Osteopathic Manipulative Treatment
What is Osteopathic Medicine?
Our medical training centralizes the osteopathic approach, which emphasizes the interconnection between the body’s anatomical and functional components as well as life experiences (i.e., physical and mental development, stressors, and trauma). Osteopathic medicine recognizes the body’s innate capacity to heal and adapt when the right support and environment are present.
What is Osteopathic Manipulative Treatment?
Osteopathic manipulative, or manual, treatment (OMT) is used by Doctors of Osteopathic Medicine (DOs) to treat diagnosed somatic dysfunctions impeding recovery and support prevention of prolonged illness or injury.
OMT uses a variety of hands-on techniques that include stretching, pressure, guided movement, and precise manipulation to:
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Relieve functional tensions and restrictions
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Encourage ease of natural motion
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Improve comfort and function
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Support the body's inherent healing processes
Examples of health problems that OMT can be helpful for
Neuromusculoskeletal
Pain & Dysfunction
Related to inflammation, spasm, circulation, hypomobility & restrictions, impingement, sciatica & piriformis syndrome, sacroiliac joint dysfunction, frozen shoulder, Temporomandibular joint dysfunction, sprains & strains, fibromyalgia, pelvic dysfunction, hypersensitivities
Headaches
Tension, migraine, cervicogenic headaches
Digestive Issues
Constipation, Irritable bowel syndrome, motility problems, reflux (adults and children), adhesions
Mental Wellness
Tensions related to stress and anxiety
Acute Illness
Inflammation
Sinus, respiratory, and lymphatic congestion, neuromuscular tension
Pediatric
Constipation, reflux, congestion, colic, torticollis, plagiocephaly, otitis media-related pain and inflammation, chronic headaches, growing pains, hypomobility
OMT
for
Workplace Injuries & Occupational Disease
We are accepting referrals to Dr. Marshall for Osteopathic Evaluation and OMT for L&I-covered workplace injuries and occupational disease. Please reach out to us about your referral once placed by your primary treating provider.
We are unfortunately not accepting self-insured employer covered cases at this time.
Our Services are by Self-Pay Only.
We are out-of-network from insurance plans and so we do not directly participate with, nor bill insurance. We are a small direct primary care private practice (DPC), which follows a self-pay membership model for care. You can use insurance for what is covered for external services but not for care directly from the clinic.
If you are not enrolled in a government-sponsored health coverage program:
If not insured under Medicare, Medicaid or TRICARE or similar government-sponsored health coverage program, we can provide a superbill upon request for you to submit to your insurance carrier for potential reimbursement for standalone OMT as a non-member. We cannot guarantee reimbursement. If you are interested in submitting OMT services for insurance reimbursement or utilizing your existing HSA/FSA account to pay, please first check with your insurance carrier to discuss the best option.
OMT Modalities
Both Dr. Marshall and Dr. Khant have experience with a variety of direct and indirect OMT modalities.
The specific techniques used in your care depend on your presentation and evaluation, goals, and clinical judgement, and may include methods to support muscle relaxation, improve. motion, or address patterns of restriction.
The chronicity, severity, and depth of somatic dysfunctions are unique to every individual, requiring varying periods and repetitions of treatment over time for maximal healing and preventive support.
Muscle Energy
Uses guided muscle engagement to help release muscle tightness, improve motion, and promote overall healing and relaxation.
Facilitated Positional Release & Myofascial Release
Soft tissue techniques that focus on the fascia, the connective tissue surrounding muscles, bones, and organs, by applying gentle, sustained pressure with gliding of the fascia to gradually stretch and release restrictions, thereby improving tissue mobility.
Counterstrain
A gentle, positional release technique that focuses on the relationship between muscle strain and its surrounding tissue. Tender points are identified in the muscle or connective tissue and the body positioned in a way for a period of time that shortens the muscle and relieves the strain.
Direct Soft Tissue
Involves application of direct pressure to address areas of tension, adhesions, and to improve circulation.
Still Technique
Involves a non-invasive technique of using the position of ease, then gentle stretch and release of restriction of a joint through its range of motion.
High Velocity Low Amplitude
A precise technique involving a quick, controlled, and low amplitude thrust to a joint to restore mobility and alignment, alleviate pain, and improve function.
Indirect Soft Tissue
Involves gently moving tissue into a position of ease or comfort, allowing the muscles and tissues to relax and release.
Balanced Ligamentous Tension
A low-force manipulation that focuses on rebalancing the position of tight, overstretched, or injured ligaments surrounding a joint, which connect bones together to provide stability and support.
Cranial Osteopathy
Use of light, highly subtle techniques targeted at the craniosacral system (the neurocranium, viscerocranium, the brain, spinal cord, cerebrospinal fluid, meninges, and autonomic nervous system) and surrounding tissues to restore flow and rhythm.