifted weights for about two hours. I was SORE. And thirsty. But the good kind of sore - when I feel my shoulder muscles, they are much more relaxed than they have been. My upper back feels refreshingly loose and mobile. When I feel my spine from my shoulder blades up my neck, it actually feels and looks straighter.