From 306f4ebecc7b88619f8ffecd5c8b0d97f3172de6 Mon Sep 17 00:00:00 2001 From: Noah Swerhun Date: Sun, 27 Aug 2023 19:41:10 -0500 Subject: [PATCH] doctor resources added, moved public content --- .../feelys-osteopathic-dictionary/page.tsx | 1296 +++++++++++++++++ .../articles/(content)/omt-codes/page.tsx | 286 ++++ .../(pages)/articles/views/ArtsForDocs.tsx | 52 +- website/app/views/Introduction.tsx | 2 +- website/components/Carousel.tsx | 6 +- website/components/Navbar/index.tsx | 4 +- .../doctor-resources/drg_omt_chart.pdf | Bin 0 -> 53003 bytes .../{ => content}/dr_feely_brick_wall.webp | Bin .../{ => content}/dr_feely_headshot.png | Bin .../{ => content}/dr_feely_headshot2.png | Bin website/public/{ => content}/feelycenter.png | Bin .../homepage-carousel}/chicago.jpg | Bin .../homepage-carousel}/indianapolis.webp | Bin .../homepage-carousel}/nature.jpg | Bin website/public/{ => content}/logo.png | Bin website/public/{ => content}/logo_small.png | Bin .../{ => content}/midwestern_college.jpg | Bin website/public/{ => content}/omm_logo.png | Bin website/public/{ => content}/quote.png | Bin website/public/{ => content}/tcm_tests.png | Bin website/public/{ => content}/text_accent.png | Bin .../public/{ => content}/text_accent_2.png | Bin .../public/{ => content}/text_accent_3.png | Bin .../public/{ => content}/text_accent_4.png | Bin website/public/{ => content}/womack.png | Bin 25 files changed, 1625 insertions(+), 21 deletions(-) create mode 100644 website/app/(pages)/articles/(content)/feelys-osteopathic-dictionary/page.tsx create mode 100644 website/app/(pages)/articles/(content)/omt-codes/page.tsx create mode 100644 website/public/content/doctor-resources/drg_omt_chart.pdf rename website/public/{ => content}/dr_feely_brick_wall.webp (100%) rename website/public/{ => content}/dr_feely_headshot.png (100%) rename website/public/{ => content}/dr_feely_headshot2.png (100%) rename website/public/{ => content}/feelycenter.png (100%) rename website/public/{homepage_carousel => content/homepage-carousel}/chicago.jpg (100%) rename website/public/{homepage_carousel => content/homepage-carousel}/indianapolis.webp (100%) rename website/public/{homepage_carousel => content/homepage-carousel}/nature.jpg (100%) rename website/public/{ => content}/logo.png (100%) rename website/public/{ => content}/logo_small.png (100%) rename website/public/{ => content}/midwestern_college.jpg (100%) rename website/public/{ => content}/omm_logo.png (100%) rename website/public/{ => content}/quote.png (100%) rename website/public/{ => content}/tcm_tests.png (100%) rename website/public/{ => content}/text_accent.png (100%) rename website/public/{ => content}/text_accent_2.png (100%) rename website/public/{ => content}/text_accent_3.png (100%) rename website/public/{ => content}/text_accent_4.png (100%) rename website/public/{ => content}/womack.png (100%) diff --git a/website/app/(pages)/articles/(content)/feelys-osteopathic-dictionary/page.tsx b/website/app/(pages)/articles/(content)/feelys-osteopathic-dictionary/page.tsx new file mode 100644 index 0000000..a94c27c --- /dev/null +++ b/website/app/(pages)/articles/(content)/feelys-osteopathic-dictionary/page.tsx @@ -0,0 +1,1296 @@ +import Article from "@/components/Article"; + +const ArticleFeelysOsteopathicDictionary = () => { + return ( +
+

– A –

+

+ angle, lumbosacral: represents the angle of the + lubosacral junction as measured by the inclination of the superior + surface of the first sacral vertebra to the horizontal (this is actually + a sacral angle); usually measured from standing lateral x-ray films; + also known as Ferguson’s angle. +

+

+ articulation: 1. the place of union of junction between + two or more bones of the skeleton; 2. the active or passive progress of + moving a joint through its permitted anatomic range of motion. +

+

+ assymmetry: absence of symmetry of position or motion; + dissimilarity in corresponding parts of organs or opposite sides of the + body which are normally alike; of particular use when describing + position or motion alteration resulting from somatyc dysfunction. +

+

+ axoplasmic transport: the antegrade movement of + substance from the nerve cell along the axon toward the terminals, and + the retrograde movement from the terminals toward the nerve cell. +

+

– B –

+

+ barrier (motion barrier): the limit to motion; in + defining barriers, the palpatory end-feel chracateristics are useful. +

+

+ anatomic barrier: the limit of motion imposed by anatomic + structure; the limit of passive motion. +

+

+ elastic barrier: the range between the physiologic and antomic + barrier of motion in which passive ligamentous stretching occurs before + tissue disruption. +

+

+ physiologic barrier: the limit of active motion; can be altered + to increase range of active motion by warm-up activity. +

+

+ restrictive barrier: a functional limit within the anatomic + range of motion, which abnormallly diminishes the normal physiologic + range. +

+

+ pathologic barrier: 1. restrictive barrier; 2. permanent + restriciton of joint motion associated with pathologic change of tissues + (example: contracture, osteophytes). +

+

+ bind: relative palpable resistance to motion of an + articulation or tissue, Synonym: resistance; antonums: ease, compliance, + resilience. +

+

+ biomechanics: mechanical principles applied to the + study of biological functions; the application of mechanical laws to + living structures; the study and knowledge of biological function from + an application of mechanical principles. +

+

+ bogginess: a tissue texture abnormality characterized + principally by a palpable sense of sponginess inthe tissue, interprted + as resulting from congestion due to increased fluid content. +

+

+ bucket handle rib motion: movement of the ribs during + respiration such that with inhalation the lateral aspect of the rib + moves cephaled resulting in an increase of transverse diameter of the + thorax; this type of rib motion is predominately found in the lower + ribs, increasing from the upper to the lower ribs. +

+

– C –

+

+ caudad: toward the tail or inferiorly. +

+

+ cephalad: toward the head. +

+

+ cerebrospinal fluid, fluctuation of: a description of + the hypothesized action of cerebrospinal fluid with regard to the + cranioscral mechanism. +

+

+ Chapman’s reflex: a system of reflex points originally + used by Frank Chapman, D.O.  that were described by Charles Owens, + D.O. These reflexes present as predictable anterior and posterior + fascial tissue texture abnormalities assumed to be reflections of + visceral dysfunction or pathology (viscerosomatic reflexes). A given + reflex is consistently associated with the same viscus. Chapman’s + reflexes are manifested by palpatory findings of plaque-like changes of + stringiness of the involved tissues. +

+

+ circumduction: the active or passive circular movement + of a limb; the rotary movement by which a structure or part is made to + describe a cone, the apex of the cone being a fixed point (e.g. the + circular movement of a a ball and socket joint). +

+

+ Contraction: shortening and/or development of tension + in muscle. +

+

+ concentric contraction: contraction of muscle resulting in + approximation of attachments. +

+

+ Eccentric contraction: lengthening of muscle during contraction + due to an external force. +

+

+ Isolytic contraction: 1. contraction of a muscle against + resistance while forcing the muscle to lengthen 2. Operator force + greater than patient force. +

+

+ Isometric contraction. 1. Change in the tension of a muscle + without approximation of muscle origin and insertion 2. Operator force + equal to patient force. +

+

+ Isotonic contraction: 1. Approximation of the muscle origin and + insertion without change in its tension; 2. Operator force less than + patient force +

+

+ Contracture: a condition of fixed high resistance to + passive stretch of a muscle, resulting from fibrosis of the tissues + supporting the muscles or the joints or from disorders of the muscle + fibers. +

+

+ Dupuytyen’s contracture: shortening, thickening and fibrosis of + the palmar fascia, producing a flexion deformity of a finder (Dorland) +

+

+ Cranial rhythmic impulse: a palpable, rhythmic + fluctuation believed to be synchronous with the primary respiratory + mechanism. (Term coined by Drs. John & Rachel Woods) +

+

+ Craniosacral mechanism: a term used to refer to the + anatomic connection between the occiput and the sacrum by the spinal + dura mater, as used by Dr. Sutherland in any other sense. +

+

D –

+

+ Decompensation: a dysfunctional, persistent patter, in + some cases reversible, resulting when homeostatic mechanisms are + partially or totally overwhelmed. +

+

– E –

+

+ effleurage: stroking movement in massage used to move + lymphatic fluids. +

+

+ elasticity: ability of a strained body or tissue to + recover its shape after deformation. +

+

+ end feel: perceived quality of motion as an anatomic or + physiologic restrictive barrier is approached. +

+

+ enthesitis: traumatic disease occuring at the insertion + of muscles where recurring concentration of muscle stress provokes + inflammation with a strong tendancy toward fibrosis and calcification + (Stedman); inflammation of the muscular or tendinous attachment to bone + (Dorland). +

+

+ ERS: a descriptor of spinal somatic dysfunction used to + denote a combination extended (E), rotated (R), and sidebent (S) + vertebral position. +

+

+ Exhalation rib: 1. A somatic dysfunction usually + characterized by a rib being held in a position of exhalation such that + motion toward exhalation is more free and motion toward inhalation is + restricted; synonyms: inhalation restriction of rib(s), exhalation + strain, depressed rib 2. An anterior tender point in + strain-counterstrain. +

+

+ Extension: 1. Accepted universal term for backward + motion in a saggital plane of the spine about a transverse axis; in a + vertebral unit when the superior part moved backward; 2. In extremities, + it the straightening of a curve or angle (biomechanics); 3. Separation + of the ends of a curve in a spinal region. +

+

+ Extrinsic corrective forces: treatment forces, the + sources of which are external to the patient; they may include operator + effort, effect of gravity, mechanical tables. +

+

– F –

+

+ Facilitation: 1. The maintenance of a pool of neurons + (e.g., premotor neurons, motorneurons or preganglionic sympathetic + neurons on one or more segments of the spinal cord.) in a state of + partial or subthreshold excitation; in this state, less afferent + stimulation is required to trigger the discharge of impulses 2. A theory + regarding the neurophysiolgical mechanisms underlying the neuronal + activity associated with somatic dysfunction 3. Facilitation may be due + to sustained increase in afferent input, aberrant patterns of afferent + input, or changes within the affected neurons themselves or their + chemical environment. Once established facilitation can be sustained by + normal central nervous system (CNS) activity. +

+

+ Fascial patterns: systems for classifying and/or + recording the preferred directions of fascial motion throughout the body + in classifiable combinations of regional compensatory change major + systems of fascial patterns include the observations of W. Neidner, D.O. + and J. Gordon Zink, D.O. +

+

+ FRS: a descriptor of spinal somatic dysfunction used to + denote a combination flexed (F), rotated (R ) and sidebent (S) vertebral + position. +

+

– G –

+

+ Guiding: gentle movement by the operator following the + path of least resistance in the movement of a body part within its + normal range. +

+

– H –

+

+ Habituation: decreased response to repeated + stimulation; hypothetically, a short-term (minutes or hours) decremental + central nervous system (CNA) process; it interacts with the incremental + CNS process of sensitization and yields a final behavioral outcome. +

+

+ Health: adaptive and optimal attainment of physical, + mental, emotional, spiritual, and environmental well-being. +

+

+ Homeostasis: 1. Maintenance of static or constant + conditions in the internal environment; 2. The level of well-being of an + individual maintained by internal physiologic harmony; it is the result + of a relatively stable state or equilibrium among the interdependent + body functions. +

+

+ Hypertonicity: a condition of excessive tone of the + skeletal muscles; increased resistance of muscle to passive stretching. +

+

+ Iliosacral motion: motion of the ilia on an inferior + transverse axis through the sacrum, as occurs in walking; considered to + be primarily influenced by the attachments and movements of the pelvis, + hips and lower extremities. +

+

– I –

+

+ Ilium + , somatic dysfunction of: anterior (forward) innominate + (iliac) rotation: a somatic dysfunction in which the anterior superior + iliac spine (ASIS) is anterior and inferior to the contralateral + landmark; the ilium moves more freely in an anterior inferior direction, + and is restricted in posterior motion. +

+

+ Inferior innominate: (iliac) shear: a somatic dysfunction (qv) + in which the anterior superior iliac spine (ASIS) and posterior superior + iliac spines (PSIS) are inferior to the contralateral landmarks;the + ilium (innominate pelvic bone) moves more freely in an inferior + direction and is restricted in superior motion. +

+

+ Inflare: (of the ilium i.e., innominate) a somatic dysfunction + of the ilium resulting in medial positioning of the anterior ileum + (ASIS);the ilium moves more freely in a medial direction, restriction is + in lateral direction. +

+

+ Outflare: (of the ilium, i.e., innominate) a somatic + dysfunction of the ilium resulting in lateral positioning of the + anterior ilium (ASIS); the ilium moves more freely in a lateral + direction, restriction is in medial direction. +

+

+ Posterior: (background) innominate (iliac) rotation: a somatic + dysfunction is which the anterior superior iliac spine (ASIS) are + posterior and superior to the contralateral landmarks; the ilium moves + more fully in a posterior direction and is restricted in an anterior + inferior motion. +

+

+ Superior innominate (iliac) shear: a somatic dysfunction in + which the anterior superior iliac spine (ASIS) and posterior superior + iliac spines (PSIS) are superior to the contralateral landmarks; the + ilium (innominate pelvic bone) moves more freely in a superior direction + and is restricted in inferior motion. +

+

+ Inferior lateral angle (ILA) of the sacrum: the point + on the lateral surface of the sacrum where it curves medially to the + body of the fifth sacral vertebra (Gray’s anatomy). +

+

+ Inhalation rib: a somatic dysfunction usually + characterized by a rib being held in a position of inhalation such that + motion toward inhalation is more free and motion toward exhalation is + restricted; synonyms; inhaled rib, anterior rib, inhalation strain, + elevated rib, exhalation restriction. +

+

+ Innominate, reflex: 1. In osteopathic usage, a term + that described the application of steady pressure to soft tissues to + effect relaxation and normalize reflex activity, 2. Effect on antagonist + muscles due to reciprocal innervation when the agonist is stimulated; + see laws, Sherrington’s osteopathic manipulative treatment; inhibitory + pressure treatment. +

+

+ Innominate bone: now called hip bone, pelvic bone, or + os coxae; the pelvis is made up of the two innominate bones, the sacrum + and coccyx, see hip bone; see ilium, somatic dysfunction of. +

+

+ Intersegmental motion: designates relative motion + taking place between tow adjacent vertebral segments or within a + vertebral unit; described as the upper vertebral segment moving on the + lower. +

+

+ Intrinsic corrective forces: voluntary or involuntary + forces from within the patient that a assist in the manipulative + treatment process. (For comparison, see extrinsic corrective forces) +

+

+ Isokinetic exercise: exercise using a constant speed of + movement of the body part. +

+

– K –

+

+ Kinesthesia: the sense by which muscular motion, + weight, position, etc. are perceived. +

+

+ Kinetics: the body of knowledge that deals with the + effects of forces that produce or modify body motion. +

+

+ Klapping: striking the skin with cupped palms to + produce vibrations with the intention of loosening material in the lumen + of hollow tubes or sacs within the body, particularly the lungs. +

+

+ Kneading: a soft tissue technique which utilizes an + intermittent force applied perpendicular to the long axis of the muscle. +

+

+ Kyphosis: 1. The exaggerated (pathologic) AP curve of + the thoracic spine with concavity anteriorly; 2. Abnormally increased + convexity in the curvature of the thoracic spine as viewed from the side + (Dorland) +

+

– L –

+

+ Lateral flexed: a term used to describe a position of a + vertebral body; defined as the movement of a point on the anterior on + the anterior-superior aspect of the vertebral body about an + anteriorposterior axis in a coronal plane. +

+

+ Law, Head’s: when a painful stimulus is applied to a + body part of low sensitivity (e.g viscus) that is in close central + connection with a point of higher sensitivity rather than at the point + where the stimulus was applied. +

+

+ Law, Wolff’s: every change in form and function of a + bone or in its function alone, is followed by certain definite changes + in its internal architecture, and secondary alterations in its external + conformations (Stedman’s 25th ed.) e.g., bone is laid down along lines + of stress. +

+

+ Laws, Sherrington’s: 1. Every posterior spinal nerve + root supplies a specific region of the skin, although fibers from + adjacent spinal segments may invade such a region; 2. When a muscle + receives a nerve impulse to contract, its antagoist receives, + simutaneously, an impulse to relax. (These are only two of Sherrington’s + contributions to nuerophysiology; these are the ones most relevant to + osteopathic principles). +

+

+ Ligamentous strain: motion and/or positional asymmetry + associated with elastic deformation of connective tissue (fascia, + ligament, membrane). +

+

+ Localization: 1. In manipulative technique, the precise + positioning of the patient and vector application of forces required to + produce a desired result; 2. The reference of a sense impression to a + particular locality in the body. +

+

+ Lordosis: 1. The anterior convexity in the curvature of + the lumbar and cervical spine as viewed from the side; the term is used + to refer to abnormally increased curvature (hollow back, saddle back, + sway back) and to the normal curvature (normal lordosis) cf. Kyphosis + and Scoliosis; (Dorland) 2. Hollow back or saddle back; an abnormal + extension of deformity; anteriorposterior curvature of the spine, + generally lumbar with the convexity looking anteriorly (Stedman). +

+

+ Lymph pumps: see osteopathic manipulative treatment; + pedal pump or thoracic pump. +

+

– M –

+

+ Manipulation: therapeutic application of manual force; + see also technique. +

+

+ Manual medicine: the use of the hands to diagnose and + treat disorders of the somatic system. +

+

+ Massage: therapeutic friction, stroking, and kneading + of the body; see also osteopathic manipulative treatment; soft tissue + treatment. +

+

+ Mechanoreceptor: a receptor excited by mechanical + pressures or distortions, as those responding to touch and muscular + contractions (Dorland). +

+

+ Motion: 1. A change of position (rotation, and/or + translation) with respect to a system; 2. An act or process of a body + changing position in terms of direction, course and velocity. +

+

+ Active motion: movement produced voluntarily by the patient. +

+

+ Inherent motion: that spontaneous motion of every cell, organ, + system and their component units within the body. +

+

+ Passive motion: motion induced by the physician while the + patient remains passive or relaxed. +

+

+ Physiologic motion: changes in position of body structures + within the normal range; see physiologic motion of the spine. +

+

+ Translatory motion: motion of a body part along an axis; see + translation. +

+

– N –

+

+ Neutral: 1. The range of sagittal plane positioning in + which the first principle of physiologic motion of the spine applied. 2. + The point of balance of an articular surface from which all the motions + physiologic to that articulation may take place. +

+

+ Nociceptor: a peripheral nerve organ or mechanism for + the appreciation and transmission of painful or infurious stimuli  + (Stedman). +

+

+ Non-neural: the range of sagittal plane spinal + positioning in which the second principle of physiologic motion of the + spine applies. +

+

+ Normalization: the therapeutic use of anatomic and + physiologic mechanics to facilitate the body’s response toward + hemeostasis and improved health. +

+

+ NSR: A descriptor of spinal somatic dysfunction used to + denote a combination neutral (N), sidebent (S) and rotated ( R ) + vertebra position; similar descriptors may involve flexed (F) and + extended (E) position; examples of combinations are FRS, ERS. +

+

+ Nutation: nodding forward; anterior movement of the + sacral base around a transverse axis in relation to the ilia, occurring + during sphenobasilar extension of the craniosacral mechanism. +

+

– O –

+

+ OMM: 1. Osteopathic manipulative medicine 2. Primary + care specialty emphasizing in-depth application of osteopathic + philosophy and special proficiency in osteopathic diagnosis and + treatment. +

+

+ OMT: see osteopathic manipulative treatment. +

+

+ OP&P: osteopathic principles and practice. +

+

+ Osteopathic lesion ( osteopathic lesion complex): term + originally used to identify what is currently defined as somatic + dysfunction; see somatic dysfunction. +

+

+ Osteopathic manipulative treatment: (OMT): the + therapeutic application of manually guided forces by an osteopathic + physician to improve physiological function and/or support homeostastis; + this is accomplished by a variety of techniques. +

+

+ Active treatment (ART): a technique in which the person + voluntarily performs a physician directed motion. +

+

+ Articulatory treatment (ART) :a low velocity/moderate to high + amplitude technique where a joint is carried through its full motion + with the therapeutic goal of increased freedom range of motion. +

+

+ Balanced ligamentous tension (BLT/LAS): see + ligamentous articular strain. +

+

+ Combined treatment: 1. Term coined by Paul Kimberly, D.O., to + describe a technique where the initial movements are indirect as the + technique is completed the movements change to direct forces. 2. A + manipulative sequence involving two or more different techniques (e.g + Spencer technique combined with muscle energy technique) +

+

+ Counterstrain (CS): a system of diagnosis and treatment + developed by Lawrence Jones, D.O., that considers the dysfunction to be + continuing, inappropriate strain reflex, which is inhibited by applying + a position of mild strain in the direction exactly opposite to that of + the strain reflex; this is accomplished by use of the specific point of + tenderness related to this dysfunction followed by specific directed + positioning to achieve the desired therapeutic response. +

+

+ Cranial treatment (CR): see primary respiratory mechanism; see + also osteopathy in the cranial field. +

+

+ Direct treatment (D/DIR): any technique engaging the + restrictive barrier and then carrying the dysfunctional component into + the restrictive barrier. +

+

+ Exaggeration treatment: 1. Operator movement away from the + restrictive barrier through and beyond the range of voluntary motion to + a point of palpably increased tension. 2. An indirect procedure that + involves carrying the dysfunction part away from the restrictive barrier + tissue treatment: (ST), then applying a high velocity/low amplitude + force in the same direction. +

+

+ Facilitated positional release (FPR): a system of indirect + myofascial release treatment developed by Stanley Schowitz, D.O. The + component region of the body is placed into a neutral position, + diminished tissue and joint tension, in all planes. +

+

+ Inhibitory pressure treatment: the application of steady + pressure to soft tissues to reduce reflex activity and produce + relaxation. +

+

+ Ligamentous articular strain (LAS/BLT): a set of myofascial + release techniques described by Howard Lippincott, D.O., and Rebecca + Lippincott, D.O. +

+

+ Lymphatic pump: a term coined by C. Earl Miller, D.O., to + describe the impact of intrathoracic pressure changes on lymphatic flow; + this was the name originally given to the thoracic pump technique before + the more extensive physiologic effects of the technique were recognized. +

+

+ Mandibular drainage: a technique used to effect increased + drainage of middle ear structures via the Eustachian tube and lymphatic. +

+

+ Muscle energy treatment: a term used to described the form of + osteopathic manipulative treatment in which the patient voluntarily + moves the body as specifically directed by the physician ; this directed + patient action is from a precisely controlled position against a defined + resistance by the physician. +

+

+ Myofascial treatment: any technique directed at the muscles and + fascia. +

+

+ Myofascial release treatment (MFR): treatment form first described by + Andrew T. Still and his early students, which engages continual + palpatory feedback to achieve release of myofascial tissues. +

+

+ Direct MFR: a restrictive barrier is engaged for the myofascial + tissues; the tissue is loaded with a constant force until tissue release + occurs. +

+

+ Indirect MFR: the dysfunctional tissues are guided along the + path of least resistance until free movement is achieved. +

+

+ Passive treatment: technique in which the patient refrains from + voluntary muscle contraction. +

+

+ Pedal pump: a venous and lymphatic drainage technique applied + through the lower extremities; also called the pedal fascia pump or + pedal pump. +

+

+ Positional treatment: a direct segmental technique in which a + combination of leverage, patient ventilatory movements and a fulcrum are + used to achieve mobilization of the dysfunctional segment; may be + combined with springing or thrust technique. +

+

+ Range of motion treatment: active or passive movement of a body + part to it physiologic or anatomic limit in any or all planes of motion. +

+

+ Soft tissue technique : Soft procedure directed toward tissues + other than skeletal or arthrodial elements: a direct technique + which usually involves lateral stretching, linear stretching, deep + pressure, traction and/or separation o muscle origin and insertion while + monitoring tissue response and motion changes by palpation; also called + myofascial treatment. +

+

+ Spencer technique: a series of direct manipulative procedures + to prevent or decrease soft tissue restrictions about the shoulder. +

+

+ Springing treatment: a low velocity/moderate amplitude + technique where the restrictive barier is engaged repeatedly to produce + an increased freedom of motion. +

+

+ Osteopathic Philosophy: osteopathic medicine is a + philosophy of health care and a distinctive art, supported by expanding + scientific knowledge; its philosophy embraces the concept of the unity + of the living organism’s structure (anatomy) and function (physiology). + Its art is the application of the philosophy in the practice of medicine + and surgery in all its branches and specialties. Its science included + the behavioral, chemical, physical, spiritual and biological knowledge + related to the establishment and maintenance of health as well as the + prevention and alleviation of disease. Osteopathic concepts emphasize + the following principles: 1. The human being is a dynamic unit of + function 2. The body possesses self-regulatory mechanism which is self + healing in nature. 3. Structure and function are interrelated at all + levels 4. Rational treatment is based on these principles. +

+

+ Osteopathic postural examination: the part of the + osteopathic musculoskeletal examination that focuses on the static and + dynamic responses of the body to gravity while in the erect position. +

+

+ Osteopathic structural examination: the examination of + a patient by a an osteopathic physician with emphasis on the + neuromuscular-skeletal system including palpatory diagnosis for somatic + dysfunction and viscerosomatic change in the context of total patient + care.The examination is concerned with range of motion of all part of + the body performed with the patient in multiple positions to provide + static and dynamic evaluation. +

+

+ Osteopathy (osteopathic medicine): a system of medical + care with a philosophy that combines the needs of the patient with + current practice of medicine, surgery and obstetrics and emphasis on the + interrelationships between structure and function, and an appreciation + of the body’s ability to heal itself. +

+

+ Osteopathy in the cranial field (OCF): diagnosis and + treatment by an osteopathic physician using the primary respiratory + mechanism. 1. Refers to the work of William G. Sutherland, D.O., in + applying the philosophy and principles of osteopathy to the whole body, + 2. Title of reference book by Harold Magoun, Sr., D.O. +

+

– P –

+

+ Palpation: the application of the fingers to the + surface of the skin or other tissues, using varying amounts of pressure, + to selectively determine the condition of the parts beneath. +

+

+ Palpatory diagnosis: a term used by osteopathic + physicians to denote the process of palpating the patient to evaluate + the neuromusculoskeletal and visceral systems. +

+

+ Palpatory skills: sensory skills used in performing + palpatory diagnosis and osteopathic manipulative treatment. +

+

+ Patient cooperation: voluntary movement by the patient + (on instruction from the operator) to assist in the palpatory diagnosis + and treatment process. +

+

+ Pelvic declination (pelvic unleveling) pelvic rotation + about an A-P axis. +

+

+ Pelvic index: an objective radiographic measurement + representing the relative positions of the sacrum and innominate; normal + values are age-related and increase in subjects with saggital plane + postural decompensation. +

+

+ Pelvic rotation: movement of the entire pelvis in a + relatively horizontal plane about a vertical (longitudinal) axis. +

+

+ Pelvis sideshift: deviation of the pelvis to the right + or left of the central vertical axis as translation along the horizontal + (z) axis, usually observed in the standing position. +

+

+ Pelvic tilt: pelvic rotation about a transverse ( + horizontal) axis (forward or backward tilt) or about an + anterior-posterior axis (right or left side tilt) +

+

+ Petrissage: deep kneading or squeezing action to + express swelling. +

+

+ Physiologic motion of the spine: Principles I and II of + thoracic and lumbar spinal motion described by Harrison H. Fryette, D.O. + (1918) Principle III was proposed by C.R. Nelson, D.O. (1948) +

+

+ Plagiocephaly: an asymmetric condition of the head. +

+

+ Plane: a flat surface determined by the position of + three points in space; any of a number of imaginary surfaces passing + through the body and dividing it into segments. +

+

+ Coronal plane: frontal plane. +

+

+ Frontal plane: a plane passing longitudinally through the body + from one side to the other and dividing the body into anterior and + posterior portions. +

+

+ Saggital plane: a plane passing longitudinally through the body + from front to back and dividing it into right and left portions; the + median or midsaggital plane divides the body into approximately equal + right and left portions. +

+

+ Plastic deformation: a non-recoverable deformation; see + also elastic deformation. +

+

+ Posterior component: a positional descriptor used to + identify the side of reference when rotation of a vertebral segment has + occurred; in a condition of right rotation, the right side is the + posterior component; usually refers to a prominent transverse process. +

+

+ Postural decompensation: distribution of body mass away + from ideal when postural homeostatic mechanisms are overwhelmed; occurs + in a ll cardinal plane but is classified by the major plane(s) affected. +

+

+ Posture: position of the body; the distribution of body + mass in relation to gravity. +

+

+ Primary machinery of life: the neuromusculoskeletal + system. +

+

+ Primary respiratory mechanism: a model proposed by W. + Sutherland, D.O., to describe the interdependent functions among five + body components as follows: 1 the inherent motility of the brain and + spinal cord 2. Fluctuation of the cerebrospinal fluid 3. Motility of the + intracranial and intraspinal membranes 4. Articular mobility of the + cranial bones 5. The involuntary mobility of the sacrum between the ilia + (pelvic bone) +

+

+ Primary: refers to the internal tissue respiratory process. +

+

+ Respiratory: refers to the process of internal respiratory, + i.e., the exchange of respiratory gases between tissue cells and their + internal environment consisting of fluids bathing the cells. +

+

+ Mechanism: refers to the interdependent movement of tissue and + fluid with a specific purpose. +

+

+ Pronation: in relation to the anatomical position, as + applied to the hand, rotation of the forearm in such a way that the + palmar surface turns backward (internal rotation) in relationship to the + anatomical position; applied to the foot, a combination of eversion and + abduction movements taking place in the tarsal and metatarsal joints, + resulting in lowering of the medial margin of the foot. +

+

+ Prone: lying face downward. +

+

+ Proprioception: the sensing of motion and position of + the body. +

+

+ Proprioceptor: sensory nerve terminals found in + muscles, tendons and joint capsules which give information concerning + movements and position of the body (Dorland) +

+

Pubes, somatic dysfunction of:

+

+ Inferior pubic shear (inferior pubis): a somatic dysfunction in + which one side of the pubic symphysis is inferior to the contralateral + side as the result of a shearing in the saggital plane. +

+

+ Superior pubic shear (superior pubis) reciprocal of interior + pubis. +

+

+ Pump handle rib motion: movement of the ribs during + respiration such that with inhalation the anterior aspect of the rib + moves cephalad and causes an increase in the anteriorposterior diameter + of the thorax ; this type of rib motion is found predominately in the + upper ribs decreasing from the upper to the lower ribs. +

+

– R –

+

+ Reciprocal tension membrane: the intracranial and + spinal dural membrane including the falx cerebri, falx cerebelli, + tentorium and spinal dura. +

+

+ Reflex: an involuntary nervous system response to a + sensory input; the sum total of any particular involuntary activity. +

+

+ Conditioned reflex: one that does not occur naturally in the + organism or system but that is developed by regular association of some + physiological function with an unrelated outside event; soon the + physiological function starts whenever the outside event occurs. +

+

+ Red reflex: the erythematous biochemical reaction ( reactive + hyperemia) of the skin in an area that has been stimulated mechanically + by friction; the reflex is greater in degree and duration in an area of + acute somatic dysfunction; it is a reflection of the segmentally related + sympathicotonia commonly observed in the paraspinal area 2. A red glow + reflected from the fundus of the eye when a light is cast upon the + retina. +

+

+ Somato-somatic reflex: localized somatic stimuli producing + patterns of reflex response in segmentally related somatic structures. +

+

+ Somato-visceral reflex– localized somatic stimulation producing + patterns of reflex response in segmentally related visceral structures. +

+

+ Viscero-somatic reflex: localized visceral stimuli producing + patterns of reflex in segmentally related somatic structures. +

+

+ Viscero-visceral reflex: localized visceral stimuli producing + patterns of reflex response in segmentally related visceral structures. +

+

+ Respiratory cooperation: a physician-directed + inhalation and/or exhalation by a the patient to assist the manipulative + treatment process. +

+

+ Rib dysfunction + : (rib lesion) a somatic dysfunction in which movement or + position of one or several ribs is altered or disrupted; for example, an + elevated rib is one held in a position of inhalation such that motion + toward inhalation is freer, and motion toward exhalation is freer and + there is a restriction in inhalation. +

+

– S –

+

+ Sacral motion , axis of: motion of the sacrum about any + of its hypothetical axes. +

+

+ Anterior -posterior (x) axis: axis formed at the line of + intersection of a saggital and transverse plane. +

+

+ Oblique axis (diagonal) a hypothetical functional axis proposed + by Fred. Mitchell D.O., that is from the superior area of a sacroiliac + articulation to the contralateral inferior sacroiliac articulation; it + is designated as right or left relevant to its superior point of origin. +

+

+ Longitudinal axis: the hypothetical axis formed at the line of + intersection of the midsaggital plane an a coronal plane. +

+

+ Postural axis: see middle (postural) transverse axis. +

+

+ Superior transverse axis: see superior (respiratory) axis. +

+

+ Transverse (z) axes: formed by in intersection of the coronal + and transverse planes abut which flexion/extension occurs. +

+

+ Inferior transverse axis (innominate axis) the hypothetical + functional axis of sacral motion proposed by Fred Mitchell D.O., that + passes from side to side on a line through the inferior auricular + surface of the sacrum, and represents the axis for movement of the ilia + on the sacrum. +

+

+ Middle transverse axis (postural axis) the hypothetical + functional axis of sacral flexion/extension in the standing position + proposed by Fred Mitchell D.O., passing from side to side through the + anterior aspect of the sacrum at the level of the second sacral segment. +

+

+ Superior transverse axis (respiratory axis): the hypothetical + transverse axis about which the sacrum moves during the respiratory + cycle proposed by Fred Mitchell D.O.  It passes from side to side + through the articular processes posterior to the point of attachment of + the dura to the level of the second sacral segment; involuntary sacral + motion occurring as a part of the craniosacral mechanism is believed to + occur about this axis. +

+

+ Respiratory axis: see transverse axis. +

+

+ Vertical (y) axis (longitudinal): the axis formed by the + intersection of the sagittal and coronal planes. +

+

+ Sacral torsion: a somatic dysfunction in which a torque + occurs between the sacrum and the lumbar spine. +

+

+ + Sacrum, somatic dysfunction of (sacral somatic dysfunction): + {" "} + any group of somatic dysfunction involving primarily the sacrum. +

+

+ Anterior sacrum: a positional term referring to sacral somatic + dysfunction in which one side of the sacral base relative to the pelvic + bones has rotated forward and sidebent to the side opposite the rotation + about a diagonal axis: the dysfunction is named for the side on which + the forward rotation occurs; anterior sacrum right described a condition + in which the sacrum is rotated left and side-bent right, such that + rotation left and sidebending right are freer motions and rotation right + and sidebending left are restricted; the use of the term anterior (or + posterior ) to describe dysfunction of the sacrum used the pelvic bones + for reference. +

+

+ Extension dysfunction of the sacrum (sacral base posterior): a + sacral somatic dysfunction that involves rotation of the sacrum about a + middle transverse axis such that the sacral base has moved posteriorly + relative to the pelvic bones; backward movement of the sacral base is + freer and forward movement is restricted; this is the reciprocal of + flexion sacrum. +

+

+ Flexion dysfunction of the sacrum (sacral base anterior): 1. A + sacral somatic dysfunction that involves rotation of the sacrum about a + middle transverse axis such that the sacral base has moved anteriorly + between the pelvic bones; forward movement of the sacral base is freer + and backward movement is restricted 2. Reciprocal of an extension + sacrum. +

+

+ Posterior sacrum: a positional term referring to a sacral + somatic dysfunction in which the sacral base has rotated backward and + sidebent to the side opposite the rotation; the dysfunction is named for + the side on which the backward rotation occurs. +

+

+ Rotated dysfunction of the sacrum: a sacral somatic dysfunction + in which the sacrum has rotated about an axis approximating the + longitudinal (y) axis; motion is freer in the direction that rotation + has occurred and is restricted in the opposite direction. +

+

+ Sacral shear (unilateral sacral flexion): a non-physiological + sacral somatic dysfunction which is usually traumatically induced; + characterized by a deep sacral sulcus and ipsilateral inferior-posterior + inferiorlateral angle of the sacrum. +

+

+ Sacral torsion: rotational motion about an oblique or diagonal + sacral axis; primarily a term used to designate somatic dysfunction that + results in torsion at the L/S torsion. This is based on the cycle of + walking. The term torsion originates from the fact that the sacrum has + rotated in a direction opposite to the supported vertebra (sacrum + rotated left, the lumbar spine rotates right).  A left rotation + about a left oblique axis produces a right anterior sacral base wit a + deep right sacral sulcus, a more posterior left inferiorlateral angle + and a decrease in the tension of the right sacrotuberous ligament. A + backward torsion occurs when the lumbar spine is in non-neutral and the + sacral base than rotates posteriorly about an oblique axis. Backward or + non-neutral torsion are identified for convenience by right on left or + left on right. +

+

+ Translated sacrum + : a non-physiological sacral somatic dysfunction as a + result of trauma in which the entire sacrum has moved forward between + the pelvic bones (an anterior translated sacrum) or backward between the + pelvic bones (posterior translated sacrum). +

+

+ Anterior translated sacrum: a sacral somatic dysfunction in + which the entire sacrum has moved forward between the ilia; anterior + motion is freer, and there is a restriction to posterior motion. +

+

+ Posterior translated sacrum: a sacral somatic dysfunction in + which the entire sacrum has moved backward between the ilia; posterior + motion is freer, and there is a restriction to anterior motion. +

+

+ Scoliosis: 1. Pathological or functional lateral + curvature of the spine 2. An appreciable lateral deviation in the + normally straight vertical line of the spine. +

+

+ Secondary joint motion: involuntary or passive motion + of a joint; also called accessory joint motion. +

+

+ Segment: a portion of a larger body or structure set + off by natural or arbitrarily established boundaries; often equated with + spinal segment, i.e., 1. To described a single vertebrae 2. A portion of + the spinal cord corresponding to the sits of origin of of individual + spinal nerves. +

+

+ Segmental diagnosis: the final stage of the spinal + somatic examination in which the nature of the somatic problem is + detailed at a segmental level. +

+

+ Segmental motion: movement within a vertebral unit + described by displacement of a point at the anterior-superior aspect of + the superior vertebral body. +

+

+ Shear: an action of force causing or tending to cause + two contiguous parts of an articulation to slide relative to each other + in a direction parallel to their plane of contact. +

+

+ Sidebending: movement in a coronal (frontal) plane + about an anterior-posterior (x) axis; also called lateral flexion, + lateroflexion or flexion right (or left). +

+

+ Skin drag: sense of resistance to light traction + applied to the skin; related to the degree of moisture and degree of + sympathetic nervous system activity. +

+

+ Somatic dysfunction: impaired or altered function of + related components of the somatic (body framework) system: skeletal, + arthrodial, and myofascial structures, and related vascular, lymphatic, + and neural elements. Somatic dysfunction is treatable using osteopathic + manipulative treatment. +

+

+ The positional and motion aspects of somatic dysfunction are best + described using at least one of three parameters: 1. The position of a + body part as determined by palpation and referenced to its adjacent + defined structure. 2. The directions in which motion is freer. 3. The + directions in which motion is restricted. +

+

+ Somatic dysfunction, acute: immediate or short-term + impairment or altered function of related components of the somatic + (body framework) system. +

+

+ Somatic dysfunction, chronic: impairment or altered + function of related components of the somatic system. +

+

+ Somatic dysfunction, type I: a group of thoracic and/or lumbar + vertebrae in which the freedoms of motion are in neutral with + sidebending and rotation in opposite directions (rotation occurs toward + the convexity of the curve). +

+

+ Somatic dysfunction, type II: thoracic or lumbar somatic + dysfunction of a single vertebral unit in which the vertebra is flexed + or extended with sidebending and rotation in the same direction + (rotation occurs into the concavity of the curve). +

+

+ Spondylitis: inflammation of vertebrae. +

+

+ Spondylolisthesis: anterior displacement of one + vertebra relative to one immediately below (usually L5 over the body of + the sacrum or L4 over L5). +

+

+ Spondylolysis: dissolution of a vertebra; aplasia of + the vertebral arch, and separation at the pars interarticularis, + platyspondylia, pre-spondylolisthesis. +

+

+ Spondylosis: 1. Ankylosis of adjacent vertebral bodies + 2. Degeneration of the intervertebral disk. +

+

+ Sprain: stretching injuries of ligamentous tissue. + Grade 0: plastic deformation of the ligament without any tissue tearing; + first degree: microtrauma; second degree; partial tear; third degree; + complete disruption. +

+

+ Still, M.D., Andrew Taylor: founder of osteopathy; + 1828-1917; first announced the tenets of osteopathy on June 22, 1874, + established the American School of Osteopathy in 1892 at Kirksville, MO. +

+

+ Still point: a term used by W. G. Sutherland, D.O., to + identify and describe the brief cessation of rhythm attributed to the + fluctuation of cerebrospinal fluid observed by palpation during + osteopathic manipulative treatment when a point of balanced membranous + tension is achieved. +

+

+ Strain: 1. Stretching injuries of muscle tissue; 2. + Distortion with deformation of tissue. +

+

+ Stretching: separation of the origin and insertion of a + muscle and/or attachments of fascia and ligaments. +

+

+ Subluxation: 1. Partial or incomplete dislocation; 2. A + term describing an abnormal anatomical position of a joint which exceeds + the normal physiologic limit but does not exceed the joints anatomical + limit. +

+

+ Supination: 1. Beginning in anatomical position, + applied to the hand, the act of turning the palm forward (anteriorly) or + upward, performed by lateral external rotation of the forearm; 2. + Applied to the foot, it generally applied to movements resulting in + raising of the medial margin of the foot, hence of the longitudinal + arch; a compound motion of plantar flexion, adduction and inversion. +

+

+ Symphyseal shear: the resultant of an action or force + causing or tending to cause the two parts of the symnphysis to slide + relative to each other in a direction parallel to their plane of + contact; it is usually found in an inferior/superior direction but is + occasionally found to be in an anterior/posterior direction. +

+

– T –

+

+ T.A.R.T:  a mnemonic for the four diagnostic + criteria of somatic dysfunction-tissue texture abnormality, asymmetry, + restriction of motion and tenderness-any one of which must be present + for the diagnosis: +

+

+ Technique: methods, procedures and details of a + mechanical process or surgical operation. +

+

+ Tenderness: 1. Discomfort or pain elicited by the + physician through palpation; 2. A state of unusual sensitivity to touch + or pressure. +

+

+ Tender points: 1. A system of points originally + described by Lawrence Jones, D.O., in strain/counterstrain diagnosis and + treatment; 2. Small hypersensitive points in the myofasical tissues of + the body used as diagnostic criteria and treatment monitors. +

+

+ Thoracic inlet: 1. The functional thoracic inlet + consists of T1-4 vertebra, ribs 1 and 2 plus their costicartilages, and + the manubrium of the sternum. 2. The anatomical thoracic inlet consists + of T1 vertebra, the first ribs and their costal cartilage’s, and the + superior end of the manubrium. +

+

+ Tissue texture abnormality: A palpable change in + tissues from skin to periarticular structures that represents any + combination of the following signs: vasodilatation, edema, flaccidity, + hypertonicity, contracture, fibrosis, and the following symptoms: + itching, pain, tenderness, parasthesia. +

+

+ Tonus: the slight continuous contraction of muscle + which in skeletal muscles aids in the maintenance of posture and in + return of blood to the heart (Dorland). +

+

+ myogenic tonus: 1. Tonic contraction of muscle dependent on some + property of the muscle itself or of its intrinsic nerve cells 2. + Contraction of a muscle caused by intrinsic properties of the muscle or + by its intrinsic innervation (Stedman). +

+

+ Torsion: 1. A motion or state where one end of a part + is twisted about a longitudinal axis while the opposite end is held fast + or turned in the opposite direction 2. Motion of the sacrum about an + oblique axis, with sacral rotation opposite to rotation of L5. 3. An + unphysiologic motion pattern about an anteroposterior axis of the + sphenobasilar symphysis/synchondrosis. +

+

+ Traction: a linear force acting to draw structures + apart. +

+

+ Transitional segment (transitional vertebral segment):{" "} + a congenital anamoly of a vertebra in which it develops characteristics + of the adjoining structure or region, e.g., lumbosacral, + cervicothoracic. The clinical significance of this lies in its aberrant + motion characteristics; gross postural effects on the super incumbent + spinal column or pseudoarthrosis between the enlarged transverse + processes and either the sacrum or ilia. +

+

+ Lumbarization: a transitional segment in which the first sacral + segment becomes like an additional lumbar vertebra articulating with the + second sacral segment. +

+

+ Sacralization: 1. Incomplete separation and differentiation of + the fifth lumbar vertebra (L5) such that it takes on characteristics of + a sacral vertebra. 2. When transverse processes of the fifth lumbar are + atypically large, causing pseudoarthrosis with the sacrum and/or ilia + referred to as batwing deformity if bilateral. +

+

 

+

+ Translation: motion along an axis +

+

 

+

– V –

+

+ Vertebral unit: two adjacent vertebrae with their + associated intervertebral disk, arthrodial, ligmentous, muscular, + vascular, lymphatic and neural elements. +

+
+ ); +}; + +export default ArticleFeelysOsteopathicDictionary; diff --git a/website/app/(pages)/articles/(content)/omt-codes/page.tsx b/website/app/(pages)/articles/(content)/omt-codes/page.tsx new file mode 100644 index 0000000..8a8e694 --- /dev/null +++ b/website/app/(pages)/articles/(content)/omt-codes/page.tsx @@ -0,0 +1,286 @@ +import Article from "@/components/Article"; + +const ArticleOmtCodes = () => { + return ( +
+

+ Richard A. Feely, D.O. FAAO, FCA, FAAMA +

+

Coding

+

+ The CPT Editorial Panel ruled to include OMT codes starting in the 1994 + edition of the CPT Manual. (All{" "} + Physicians Current Procedural Terminology [CPT] five-digit + numeric codes, descriptions, numeric modifiers, instructions, + guidelines, and other material are copyright American Medical + Association.) +

+

+ Osteopathic manipulative treatment is a form of manual treatment applied + by a physician to eliminate or alleviate somatic dysfunction and related + disorders. This treatment may be accomplished by a variety of + techniques. +

+

+ Body regions are defined as head, cervical, thoracic, lumbar, sacrum, + lower extremity, upper extremity, pelvis, ribs, abdomen and viscera. + (Such regions are defined in ICD-9-CM codes 739.0-739.9. This + information should be shown on the claim form or in the physician + record. +

+
+ + + + + + + + + + + +
CPT CodesProcedure Description
+

98925

+

98926

+

98927

+

98928

+

98929

+ 		+

OMT; one to two body regions involved

+

OMT; three to four body regions involved

+

OMT; five to six body regions involved

+

OMT; seven to eight body regions involved

+

OMT; nine to ten body regions involved

+
+
+

+ The physician, insurance companies, Medicare, Medicaid, workers + compensation and all other third party reimbursement systems need to + know the following: +

+ +

Using The Codes

+

+ These patient vignettes are designed to give specific examples of the + types of services involved in the procedure codes for osteopathic + manipulative treatment. Examples featuring different specialist + physicians and surgeons are used in the examples to illustrate that any + physician may utilize all of the codes found below. The definitions of + body areas are found in the ICD-9 reference text under the codes 739.0 + through 739.9. +

+

+ After evaluating a patient and arriving at a diagnosis which includes + somatic dysfunction it is appropriate to utilize an evaluation and + management (E&M) code to describe the evaluation and management + service. If the diagnosis includes somatic dysfunction, the physician + then utilizes one of the following procedure codes for describing the + service of rendering OMT to treat the dysfunction.{" "} + + Note that these procedure codes do not include the service involved in + determining a diagnosis. + +

+

+ 98925 OMT to one to two body regions defined. +
A 39-year-old presents to the family practitioner with right ankle + pain following an injury. After the evaluation and assessment of the + patient the physician arrives at a diagnosis of (1) ankle sprain and (2) + somatic dysfunction of the right lower extremity. This is coded for by + utilizing an appropriate E&M code. The use of 98925 involves the + treatment by the family practitioner utilizing application of + osteopathic manipulative treatment to the right lower extremity. +

+

+ 98926 OMT to three to four body regions defined. +
A 4-year-old female presents to her pediatrician with a fever, + cough, and sputum production. After the E&M assessment and coding, a + diagnosis of (1) bronchitis and (2) somatic dysfunction of the cervical, + thoracic, rib and abdominal area is determined. The bronchitis is + treated with medications. The subsequent use of 98926 involves the + treatment by the pediatrician of the somatic dysfunction of the + cervical, thoracic, rib and abdominal regions utilizing osteopathic + manipulative treatment. +

+

+ 98927 OMT to five to six body regions defined. +
A 42-year-old male presents to the neurosurgeon with confusion and + pain in the neck and upper back and exacerbation of a previous history + of lumbar disc herniation with radiculitis following a motorcycle + accident. After E&M assessment and coding, the diagnosis is that of + (1) closed head injury and (2) somatic dysfunction of the head, + cervical, thoracic, lumbar, sacral and rib region. The subsequent use of + 98927 involves the treatment by the neurosurgeon of the somatic + dysfunction of the head, cervical, lumbar, sacral and rib regions + utilizing osteopathic manipulative treatment. +

+

+ 98928 OMT to seven to eight body regions defined. +
+ Following cholecystectomy, a 32-year-old female develops abdominal pain + and distention. After E&M assessment and coding, the attending + physician and surgeon arrives at a diagnosis of (1 ) post-operative + ileus and (2) somatic dysfunction of the head, cervical, thoracic, + lumbar, sacral, ribs and abdominal/visceral regions. The subsequent use + of 98928 involves the treatment by the surgeon of the somatic + dysfunction of the head, cervical, thoracic, sacral, rib, and + abdominal/visceral regions utilizing osteopathic manipulative treatment. +

+

+ 98929 OMT to nine to ten body regions defined. +
A 29-year-old female complains of generalized aching, low back + pain and cephalgia following a vaginal delivery. After assessment of the + patient using an E&M code the family practitioner arrives at a + diagnosis of (1 ) cephalgia and (2) post-obstetric somatic dysfunction + of the head, cervical, thoracic, rib cage, lumbar, sacral, pelvic, and + upper and lower extremity regions. The use of 98929 then involves the + application by the family practitioner of osteopathic manipulative + treatment to the head, cervical, thoracic, rib cage, lumbar, sacral, + pelvic abdominal upper and lower extremity areas. +

+

+ Complete and easily understandable documentation for OMT is necessary to + ensure adequate third party comprehension of the procedures for + appropriate payment. Different forms of osteopathic documentation exist + and should be reviewed for appropriate application. Available sources + for information on terminology and codes include the Glossary of + Osteopathic Terminology as published by the AOA, and information in CPT, + HCPCS and ICD-9-CM. +

+

+ A commonly used method of documentation for OMT is illustrated in the + use of the SOAP note. SOAP is an acronym for a format + of recording information found during a physician visit. It includes + Subjective complaints and histories from the patient; Objective findings + of the physician’s exam and tests; Assessment or differential diagnosis + based on the first two; and Plan that is the course of treatment + designed by the physician. +

+

+ Somatic dysfunction is a diagnosis utilized by osteopathic physicians to + code for disorders in the skeletal, arthrodial, myofascial and visceral + structures as well as related vascular, Iymphatic, and neural elements. + Palpatory findings may include, but are not limited to, tenderness, + asymmetry, range of motion abnormalities and tissue texture changes. A + more detailed list of terms and definitions can be found in the AOA + Glossary of Osteopathic Terminology. +

+

+ In general, osteopathic manipulative techniques include, but are not + limited to, three broad categories: soft tissue techniques such as + stretch, gentle range of motion, and kneading; direct techniques such as + joint mobilization, thrust and muscle energy; and, indirect techniques + such as myofascial release, strain/counters/rain and cranial osteopathy. + A complete list of techniques and their descriptions can be found in the + AOA Glossary of Osteopathic Terminology. +

+

New Patient

+

+ S + . A 20-year-old African-American male complains of low + back pain that began 3 days ago after he lifted a heavy object. Cannot + straighten up when walking. Pain with change of position. Denies + radiation of pain, it stays along the low back and waist line. Denies + areas of numbness. Comfortable when Iying down. Aspirin helps some. Has + used heat with some help. No prior history of back pain or injury. + Denies allergies. Medical/surgical history is unremarkable. +

+

+ O. Tenderness noted over lumbar and sacral regions + Inability to extend lumbar spine when standing Flexion posture when + standing Muscle spasms noted in paraspinals of the lumbar region + Decreased range of motion of lumbar spine and sacrum was noted on active + and passive motion testing neurologic exam normal +

+

+ A. 1. Lumbosacral sprain/strain 846.0 +
+ 2. Somatic dysfunction lumbar, sacral 739.3 and 739.4 +

+

+ P. 1. OMT (appropriate techniques used)*, + applied to the lumbar and sacral regions +
+ 2. Continue aspirin +
+ 3. No lifting, bending or twisting +
+ 4. Follow up in two days to reevaluate patient progress +

+

Coding For This Case

+

+ Evaluation/management; new patient 99203 +
+ OMT two body regions; lumbar/sacral 98925 +

+

Established Patient

+

+ S. Patient is here for a recheck. He states that the + pain has decreased in his low back and that he can get around better. He + states that he has no radiation of pain into his legs. He does state + that he feels stiff and achy if he tries to do his normal daily + activities. He is still taking aspirin with some relief. +

+

+ O. Tenderness with palpation and stretch of the erector + spinaemuscles +
+ Pain with extension and rotation left of L5 +
+ Pain along right Sl joint with sacral extension +
+ No muscle spasms noted with active or passive range of motion +
+ Negative neurologic exam of lower extremities +

+

+ A. 1. Lumbosacral sprain/strain; improving + 846.0 +
+ 2. Somatic Dysfunction, lumbar, sacral; improving{" "} + 739.3, 739.4 +

+

+ P. 1. OMT (appropriate techniques used)* to + lumbar and sacral regions +
+ 2. Instructed on proper posture when lifting +
+ 3. Increase home activities gradually and to tolerance 4. Follow up if + improvement does not continue +

+

Coding For This Case

+

+ Evaluation and management; established patient 99213 +
+ OMT two body regions; lumbar, sacral 98925 +

+
+ ); +}; + +export default ArticleOmtCodes; diff --git a/website/app/(pages)/articles/views/ArtsForDocs.tsx b/website/app/(pages)/articles/views/ArtsForDocs.tsx index f3c7c20..3c2f612 100644 --- a/website/app/(pages)/articles/views/ArtsForDocs.tsx +++ b/website/app/(pages)/articles/views/ArtsForDocs.tsx @@ -5,21 +5,43 @@ const ArtsForDocs = () => {

Osteopathy

- - Head Pain - - - Neural Biological Mechanisms - - - The Basics of Intervertebral Disc Herniation - - - Cranial Manipulation - - - The Trauma of Birth - +
+

Articles

+ + Head Pain + + + Neural Biological Mechanisms + + + The Basics of Intervertebral Disc Herniation + + + Cranial Manipulation + + + The Trauma of Birth + +
+
+

Resources

+ + Feely's Abridged Osteopathic Dictionary + + + OMT Codes + + + DRG/OMT Chart [PDF] + +
); diff --git a/website/app/views/Introduction.tsx b/website/app/views/Introduction.tsx index d2f0359..4dd6e38 100644 --- a/website/app/views/Introduction.tsx +++ b/website/app/views/Introduction.tsx @@ -2,7 +2,7 @@ import Carousel from "@/components/Carousel"; import { ChevronDoubleDownIcon } from "@heroicons/react/24/solid"; -import drFeelyPic from "@/public/dr_feely_headshot.png"; +import drFeelyPic from "@/public/content/dr_feely_headshot.png"; import Image from "next/image"; const Introduction = () => { diff --git a/website/components/Carousel.tsx b/website/components/Carousel.tsx index d275914..59a7085 100644 --- a/website/components/Carousel.tsx +++ b/website/components/Carousel.tsx @@ -1,9 +1,9 @@ "use client"; import Image from "next/image"; -import chicagoPic from "@/public/homepage_carousel/chicago.jpg"; -import indianapolisPic from "@/public/homepage_carousel/indianapolis.webp"; -import naturePic from "@/public/homepage_carousel/nature.jpg"; +import chicagoPic from "@/public/content/homepage-carousel/chicago.jpg"; +import indianapolisPic from "@/public/content/homepage-carousel/indianapolis.webp"; +import naturePic from "@/public/content/homepage-carousel/nature.jpg"; import { useEffect, useState } from "react"; import { useTransition, animated } from "@react-spring/web"; diff --git a/website/components/Navbar/index.tsx b/website/components/Navbar/index.tsx index 2498a8d..e0a74dc 100644 --- a/website/components/Navbar/index.tsx +++ b/website/components/Navbar/index.tsx @@ -3,8 +3,8 @@ import { useEffect, useState } from "react"; import { Bars3Icon, XMarkIcon } from "@heroicons/react/24/solid"; import NavPages from "./NavPages"; -import logo from "@/public/logo.png"; -import logo_small from "@/public/logo_small.png"; +import logo from "@/public/content/logo.png"; +import logo_small from "@/public/content/logo_small.png"; import Image from "next/image"; import { usePathname } from "next/navigation"; diff --git 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