osteo pages added
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import Article from "@/components/Article";
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const ArticleCranialOsteopathyFaq = () => {
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  return (
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    <Article
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      title="Cranial Osteopathy FAQs"
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      author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
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    >
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      <p>
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        <strong>Q. What is cranial osteopathy?</strong>
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      </p>
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      <p>
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        A. Cranial osteopathy is a sub-specialty of osteopathic manipulative
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        medicine performed by a physician. This sub-specialty deals with subtle
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        motions of the body through the cranial sacral mechanism. It is a gentle
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        and powerful system, part of osteopathic medicine, that uses the
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        patient’s own inherent forces to overcome membranous, articular,
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        ligamentous strains in the body. It is a diagnostic and treatment method
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        for soft tissue injuries and especially cranial and sacral structures.
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      </p>
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      <p>
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        <strong>Q. What is the cranial rhythm?</strong>
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      </p>
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      <p>
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        A. It is a cyclic expansion and contraction of the membranous tissues of
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        the body that occur 8 to 14 times per minute. It is distinct from other
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        known pulses of the body, i.e., the heart and respiratory. It can be
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        felt at all parts of the body by a skilled cranial osteopath.
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      </p>
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      <p>
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        <strong>Q. Who performs cranial osteopathy?</strong>
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      </p>
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      <p>
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        A. Cranial osteopathy is an osteopathic technique devised by William
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        Garner Sutherland, D.O., originating in 1899 and popularized in the
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        1940s to this day. It is a technique performed by osteopathic
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        physicians.
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      </p>
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      <p>
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        <strong>Q. What is cranial sacral therapy?</strong>
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      </p>
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      <p>
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        A. Cranial sacral therapy is the use of manual techniques performed by
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        therapists to unwind membranous articular strains of the cranial sacral
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        mechanism. Originally developed by William Garner Sutherland, D.O.,
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        popularized by John Upledger, D.O., and may be performed by any
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        therapist trained in this manner.
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      </p>
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      <p>
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        <strong>Q. Who would benefit from cranial osteopathy?</strong>
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      </p>
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      <p>
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        A. Many patients with a variety of conditions would benefit from cranial
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        osteopathy, primarily persons with soft tissue injuries with membranous
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        articular strains to the head, torso and extremities. It is a part of
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        the osteopathic manipulative medicine physician’s armamentarium in
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        treating the whole body from a biomechanical perspective, therefore, a
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        patient suffering from biomechanical dysfunction causing disease such as
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        asthma, sinusitis, ear-nose-throat problems, cerebral palsy, cranial
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        synestosis, plageocephalgy and muscle tension headache would benefit
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        from the use of cranial osteopathy.
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      </p>
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      <p>
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        Cranial osteopathy works on the basis of unwinding the membranous
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        articular strains that are present in the body thus removing the
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        biomechanical restrictions that prohibit fluid flow, improve circulation
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        and restore normal homeostasis to the body part and structure.
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      </p>
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      <p>
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        <strong>
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          Q. What are the contraindications to cranial osteopathy?
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        </strong>
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      </p>
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      <p>
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        A. Patients with no biomechanical problems and patients with an aversion
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        to being treated or touched.
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      </p>
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      <p>
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        <strong>Q. How does it feel while being treated?</strong>
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      </p>
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      <p>
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        A. The physician places a very light touch on your head, spine and
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        sacrum examining the cranial rhythmic impulse and verifying the areas of
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        the body where the impulse is restricted. The physician gently unwinds
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        the membranous articular strains with his/her hands. When that happens,
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        the patient may feel a slight sensation where the physician’s hands are
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        placed, otherwise, there is no sensation of pain or any other activities
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        while he/she is performing these maneuvers on your body.
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      </p>
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      <p>
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        <strong>Q. What is cranial manipulation?</strong>
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      </p>
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      <p>
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        A. Cranial manipulation is the application of an osteopathic physician’s
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        hands to the body, palpating the cranial rhythmic impulse—also known as
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        the primary respiratory mechanism, or third pulse of the body. The
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        physician determines the rate and amplitude of the cranial rhythmic
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        impulse, or lack thereof. Then, subtle pressure is applied to the body
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        part to enhance the movement of fluid and energy to that area. After the
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        connective tissue and the fascia (a web-like covering over all muscle
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        and tissue) are released from tension, the cranial rhythmic impulse will
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        have free rein and health will be restored to that body part.
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      </p>
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      <p>
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        <strong>Q. How does cranial manipulation work?</strong>
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      </p>
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      <p>
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        A. The body produces cerebrospinal fluid, which fluctuates 10 to 14
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        times a minute within the dura mater—the covering of the brain and
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        spinal cord. The billions of brain cells expand and contract, which
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        electrically and biochemically and hemodynamically cause a perceived
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        pulse—the cranial rhythmic impulse.
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      </p>
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      <p>
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        Because of the articular design of the 22 bones of the skull, motion is
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        permitted. The articular design of the sacrum (at the base of the spine)
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        between the ilea or hip bones permits motion down the spine. Because the
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        membranes covering the brain and spinal cord have elastin tissue and are
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        allowed to expand and relax, the cranial rhythmic impulse can be felt.
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        The amount of movement can be measured in millimeters and can be felt in
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        all parts of the body by a skilled cranial osteopath.
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      </p>
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      <p>
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        <strong>
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          Q. What can I expect to feel during and after a treatment?
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        </strong>
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      </p>
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      <p>
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        A. During a treatment, you can expect to feel subtle pressures on the
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        head, spinal column and tailbone. You may also feel a slight pounding of
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        fluid under the doctor’s hand. After a treatment, you may expect to feel
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        overall general well-being, as well as relief of some or all pain.
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      </p>
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      <p>
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        <strong>
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          Q. Do some patients feel cranial manipulation more strongly than
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          others?
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        </strong>
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      </p>
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      <p>
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        A. Yes. Generally speaking, the more out of balance a patient is, the
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        more he or she will feel the cranial manipulation. Some people are also
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        more sensitive than others.
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      </p>
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      <p>
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        <strong>Q. How long are the treatments?</strong>
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      </p>
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      <p>A. Cranial manipulative treatments typically take 10 to 30 minutes.</p>
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      <p>
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        <strong>Q. How frequently should I get a treatment?</strong>
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      </p>
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      <p>
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        A. Depending on your condition, treatment may be recommended once or
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        twice a week on an outpatient basis. As your condition improves,
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        treatments should taper to twice a month, then once a month, and finally
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        to three or four times a year for preventive maintenance.
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      </p>
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      <p>
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        <strong>Q. Are there any after-treatment restrictions?</strong>
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      </p>
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      <p>
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        A. It is not good to do heavy exercise, consume alcohol, eat a heavy
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        meal or engage in sexual activity within 12 hours after a treatment.
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      </p>
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      <p>
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        <strong>
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          Q. What is the duration of the relief? Can it be permanent?
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        </strong>
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      </p>
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      <p>
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        A. The duration of relief can be from hours to days, and generally
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        increases with successive treatments. Pain relief can be permanent.
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      </p>
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      <p>
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        <strong>Q. What should I bring with me to my first appointment?</strong>
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      </p>
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      <p>
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        A. You should bring any x-rays, MRIs, MRAs, CT scans and PET scans with
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        you on your first cranial manipulation visit. Also remember to bring any
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        laboratory and neurodiagnostic studies, such as EEGs, EMGs and
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        NCV-SSEPs.
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      </p>
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      <p>
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        <strong>
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          Q. What age range benefits most from cranial manipulation?
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        </strong>
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      </p>
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      <p>
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        A. The younger the patient, the more benefits he or she receives from
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        cranial manipulation. The best results are found in patients in the
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        first six months of life, followed by age six months to two years, age
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        two to six, and age seven to 18. With each successive decade, a patient
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        will usually need longer and more frequent treatments to achieve the
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        desired results.
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      </p>
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      <p>
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        <strong>
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          Q. Which illnesses respond best to cranial manipulation?
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        </strong>
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      </p>
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      <p>
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        A. Cranial manipulation is very effective in treating any mechanical
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        trauma to the head or tailbone. Birth trauma responds the quickest and
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        most completely to this form of treatment.
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      </p>
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      <p>
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        <strong>
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          Q. What is Dr. Feely’s success rate with cranial manipulation?
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        </strong>
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      </p>
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      <p>
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        A. Most patients are greatly improved or cured within six to eight
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        visits.
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      </p>
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      <p>
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        <strong>
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          Q. Is there a clearinghouse for osteopaths who practice cranial
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          manipulation?
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        </strong>
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      </p>
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      <p>
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        A. Yes. The Cranial Academy can give you a list of competency-tested
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        cranial osteopaths in your area. For physician referrals, send a
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        self-addressed, stamped business-size envelope ($0.55 postage) to:
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      </p>
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      <p>
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        The Cranial Academy
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        <br />
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        Referrals
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        <br />
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        8202 Clearvista Parkway, #9-D
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        <br />
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        Indianapolis, IN 46256
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      </p>
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      <p>
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        Please include the city and state for which you are requesting
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        referrals.
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      </p>
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      <p>
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        The Cranial Academy will also fulfill requests for physician referrals
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        by e-mail or fax for a $10 charge; Visa and MasterCard are accepted.
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        Requests are fulfilled within 24 hours.
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      </p>
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      <p>
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        To request a referral by e-mail, contact:{" "}
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        <a href="mailto:cranacad@aol.com">cranacad@aol.com</a>
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        <br />
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        Fax referral requests to: 317/594-9299
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      </p>
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      <p>
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        <strong>Q. Can any osteopath perform cranial manipulation?</strong>
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      </p>
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      <p>
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        A. Yes. Any licensed osteopath is able to perform manipulation,
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        including cranial osteopathic manipulation. But all osteopaths are not
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        highly skilled in this specialized form of treatment. Contact the
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        Cranial Academy at the address above for a referral to an osteopath who
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        is skilled in cranial manipulation.
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      </p>
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      <p>
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        <strong>Q. Are there specialists within osteopathic medicine?</strong>
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      </p>
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      <p>
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        A. Yes, there are osteopathic specialists in all recognized medical
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        specialties, from obstetrics, neurosurgery and cardiology to family
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        practice. Most DOs are family practitioners. A few, like Dr. Feely,
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        specialize in osteopathic manipulation.
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      </p>
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      <p>
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        <strong>
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          Q. Can there be a change in the body’s reaction to prescription drugs
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          while undergoing this treatment?
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        </strong>
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      </p>
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      <p>
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        A. Yes. When a person is under the influence of a narcotic, cranial
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        osteopathic manipulation often takes longer, more frequent treatments.
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      </p>
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      <p>
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        <strong>
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          Q. Does Dr. Feely work in conjunction with MDs to balance a patient’s
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          prescription drugs and overall treatment?
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        </strong>
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      </p>
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      <p>
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        A. Yes. Dr. Feely recognizes the importance of all of your health care
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        providers understanding your treatment regimen, as well as being aware
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        of any and all prescription medications you may be taking. If you need
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        additional medication or changes in your medication, Dr. Feely will be
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        happy to speak with your physician or prescribe it himself.
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      </p>
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      <p>
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        <strong>
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          Q. Is it realistic to expect to be prescription drug-free after
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          successful treatment?
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        </strong>
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      </p>
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      <p>
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        A. Not all patients will have total relief with osteopathic
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        manipulation. Some patients may need to continue a few prescription
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        drugs. However, most patients will decrease their amount of medicine
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        dependency, as well as the need for painkillers and other frequently
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        used drugs such as migraine medications.
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      </p>
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      <p>
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        <strong>
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          Q. What is the price range for cranial osteopathic manipulation
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          treatments?
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        </strong>
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      </p>
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      <p>
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        A. Dr. Feely normally performs cranial osteopathic manipulation in
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        conjunction with total body osteopathic manipulation treatments. For
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        price information, please contact our office manager, Farida Charania,
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        at 312-266-8565.
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      </p>
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      <p>
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        <strong>
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          Q. Is a referral from an MD necessary for cranial osteopathic
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          manipulation?
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        </strong>
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      </p>
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      <p>A. No.</p>
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      <p>
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        <strong>
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          Q. Does medical insurance cover osteopathic manipulation?
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        </strong>
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      </p>
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      <p>
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        A. Yes, most medical insurance covers osteopathic manipulative treatment
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        when the claim form is properly coded and the insurance company applies
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        the proper definition to those codes, and does not self-impose any
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        restrictions on manipulation. Some insurance plans allow only about
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        $1,000 of treatment per calendar year; other plans do not pay for an
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        office visit and osteopathic manipulation performed on the same day.
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      </p>
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    </Article>
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  );
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};
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export default ArticleCranialOsteopathyFaq;
 | 
			
		||||
| 
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		|||
import Article from "@/components/Article";
 | 
			
		||||
 | 
			
		||||
const ArticleCranialOsteopathy = () => {
 | 
			
		||||
  return (
 | 
			
		||||
    <Article
 | 
			
		||||
      title="Cranial Osteopathy"
 | 
			
		||||
      author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
 | 
			
		||||
    >
 | 
			
		||||
      <p>
 | 
			
		||||
        Cranial osteopathy, also known as osteopathy in the cranial field, was
 | 
			
		||||
        developed as a natural extension of Dr. Andrew Taylor Still’s – the
 | 
			
		||||
        founder of the osteopathic profession – philosophical and therapeutic
 | 
			
		||||
        approaches to health through manipulation. William Gardner Sutherland
 | 
			
		||||
        D.O. was the founder of cranial osteopathy, utilizing the body’s
 | 
			
		||||
        inherent forces to overcome membranous articular restrictions
 | 
			
		||||
        principally in the head and spine with secondary effects throughout the
 | 
			
		||||
        rest of the body.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        A cranial osteopath is an osteopathic physician and surgeon in the
 | 
			
		||||
        United States. In other countries, the osteopathic physician has a
 | 
			
		||||
        limited license. He or she diagnoses the patient holistically, body,
 | 
			
		||||
        mind and spirit with particular detail to the musculoskeletal system and
 | 
			
		||||
        the cranial sacral mechanism in particular. The cranial sacral mechanism
 | 
			
		||||
        is a dynamic force within the living human body. It is the Qi or energy
 | 
			
		||||
        of the central nervous system and is reflected throughout the rest of
 | 
			
		||||
        the body.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        Cranial osteopathy is a sub-specialty within osteopathic manipulative
 | 
			
		||||
        medicine. It has a unique defined body of knowledge, educational
 | 
			
		||||
        requirements and specific diagnostic treatment procedures that are part
 | 
			
		||||
        and parcel of a complete osteopathic manipulative medicine specialist
 | 
			
		||||
        practice. Diligent study of anatomy, physiology and pathology is
 | 
			
		||||
        required to become a cranial osteopath. True system of preventive
 | 
			
		||||
        medicine, treating the whole person, not just the disease.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        Osteopathic medical schools teach courses in all branches of medicine
 | 
			
		||||
        and surgery in the United States and various manipulative techniques. It
 | 
			
		||||
        takes four years of training in osteopathic medical schools in the
 | 
			
		||||
        United States. Most D.O.’s seek additional training in cranial
 | 
			
		||||
        osteopathy after graduation. Most osteopathic medical schools in the
 | 
			
		||||
        United States involve two hundred to three hundred hours of osteopathic
 | 
			
		||||
        manipulative diagnostic and treatment education
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>The Cranial Academy</h2>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        The professional organization representing D.O.’s who practice cranial
 | 
			
		||||
        osteopathy, The Cranial Academy, requires a 40 hours basic course just
 | 
			
		||||
        for membership and after that most osteopathic physicians have an
 | 
			
		||||
        additional 100 to 200 hours of training in osteopathic manipulative
 | 
			
		||||
        medicine related to the cranial field. In addition, The Cranial Academy
 | 
			
		||||
        offers competency testing and fellowship certification for D.O’s
 | 
			
		||||
        receiving national prominence.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        Cranial osteopaths were originally labeled as quacks for identifying
 | 
			
		||||
        that the bones of the skull were slightly mobile and that this mobility
 | 
			
		||||
        allowed for membranous articular strains that could cause dysfunction
 | 
			
		||||
        and pain. Today, scientist and many M.D’s through the use of high-tech
 | 
			
		||||
        diagnostic equipment agree that there is a motion present in the
 | 
			
		||||
        cranium.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        There are many other therapies and therapist out there that claim to be
 | 
			
		||||
        cranial osteopaths. But only physicians (M.D’s. D.O.’s and dentists) can
 | 
			
		||||
        be trained by The Cranial Academy, the national organization recognized
 | 
			
		||||
        by the American Academy of Osteopathy and the American Osteopathic
 | 
			
		||||
        Association (AOA) as the professional organization in this field.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        Cranial osteopathy cannot be effectively learned via the Internet or
 | 
			
		||||
        reading books. It is a psychomotor skill be best taught with hands on
 | 
			
		||||
        guidance. It must be practiced on living human heads with a skilled
 | 
			
		||||
        trained practitioners providing guidance, experience, knowledge, skill
 | 
			
		||||
        and information to the student.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>The Rhythmic Impulse</h2>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        The body has a self healing mechanisms. One of these mechanisms is the
 | 
			
		||||
        third pulse of the body that emanates from the central nervous system.
 | 
			
		||||
        This inherent motility of the brain and spinal cord occurs with the
 | 
			
		||||
        initial inspiration of the breath of life at birth. This primary
 | 
			
		||||
        respiratory mechanism called the cranial rhythmic impulse which is
 | 
			
		||||
        associated with a very slight coiling and uncoiling of the spinal cord
 | 
			
		||||
        and the central nervous system. The bones of the head and the central
 | 
			
		||||
        nervous system become slightly wider and shorter from front to back in
 | 
			
		||||
        the inspiration or flexion phase of the sphenobasilar synchondrosis. In
 | 
			
		||||
        the exhalation phase, the primary phase, the primary respiratory
 | 
			
		||||
        mechanism moves in just opposite direction. The head and central nervous
 | 
			
		||||
        system becomes longer and slightly wider. This amount of movement is in
 | 
			
		||||
        the millimeter range. One measurement placed it within hundredths of an
 | 
			
		||||
        inch. But this varies according to where one measures the motion, at
 | 
			
		||||
        which suture.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        The fluctuation of the cerebral spinal fluid occurs with the motion of
 | 
			
		||||
        the billions of glial cells in the central nervous system and this
 | 
			
		||||
        movement occurs in the relatively closed container of the cranium. As
 | 
			
		||||
        the brain and spinal cord change shape and go through the cycle of
 | 
			
		||||
        inhalation and exhalation/flexion and extension, the cerebral spinal
 | 
			
		||||
        fluid fluctuates back and forth within the spaces of the brain and
 | 
			
		||||
        spinal cord. This helps push the cerebral spinal fluid through the small
 | 
			
		||||
        channels around the nerved down the spinal cord and exiting the central
 | 
			
		||||
        nervous system into the peripheral nervous system. The motion of the
 | 
			
		||||
        membranes of the head called the dura mater that surround the bones and
 | 
			
		||||
        house the vessels in the skull. The dura membranes appear as the three
 | 
			
		||||
        attached sickle shaped membranes forming a tripod to support the brain
 | 
			
		||||
        and skull.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        They are called the falx cerebri and the tentorum cerebelli with a small
 | 
			
		||||
        slip dividing the left and right half of the cerebellum. They limit and
 | 
			
		||||
        control the slight motion of the bones of the head effecting the whole
 | 
			
		||||
        fasat mechanism involving the cranium to the sacrum. The dura membranes
 | 
			
		||||
        are firmly attached at the foramen magnum, second and third cervical
 | 
			
		||||
        vertebra and the sacral segment. The 26 bones of the head are in slight
 | 
			
		||||
        rhythmic motion along with the cerebral spinal fluid, the central
 | 
			
		||||
        nervous system, the dural membranes and the sacrum. These cranial bones
 | 
			
		||||
        are architecturally designed to fit together with various grooves and
 | 
			
		||||
        gear-like articulation with each other. The sutures are comprised on
 | 
			
		||||
        connective tissues, membranes and blood vessels with elastic tissue
 | 
			
		||||
        identified microscopically. Since the dura is firmly attached at the
 | 
			
		||||
        base of the skull and the sacrum, motion of the cranial mechanism is
 | 
			
		||||
        transmitted into the sacrum. The cranium and the sacrum work together in
 | 
			
		||||
        a flexion and extension phases. This constant rhythmic motion moves the
 | 
			
		||||
        sacrum into nutation and antinutation.
 | 
			
		||||
      </p>
 | 
			
		||||
    </Article>
 | 
			
		||||
  );
 | 
			
		||||
};
 | 
			
		||||
 | 
			
		||||
export default ArticleCranialOsteopathy;
 | 
			
		||||
| 
						 | 
				
			
			@ -0,0 +1,305 @@
 | 
			
		|||
import Article from "@/components/Article";
 | 
			
		||||
 | 
			
		||||
const ArticleIntroToOsteopathy = () => {
 | 
			
		||||
  return (
 | 
			
		||||
    <Article
 | 
			
		||||
      title="Introduction to Osteopathy"
 | 
			
		||||
      author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
 | 
			
		||||
    >
 | 
			
		||||
      <h2>Section A | What is it?</h2>
 | 
			
		||||
      <p>
 | 
			
		||||
        Today, only one branch of mainstream medicine follows the Hippocratic
 | 
			
		||||
        philosophy of medical care that centers on the patient, not the disease.
 | 
			
		||||
        It is Osteopathic Medicine and, currently, some 36,233 osteopathic
 | 
			
		||||
        physicians and surgeons offer this dimension in medical care.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        Doctors of Osteopathic Medicine (D.O.’s) are fully licensed and
 | 
			
		||||
        recognized physicians and surgeons who stress the unity of all body
 | 
			
		||||
        systems. They emphasize holistic medicine-awareness of proper nutrition
 | 
			
		||||
        and environmental factors; a hands-on approach to medicine; and a unique
 | 
			
		||||
        aid to the diagnosis and treatment of various illnesses known as
 | 
			
		||||
        Osteopathic Manipulative Treatment.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        One of the Osteopathic concepts of good medicine is that the body’s
 | 
			
		||||
        musculoskeletal system is central to the patient’s well-being.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        The system includes the bones, muscles, tendons, tissues, nerves and
 | 
			
		||||
        spinal column–about 60 percent of the body mass. This framework works
 | 
			
		||||
        with all the body’s organs. It responds–properly or improperly—every
 | 
			
		||||
        time a breath is drawn or any other body movement occurs. Besides being
 | 
			
		||||
        prone to mechanical disorders, the musculoskeletal system reflects many
 | 
			
		||||
        internal illnesses and may aggravate or accelerate the disease process
 | 
			
		||||
        throughout the body. The osteopathic physician takes advantage of this
 | 
			
		||||
        fact in management not only of problems of the musculoskeletal system
 | 
			
		||||
        itself, but also in managing disorders affecting the rest of the body as
 | 
			
		||||
        well.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        Osteopathic physicians utilize all of the recognized procedures and
 | 
			
		||||
        modern technologies for prevention, diagnosis and treatment of disease,
 | 
			
		||||
        including drugs, radiation and surgery. In addition, the D.O. assesses
 | 
			
		||||
        the musculoskeletal system by the use of a finely trained sense of touch
 | 
			
		||||
        with the hands in a process called palpatory diagnosis. Disorders found
 | 
			
		||||
        there are treated by the introduction of carefully applied manual
 | 
			
		||||
        forces, directed to the bones, muscles and joints, in a type of
 | 
			
		||||
        treatment called Osteopathic Manipulative Treatment (OMT), or simply
 | 
			
		||||
        “manipulation.” Osteopathic manipulation of the musculoskeletal system
 | 
			
		||||
        is a proven technique for many diagnoses and treatments. Often, it can
 | 
			
		||||
        provide an alternative to therapies involving drugs or surgery.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        Because musculoskeletal dysfunction can mimic many diseases, osteopathic
 | 
			
		||||
        manipulation is an important component in diagnosis, as well as a means
 | 
			
		||||
        of correcting structural problems.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        For example, it has been well-documented that diseases of specific
 | 
			
		||||
        organs can produce pain in other parts of the body. Stomach ulcers
 | 
			
		||||
        consistently cause area of spinal pain and irritation just below the
 | 
			
		||||
        shoulders in the back. The radiation of pain to the loin is the
 | 
			
		||||
        reflection of pain and disability to the left shoulder following heart
 | 
			
		||||
        disease. In diagnosing such diseases, D.O.’s recognize that symptoms can
 | 
			
		||||
        be produced without actual disorder in organs to which pain has been
 | 
			
		||||
        referred.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        Also, disturbances affecting the musculoskeletal system can cause
 | 
			
		||||
        symptoms that stimulate other illnesses. Among the most common causes of
 | 
			
		||||
        recurrent headaches, for example, is disorder of the cervical (upper)
 | 
			
		||||
        portion of the spinal column. Properly applied manipulative treatment,
 | 
			
		||||
        particularly directed to the head and neck, can often relieve headache
 | 
			
		||||
        symptoms when other remedies have failed.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        Osteopathic Manipulative Treatment is often part of the medical
 | 
			
		||||
        treatment for stress headaches, sinus problems and pulmonary distress.
 | 
			
		||||
        Obstetricians often use manipulation to relieve low back pain during
 | 
			
		||||
        pregnancy or as additional medical treatment for menstrual cramps.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        Studies indicate that Osteopathic Manipulative Treatment, as part of the
 | 
			
		||||
        total patient treatment, actually accelerates the rate of recovery from
 | 
			
		||||
        illness or injury, keeping hospital or home stays to a minimum.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        By combining unique osteopathic principles with traditional diagnostic
 | 
			
		||||
        and therapeutic procedures, D.O.’s offer a balanced system of health
 | 
			
		||||
        care to both prevent and cure disease. The osteopathic approach is a
 | 
			
		||||
        true system of preventive medicine, treating the whole person, not just
 | 
			
		||||
        the disease.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>Section B | What is the Difference?</h2>
 | 
			
		||||
      <p>
 | 
			
		||||
        American osteopathic physicians are fully licensed physicians and
 | 
			
		||||
        surgeons. To become fully licensed, they must graduate from one of 16
 | 
			
		||||
        osteopathic medical schools accredited by the Bureau of Professional
 | 
			
		||||
        Education of the American Osteopathic Association. After completing
 | 
			
		||||
        osteopathic medical school, D.O.s serve a one-year internship. During
 | 
			
		||||
        that year, they gain hands-on experience in internal medicine,
 | 
			
		||||
        obstetrics/gynecology, family practice, pediatrics and surgery. Often a
 | 
			
		||||
        D.O. will opt to continue their education by entering a two to six year
 | 
			
		||||
        residency program in a specialty area such as cardiology, neurology or
 | 
			
		||||
        thoracic surgery.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        There are currently 35,000 D.O.s in the United States, with 60 percent
 | 
			
		||||
        of them in primary care areas of family practice, internal medicine,
 | 
			
		||||
        obstetrics/gynecology and pediatrics. D.O.s comprise 5.5 percent of the
 | 
			
		||||
        total physician population and 18 percent of all physicians in the
 | 
			
		||||
        military. By the year 2000, there will be 45,000 osteopathic physicians
 | 
			
		||||
        in practice in the United States. Each year, 100 million patient visits
 | 
			
		||||
        are made to D.O.s.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        Unlike in England, in the USA an osteopathic doctor is a fully licensed
 | 
			
		||||
        and trained physician and surgeon like an MD but with the addition of
 | 
			
		||||
        osteopathic manipulation. Each DO is licensed by each individual state
 | 
			
		||||
        to practice Osteopathic Medicine and Surgery. An English DO to practice
 | 
			
		||||
        in the US would have to take 4 years of Osteopathic Medicine at a US
 | 
			
		||||
        college plus 3 years of residency/internship, then pass a national or
 | 
			
		||||
        state board exam. He would then be able to apply and receive a state
 | 
			
		||||
        license.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>DOs and MDs are Similar</p>
 | 
			
		||||
      <ol>
 | 
			
		||||
        <li>
 | 
			
		||||
          All must have four years of undergraduate training with an emphasis on
 | 
			
		||||
          science courses.
 | 
			
		||||
        </li>
 | 
			
		||||
        <li>All must complete four years of basic medical education.</li>
 | 
			
		||||
        <li>
 | 
			
		||||
          All may choose a medical specialty after completing medical school.
 | 
			
		||||
        </li>
 | 
			
		||||
        <li>
 | 
			
		||||
          All must pass an unlimited physician and surgeon state licensing
 | 
			
		||||
          examination.
 | 
			
		||||
        </li>
 | 
			
		||||
        <li>
 | 
			
		||||
          All may practice in fully accredited, licensed hospitals and medical
 | 
			
		||||
          centers.
 | 
			
		||||
        </li>
 | 
			
		||||
      </ol>
 | 
			
		||||
      <p>DOs and MDs are Different</p>
 | 
			
		||||
      <ol>
 | 
			
		||||
        <li>
 | 
			
		||||
          <strong>D.O.s focus on preventive health care.</strong>
 | 
			
		||||
        </li>
 | 
			
		||||
        <li>
 | 
			
		||||
          <strong>
 | 
			
		||||
            D.O.s receive additional training in the musculoskeletal system,
 | 
			
		||||
            gaining a therapeutic and diagnostic advantage.
 | 
			
		||||
          </strong>
 | 
			
		||||
        </li>
 | 
			
		||||
        <li>
 | 
			
		||||
          <strong>
 | 
			
		||||
            D.O.s do not treat specific illnesses or symptoms, but instead
 | 
			
		||||
            practice a whole person approach to medicine.
 | 
			
		||||
          </strong>
 | 
			
		||||
        </li>
 | 
			
		||||
        <li>
 | 
			
		||||
          <strong>
 | 
			
		||||
            D.O.s incorporate osteopathic manipulative treatment (OMT) into
 | 
			
		||||
            their practice which allows them to use their hands to diagnose and
 | 
			
		||||
            treat soft tissue injury or illness, thereby encouraging the body’s
 | 
			
		||||
            natural tendency toward health.
 | 
			
		||||
          </strong>
 | 
			
		||||
        </li>
 | 
			
		||||
      </ol>
 | 
			
		||||
 | 
			
		||||
      <h2>DOs, MDs and DCs</h2>
 | 
			
		||||
      <p>
 | 
			
		||||
        While health care practitioners are very familiar with the similarities
 | 
			
		||||
        and differences between their particular treatment approaches, many
 | 
			
		||||
        times the public is not. The following table is provided to help give a
 | 
			
		||||
        general overview of the training and root philosophies of these three
 | 
			
		||||
        professional disciplines.
 | 
			
		||||
      </p>
 | 
			
		||||
      <table>
 | 
			
		||||
        <tr>
 | 
			
		||||
          <th></th>
 | 
			
		||||
          <th>Osteopathic Physicians (DO)</th>
 | 
			
		||||
          <th>Allopathic Physicians (MD’s)</th>
 | 
			
		||||
          <th>Chiropractors (DC’s)</th>
 | 
			
		||||
        </tr>
 | 
			
		||||
        <tr>
 | 
			
		||||
          <td>
 | 
			
		||||
            <strong>Undergraduate Training Required</strong>
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>4 years</td>
 | 
			
		||||
          <td>4 years</td>
 | 
			
		||||
          <td>4 years</td>
 | 
			
		||||
        </tr>
 | 
			
		||||
        <tr>
 | 
			
		||||
          <td>
 | 
			
		||||
            <strong>Postgraduate Training Required</strong>
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>5-8 years</td>
 | 
			
		||||
          <td>5-8 years</td>
 | 
			
		||||
          <td>3-4 years</td>
 | 
			
		||||
        </tr>
 | 
			
		||||
        <tr>
 | 
			
		||||
          <td>
 | 
			
		||||
            <strong>Hospital Residency Required</strong>
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>Yes</td>
 | 
			
		||||
          <td>Yes</td>
 | 
			
		||||
          <td>No</td>
 | 
			
		||||
        </tr>
 | 
			
		||||
        <tr>
 | 
			
		||||
          <td>
 | 
			
		||||
            <strong>Able to Prescribe Drugs</strong>
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>Yes</td>
 | 
			
		||||
          <td>Yes</td>
 | 
			
		||||
          <td>No</td>
 | 
			
		||||
        </tr>
 | 
			
		||||
        <tr>
 | 
			
		||||
          <td>
 | 
			
		||||
            <strong>Able to Perform Surgery</strong>
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>Yes</td>
 | 
			
		||||
          <td>Yes</td>
 | 
			
		||||
          <td>No</td>
 | 
			
		||||
        </tr>
 | 
			
		||||
        <tr>
 | 
			
		||||
          <td>
 | 
			
		||||
            <strong>Training in Bodily Manipulation</strong>
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>
 | 
			
		||||
            Receives 300-500 hours extensive training in bodily manipulation
 | 
			
		||||
            including cranial, extremity, spinal joints, and connective tissue
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>
 | 
			
		||||
            Receives no formal training in manipulation, spinal or otherwise
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>Receive up to 600 hours in the use of spinal manipulation</td>
 | 
			
		||||
        </tr>
 | 
			
		||||
        <tr>
 | 
			
		||||
          <td>
 | 
			
		||||
            <strong>Founders</strong>
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>
 | 
			
		||||
            A.T. Still, physician whose philosophy is a “whole person” approach
 | 
			
		||||
            and whose emphasis was on disease prevention as well as cure. A.T.
 | 
			
		||||
            Still was an American original.
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>
 | 
			
		||||
            German trained physicians who viewed the body as being comprised
 | 
			
		||||
            primarily of parts and who emphasized treating symptoms through
 | 
			
		||||
            drugs and surgery.
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>
 | 
			
		||||
            D. D. Palmer who felt that spinal manipulation could effectively
 | 
			
		||||
            address 95% of all illness. Briefly studied with A. T. Still, then
 | 
			
		||||
            developed his own techniques.
 | 
			
		||||
          </td>
 | 
			
		||||
        </tr>
 | 
			
		||||
      </table>
 | 
			
		||||
 | 
			
		||||
      <h2>Section C | Principles</h2>
 | 
			
		||||
      <p>
 | 
			
		||||
        Osteopathy is the knowledge of the structure, relations and functions of
 | 
			
		||||
        each part and tissue of the human body applied to the adjustment in the
 | 
			
		||||
        correction in whatever may be interfering with the harmonious operation.
 | 
			
		||||
        Doctors of osteopathy conceive of man as a biomechanism, an organic
 | 
			
		||||
        machine which, as long as the cells, tissues, organs, muscles, ligaments
 | 
			
		||||
        and bones are normal in themselves in their reciprocal relationships,
 | 
			
		||||
        they will function normally. They maintain that structural integrity and
 | 
			
		||||
        physiological adjustment of the tissues and fluid tensions of the
 | 
			
		||||
        organism which form the most important factors in maintaining health.
 | 
			
		||||
        Life essentials-food, water, light, air, heat, exercise, protection and
 | 
			
		||||
        rest-are necessary also environmental and psychological harmony. In an
 | 
			
		||||
        organism structurally perfect, these constitute the requirements of man
 | 
			
		||||
        for maintaining health. The principles of osteopathy follow the logic of
 | 
			
		||||
        an applied knowledge of anatomy, physiology and pathology.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>The principles of Osteopathy are as follow:</p>
 | 
			
		||||
      <ol>
 | 
			
		||||
        <li>that the body is a unit</li>
 | 
			
		||||
        <li>structure and function are reciprocally interrelated</li>
 | 
			
		||||
        <li>the body possesses self regulating mechanisms</li>
 | 
			
		||||
        <li>
 | 
			
		||||
          the body rationale therapy is based upon knowledge and use of the
 | 
			
		||||
          above three principles.
 | 
			
		||||
        </li>
 | 
			
		||||
      </ol>
 | 
			
		||||
      <p>
 | 
			
		||||
        The osteopathic concept includes surgery which osteopathic physicians
 | 
			
		||||
        practice and recommend as indicated. Osteopathy is not drug-less
 | 
			
		||||
        profession in the strict sense of the word. It uses drugs which have
 | 
			
		||||
        specific scientific value and proven effectiveness. The osteopathic
 | 
			
		||||
        physician is a skilled engineer of the vital human mechanism influencing
 | 
			
		||||
        by manipulation and other osteopathic measures the activity of the nerve
 | 
			
		||||
        cells, glands and organs and the distribution and the distribution of
 | 
			
		||||
        fluids and the discharge of nerve impulses therefore, normalizing tissue
 | 
			
		||||
        fluid and function.
 | 
			
		||||
      </p>
 | 
			
		||||
    </Article>
 | 
			
		||||
  );
 | 
			
		||||
};
 | 
			
		||||
 | 
			
		||||
export default ArticleIntroToOsteopathy;
 | 
			
		||||
							
								
								
									
										25
									
								
								website/app/(pages)/articles/(actual_article_content)/new_article
									
									
									
									
									
										Executable file
									
								
							
							
						
						
									
										25
									
								
								website/app/(pages)/articles/(actual_article_content)/new_article
									
									
									
									
									
										Executable file
									
								
							| 
						 | 
				
			
			@ -0,0 +1,25 @@
 | 
			
		|||
#!/bin/sh
 | 
			
		||||
 | 
			
		||||
for arg in $@; do
 | 
			
		||||
  mkdir ${arg}
 | 
			
		||||
 | 
			
		||||
  component_name="Article$(echo ${arg} | sed -e 's/-\(.\)/\U\1/g;s/^\(.\)/\U\1/;s/-//g')"
 | 
			
		||||
 | 
			
		||||
  cat > "${arg}/page.tsx" <<EOF
 | 
			
		||||
import Article from "@/components/Article";
 | 
			
		||||
 | 
			
		||||
const ${component_name} = () => {
 | 
			
		||||
  return (
 | 
			
		||||
    <Article
 | 
			
		||||
      title=""
 | 
			
		||||
      author=""
 | 
			
		||||
    >
 | 
			
		||||
      
 | 
			
		||||
    </Article>
 | 
			
		||||
  );
 | 
			
		||||
};
 | 
			
		||||
 | 
			
		||||
export default ${component_name};
 | 
			
		||||
EOF
 | 
			
		||||
 | 
			
		||||
done
 | 
			
		||||
| 
						 | 
				
			
			@ -0,0 +1,94 @@
 | 
			
		|||
import Article from "@/components/Article";
 | 
			
		||||
 | 
			
		||||
const ArticleOsteopathComparisonTable = () => {
 | 
			
		||||
  return (
 | 
			
		||||
    <Article
 | 
			
		||||
      title="Osteopath Comparison Table"
 | 
			
		||||
      author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
 | 
			
		||||
    >
 | 
			
		||||
      <table>
 | 
			
		||||
        <tr>
 | 
			
		||||
          <th></th>
 | 
			
		||||
          <th>Osteopathic Physicians (DO)</th>
 | 
			
		||||
          <th>Allopathic Physicians (MD’s)</th>
 | 
			
		||||
          <th>Chiropractors (DC’s)</th>
 | 
			
		||||
        </tr>
 | 
			
		||||
        <tr>
 | 
			
		||||
          <td>
 | 
			
		||||
            <strong>Undergraduate Training Required</strong>
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>4 years</td>
 | 
			
		||||
          <td>4 years</td>
 | 
			
		||||
          <td>4 years</td>
 | 
			
		||||
        </tr>
 | 
			
		||||
        <tr>
 | 
			
		||||
          <td>
 | 
			
		||||
            <strong>Postgraduate Training Required</strong>
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>5-8 years</td>
 | 
			
		||||
          <td>5-8 years</td>
 | 
			
		||||
          <td>3-4 years</td>
 | 
			
		||||
        </tr>
 | 
			
		||||
        <tr>
 | 
			
		||||
          <td>
 | 
			
		||||
            <strong>Hospital Residency Required</strong>
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>Yes</td>
 | 
			
		||||
          <td>Yes</td>
 | 
			
		||||
          <td>No</td>
 | 
			
		||||
        </tr>
 | 
			
		||||
        <tr>
 | 
			
		||||
          <td>
 | 
			
		||||
            <strong>Able to Prescribe Drugs</strong>
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>Yes</td>
 | 
			
		||||
          <td>Yes</td>
 | 
			
		||||
          <td>No</td>
 | 
			
		||||
        </tr>
 | 
			
		||||
        <tr>
 | 
			
		||||
          <td>
 | 
			
		||||
            <strong>Able to Perform Surgery</strong>
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>Yes</td>
 | 
			
		||||
          <td>Yes</td>
 | 
			
		||||
          <td>No</td>
 | 
			
		||||
        </tr>
 | 
			
		||||
        <tr>
 | 
			
		||||
          <td>
 | 
			
		||||
            <strong>Training in Bodily Manipulation</strong>
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>
 | 
			
		||||
            Receives 300-500 hours extensive training in bodily manipulation
 | 
			
		||||
            including cranial, extremity, spinal joints, and connective tissue
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>
 | 
			
		||||
            Receives no formal training in manipulation, spinal or otherwise
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>Receive up to 600 hours in the use of spinal manipulation</td>
 | 
			
		||||
        </tr>
 | 
			
		||||
        <tr>
 | 
			
		||||
          <td>
 | 
			
		||||
            <strong>Founders</strong>
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>
 | 
			
		||||
            A.T. Still, physician whose philosophy is a “whole person” approach
 | 
			
		||||
            and whose emphasis was on disease prevention as well as cure. A.T.
 | 
			
		||||
            Still was an American original.
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>
 | 
			
		||||
            German trained physicians who viewed the body as being comprised
 | 
			
		||||
            primarily of parts and who emphasized treating symptoms through
 | 
			
		||||
            drugs and surgery.
 | 
			
		||||
          </td>
 | 
			
		||||
          <td>
 | 
			
		||||
            D. D. Palmer who felt that spinal manipulation could effectively
 | 
			
		||||
            address 95% of all illness. Briefly studied with A. T. Still, then
 | 
			
		||||
            developed his own techniques.
 | 
			
		||||
          </td>
 | 
			
		||||
        </tr>
 | 
			
		||||
      </table>
 | 
			
		||||
    </Article>
 | 
			
		||||
  );
 | 
			
		||||
};
 | 
			
		||||
 | 
			
		||||
export default ArticleOsteopathComparisonTable;
 | 
			
		||||
| 
						 | 
				
			
			@ -0,0 +1,142 @@
 | 
			
		|||
import Article from "@/components/Article";
 | 
			
		||||
 | 
			
		||||
const ArticleOsteopathicManipulationInPregnancy = () => {
 | 
			
		||||
  return (
 | 
			
		||||
    <Article
 | 
			
		||||
      title="Osteopathic Manipulation in Pregnancy"
 | 
			
		||||
      author="Andrea S. Clem, D.O."
 | 
			
		||||
    >
 | 
			
		||||
      <h2>Overview</h2>
 | 
			
		||||
      <p>
 | 
			
		||||
        During pregnancy, a woman’s body undergoes many anatomic (structural),
 | 
			
		||||
        circulatory (fluid), and hormonal changes that may lead to various
 | 
			
		||||
        musculoskeletal complaints, increase her risk of injury, or alter the
 | 
			
		||||
        course of pre-existing conditions. Some of the more common complaints
 | 
			
		||||
        include low back and pelvic pain, carpal tunnel syndrome, headache,
 | 
			
		||||
        nausea, vomiting, and edema. Approximately 2/3 of women with rheumatoid
 | 
			
		||||
        arthritis will have improvement in their symptoms during pregnancy but
 | 
			
		||||
        may suffer a flare-up in the post partum period. Many women with
 | 
			
		||||
        ankylosing spondylitis may have an exacerbation of symptoms. Women with
 | 
			
		||||
        scoliosis have no increased risk over non pregnant women for
 | 
			
		||||
        progression. [1,2]
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        Most of the symptoms encountered can be attributed to the development
 | 
			
		||||
        and growth of the fetus and are often specific to the different
 | 
			
		||||
        trimesters of the pregnancy. Osteopathic manipulation can play an
 | 
			
		||||
        important role in providing relief for the common complaints throughout
 | 
			
		||||
        the various stages of pregnancy, delivery, and the post partum period.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>First Trimester</h2>
 | 
			
		||||
      <p>
 | 
			
		||||
        Common conditions in the first trimester include heartburn as well as
 | 
			
		||||
        nausea and vomiting (“morning sickness”). Structural dysfunction is
 | 
			
		||||
        often found at the spinal levels related to the nervous system supply to
 | 
			
		||||
        the organs involved. Osteopathic manipulation to the cervical and
 | 
			
		||||
        thoracic spine can be used to influence these nervous system inputs,
 | 
			
		||||
        providing relief for gastrointestinal complaints. [3]
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>Second Trimester</h2>
 | 
			
		||||
      <p>
 | 
			
		||||
        As the uterus increases in size, pain may be felt through the round
 | 
			
		||||
        ligaments and the pubic symphysis. Once it expands from the pelvis in to
 | 
			
		||||
        the abdomen, the diaphragm becomes elevated affecting breathing. Fascial
 | 
			
		||||
        release through the abdomen, ribcage, and diaphragms may improve
 | 
			
		||||
        respiration and prevent or alleviate backache, sciatica, cramps or
 | 
			
		||||
        posterior pelvic pain. The second most common complaint in the second
 | 
			
		||||
        trimester is hand and wrist pain resulting from localized swelling.
 | 
			
		||||
        Anywhere from 1% -25% of all pregnant women may exhibit the classic
 | 
			
		||||
        carpal tunnel syndrome symptoms of numbness, tingling, and night-time
 | 
			
		||||
        pain. Since it almost always resolves after delivery, conservative
 | 
			
		||||
        treatment is recommended. This would include night time splinting and
 | 
			
		||||
        manipulative treatment aimed at improving lymphatic flow and releasing
 | 
			
		||||
        tension at the wrist. [1,3]
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>Third Trimester</h2>
 | 
			
		||||
      <p>
 | 
			
		||||
        Mechanical and structural changes are at their greatest in the third
 | 
			
		||||
        trimester. These result in changes in gait, loss of balance, and low
 | 
			
		||||
        back pain. Gravitational effects from the uterus in the abdomen and
 | 
			
		||||
        pelvis cause pressure that decreases lymphatic and venous return from
 | 
			
		||||
        the lower extremities leading to edema and hemorrhoids. Constipation and
 | 
			
		||||
        reflux are also common. Osteopathic manipulation to the pelvic floor and
 | 
			
		||||
        mid thoracic and lumbar spine helps to mobilize fluid and relieve these
 | 
			
		||||
        complaints.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>Labor & Delivery</h2>
 | 
			
		||||
      <p>
 | 
			
		||||
        During labor, Osteopathic manipulation focused at the lower thoracic and
 | 
			
		||||
        lumbar areas can influence the nerves that supply the pelvic organs.
 | 
			
		||||
        Soft tissue and myofascial treatment of the pelvis and sacrum can help
 | 
			
		||||
        to maintain good mobility of the sacrum, allow for proper rotation and
 | 
			
		||||
        descent of the fetal head, and influence cervical dilation. Osteopathy
 | 
			
		||||
        in the Cranial Field has been shown in studies to influence uterine
 | 
			
		||||
        contractility and help to overcome uterine inertia by its effect on the
 | 
			
		||||
        pituitary secretion of oxytocin. [4, 5]
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>Post Partum</h2>
 | 
			
		||||
      <p>
 | 
			
		||||
        Throughout pregnancy, a woman’s body produces the hormone relaxin. This
 | 
			
		||||
        allows the joints of the pelvis to become flexible for the fetus to
 | 
			
		||||
        pass. It is also responsible for the increased joint laxity that can
 | 
			
		||||
        lead to the dysfunctions that occur during pregnancy and delivery. Since
 | 
			
		||||
        the serum levels of relaxin return to near normal three days post
 | 
			
		||||
        partum, treatment immediately after delivery can help to re-align the
 | 
			
		||||
        sacropelvic structures that have just undergone the stress of pushing
 | 
			
		||||
        and positioning in stirrups. Later follow-up with osteopathic
 | 
			
		||||
        manipulation is useful for the treatment of any persistent pain in the
 | 
			
		||||
        low back or pelvis.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>Contraindications</h2>
 | 
			
		||||
      <p>
 | 
			
		||||
        In most cases, the use of Osteopathic manipulation in pregnancy is both
 | 
			
		||||
        safe and effective. Conditions where it should not be used include:
 | 
			
		||||
        premature labor, abruption placentae, rupture of membranes without
 | 
			
		||||
        labor, incompetent cervix, eclampsia, and ectopic pregnancy. 5
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>Summary</h2>
 | 
			
		||||
      <p>
 | 
			
		||||
        Pregnancy is a time where a women’s body undergoes many changes-often
 | 
			
		||||
        resulting in some form of musculoskeletal complaint. Osteopathic
 | 
			
		||||
        manipulation can serve as a valuable adjuvant therapy in the normal
 | 
			
		||||
        obstetrical care. By providing relief from pain, maintaining homeostasis
 | 
			
		||||
        and circulation, and supporting labor and delivery, pregnancy can be a
 | 
			
		||||
        more comfortable and enjoyable experience.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>References</h2>
 | 
			
		||||
      <p>
 | 
			
		||||
        1. Ireland M, Ott S. The Effects of Pregnancy on the Musculoskeletal
 | 
			
		||||
        System. Clinical Orthopaedics and Related Research. 2000. 372:169-179.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        2. Jones A, Lockwood M. Osteopathic Manipulative Treatment in Pregnancy
 | 
			
		||||
        and Augmentation of Labor: A Case Report. AAO Journal. 18:1 March 2008:
 | 
			
		||||
        27-29.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        3. Ward R. Foundations for Osteopathic Medicine. 2nd ed. Philadelphia,
 | 
			
		||||
        PA: Lippincott Williams & Wilkins; 2003: 450-461.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        4. McAfee S, Chila A. Occipital Compression and its Potential Uses in
 | 
			
		||||
        Obstetrics. AAO Journal. 17:3 September 2007: 27-29.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        5. DiGiovanna E, Schiowitz S, Dowling D. An Osteopathic Approach to
 | 
			
		||||
        Diagnosis and Treatment 3rd ed. Philadelphia, PA: Lippincott Williams
 | 
			
		||||
        & Wilkins; 2005: 651-659.
 | 
			
		||||
      </p>
 | 
			
		||||
    </Article>
 | 
			
		||||
  );
 | 
			
		||||
};
 | 
			
		||||
 | 
			
		||||
export default ArticleOsteopathicManipulationInPregnancy;
 | 
			
		||||
| 
						 | 
				
			
			@ -0,0 +1,230 @@
 | 
			
		|||
import Article from "@/components/Article";
 | 
			
		||||
 | 
			
		||||
const ArticleOsteopathicManipulativeTreatment = () => {
 | 
			
		||||
  return (
 | 
			
		||||
    <Article
 | 
			
		||||
      title="Osteopathic Manipulative Treatment"
 | 
			
		||||
      author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
 | 
			
		||||
    >
 | 
			
		||||
      <p>
 | 
			
		||||
        In an era marked by medical advances, from state-of-the-art surgery to
 | 
			
		||||
        the newest prescription medication, what unique tool will osteopathic
 | 
			
		||||
        physicians use? Their hands.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        Osteopathic physicians (D.O.s) provide you with all the best that
 | 
			
		||||
        medicine has to offer. They can specialize in any recognized area of
 | 
			
		||||
        medicine, from pediatrics to neurosurgery. However, their knowledge and
 | 
			
		||||
        use of the latest medical technology is complemented by their
 | 
			
		||||
        application of a hands-on treatment tool known as osteopathic
 | 
			
		||||
        manipulative treatment, or OMT.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        Using OMT, D.O.s bring an added dimension to healthcare, in the form of
 | 
			
		||||
        a non-invasive treatment. D.O.s use OMT to diagnose, treat and even
 | 
			
		||||
        prevent illness or injury. When appropriate it can be used in
 | 
			
		||||
        conjunction with, or in place of, medication or surgery.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>Unique Philosophy</h2>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        D.O.s are widely recognized for their incorporation of manipulative
 | 
			
		||||
        medicine into their spectrum of care. OMT is just one element of the
 | 
			
		||||
        unique philosophy of osteopathic medicine.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>The Big Picture</h2>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        By taking the whole person approach to care, D.O.s don’t just focus on
 | 
			
		||||
        the disease or injury. They look for the underlying causes of disease
 | 
			
		||||
        instead of simply treating the symptoms. Not only do they consider your
 | 
			
		||||
        physical condition, but also they take other factors into account like
 | 
			
		||||
        home, work and family life when making a diagnosis.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>Patient, Heal Thyself</p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        D.O.s recognize that the body is inherently capable of healing itself,
 | 
			
		||||
        though it must constantly fight physical, emotional and nutritional
 | 
			
		||||
        “stressors” to maintain a state of wellness. D.O.s believe in educating
 | 
			
		||||
        you about good health and prevention of disease.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>The Musculoskeletal System</h2>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        D.O.s place particular emphasis on the musculoskeletal system, which
 | 
			
		||||
        comprises two-thirds of the body’s mass. D.O.s believe that all of the
 | 
			
		||||
        body’s systems, including the musculoskeletal system, work together and
 | 
			
		||||
        that disturbances in one system may impact function elsewhere in the
 | 
			
		||||
        body. This understanding of body structure and function provides the
 | 
			
		||||
        foundation for the osteopathic approach to medicine.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>The ABC’s of OMT and How It Can Work for You</h2>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        OMT is predicated upon your D.O.’s knowledge of medicine. Once your D.O.
 | 
			
		||||
        has ruled out mechanical causes for your illness or injury (through
 | 
			
		||||
        blood and urine testing, X-rays, etc.), and based upon physical and
 | 
			
		||||
        mechanical findings, your D.O. may decide to utilize OMT. While it is
 | 
			
		||||
        commonly associated with physical ailments such as low back pain, this
 | 
			
		||||
        modality can also be used to relieve the discomfort or musculoskeletal
 | 
			
		||||
        abnormality associated with a number of disorders, including: asthma,
 | 
			
		||||
        sinus disorder, carpal tunnel, migraines and menstrual pain.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        The osteopathic approach to treating many diseases includes medication
 | 
			
		||||
        and/or surgical intervention, plus OMT. OMT can relieve muscle pain
 | 
			
		||||
        associated with a disease and can hasten your recovery from illness by
 | 
			
		||||
        promoting blood flow through tissues.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>Diagnosis</h2>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        Your structural exam will begin with an assessment of your posture,
 | 
			
		||||
        spine and balance. Your D.O. will then use his fingers to palpate your
 | 
			
		||||
        back and extremities. Your D.O. will then use his fingers to palpate
 | 
			
		||||
        your back and extremities. He will also check your joints for
 | 
			
		||||
        restriction and/or pain during motion as well as check your muscles,
 | 
			
		||||
        tendons and ligaments where tenderness can signal a problem. Through
 | 
			
		||||
        extensive osteopathic training in manipulative medicine, D.O.s can
 | 
			
		||||
        detect changes in tissue, however small, that signal injury or
 | 
			
		||||
        impairment.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        Once the structural exam is complete, your D.O. will integrate this
 | 
			
		||||
        information with your medical history and a complete physical exam.
 | 
			
		||||
        After that point, a treatment plan can be established.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>Treatment</h2>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        Using a variety of OMT techniques, your D.O. will apply manual forces to
 | 
			
		||||
        your body’s affected areas to treat structural abnormalities and will
 | 
			
		||||
        then apply specific corrective forces to relieve joint restrictions and
 | 
			
		||||
        misalignments. Based upon the severity of your problem, you may require
 | 
			
		||||
        more than one treatment.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>Case 1</h2>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        Mary visited her D.O. complaining of a sharp pain in her side. The
 | 
			
		||||
        physician asked a series of questions about her pain: its intensity,
 | 
			
		||||
        onset and duration. They also discussed her medical history. The
 | 
			
		||||
        physician then ordered a series of tests to determine whether the pain
 | 
			
		||||
        was caused by disease (i.e. gallbladder or appendix). Tests revealed
 | 
			
		||||
        that it was not. Since the patient indicated that she worked in an
 | 
			
		||||
        office with a “surround style” desk, the D.O. considered that Mary might
 | 
			
		||||
        be suffering from postural/mechanical strain. Based upon his
 | 
			
		||||
        examination, interview with the patient and negative test results, the
 | 
			
		||||
        physician decided to employ OMT to relieve motion restrictions and
 | 
			
		||||
        muscle strain caused by improper sitting and movement. He also
 | 
			
		||||
        recommended changes in the set-up of her workstation to alleviate
 | 
			
		||||
        further pain.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>Case 2</h2>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        Michael’s symptoms included cough, congestion, fever and headache.
 | 
			
		||||
        Suspecting chronic sinusitis, his D.O. conducted an exam and ordered
 | 
			
		||||
        appropriate tests. When results confirmed the diagnosis, the physician
 | 
			
		||||
        prescribed an antibiotic to treat the infection. She also employed a
 | 
			
		||||
        variety of OMT techniques to promote sinus drainage and relieve pain
 | 
			
		||||
        related to the infection. Michael’s congestion was markedly reduced
 | 
			
		||||
        after just one OMT session. Upon completion of his antibiotic therapy
 | 
			
		||||
        two weeks later, his infection was eliminated.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>Who Can Benefit</h2>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        People of all ages and backgrounds have found relief from pain and
 | 
			
		||||
        dysfunction as well as improved mobility through OMT. D.O.s incorporate
 | 
			
		||||
        this modality into their treatment plans for top athletes and
 | 
			
		||||
        performance artists, workers with on-the-job injuries and thousands of
 | 
			
		||||
        people, just like you.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>Proof Positive</h2>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        A study published in the November 4, 1999 issue of the New England
 | 
			
		||||
        Journal of Medicine confirms what D.O.s have known for years’ that OMT
 | 
			
		||||
        works. In this case, researchers examined the effectiveness of OMT for
 | 
			
		||||
        treating low back pain.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        Patients were divided into two groups’ one treated with standard options
 | 
			
		||||
        like hot/cold packs, physical therapy and anti-inflammatory medication
 | 
			
		||||
        while the other group received OMT and standard care. After a
 | 
			
		||||
        twelve-week period, patients in both groups showed improvement. However,
 | 
			
		||||
        researchers learned that the patients receiving OMT required less
 | 
			
		||||
        medication and physical therapy, resulting in less side effects and
 | 
			
		||||
        lower health care costs.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        Another study released on OMT revealed its effectiveness in reducing
 | 
			
		||||
        pain after a hysterectomy. Researchers measured the amount of morphine
 | 
			
		||||
        to treat patients’ pain as well as their perception of their pain
 | 
			
		||||
        levels. Upon the study’s completion, it was determined that
 | 
			
		||||
        administering OMT significantly reduced patients’ needs for pain
 | 
			
		||||
        medication.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        By incorporating OMT into their practice of complete medicine, D.O.s are
 | 
			
		||||
        providing the most comprehensive care available today.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>History</h2>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        The earliest medical writings from centuries past describe the efficacy
 | 
			
		||||
        of manual medicine. In 1874, osteopathic medicine’s founder, Dr. A.T.
 | 
			
		||||
        Still, recognized the power of hands-on care and incorporated it into
 | 
			
		||||
        his philosophy of medicine. Dr. Still identified the musculoskeletal
 | 
			
		||||
        system as a key element of health; he recognized the body’s self-healing
 | 
			
		||||
        capacity; he emphasized prevention, exercise and keeping fit; and he
 | 
			
		||||
        identified palpation and human touch as vital and less intrusive
 | 
			
		||||
        elements of diagnosis and treatment. As the impressive growth of
 | 
			
		||||
        osteopathic medicine demonstrates, Dr. Still’s founding tenets have
 | 
			
		||||
        withstood the test of time and scientific scrutiny.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <h2>Education</h2>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        D.O.s complete four years of medical training at one of the nation’s
 | 
			
		||||
        fully accredited colleges of osteopathic medicine. The osteopathic
 | 
			
		||||
        curriculum is intensive and broad-based. It includes comprehensive
 | 
			
		||||
        training in the musculoskeletal system and the use of OMT. Manipulation
 | 
			
		||||
        combined with the osteopathic principles of holistic care, prevention
 | 
			
		||||
        and primary care makes osteopathic medicine unique.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        Upon graduation from medical school, D.O.s complete a one-year rotating
 | 
			
		||||
        internship through all the areas of primary care. Afterwards, they may
 | 
			
		||||
        complete a residency in any of more than 120 specialty and subspecialty
 | 
			
		||||
        areas of medicine. However, sixty-four percent of all D.O.s remain in
 | 
			
		||||
        primary care practices.
 | 
			
		||||
      </p>
 | 
			
		||||
    </Article>
 | 
			
		||||
  );
 | 
			
		||||
};
 | 
			
		||||
 | 
			
		||||
export default ArticleOsteopathicManipulativeTreatment;
 | 
			
		||||
| 
						 | 
				
			
			@ -0,0 +1,208 @@
 | 
			
		|||
import Article from "@/components/Article";
 | 
			
		||||
 | 
			
		||||
const ArticleOsteopathyFaq = () => {
 | 
			
		||||
  return (
 | 
			
		||||
    <Article
 | 
			
		||||
      title="Osteopathy FAQs"
 | 
			
		||||
      author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
 | 
			
		||||
    >
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>Q. What is Osteopathy?</strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        A. Osteopathy is a complete school of medicine in the United States. It
 | 
			
		||||
        is a separate and distinct medical profession with unlimited practice
 | 
			
		||||
        rights in the field of medicine and surgery. It is a medical art and
 | 
			
		||||
        science with a unifying holistic philosophy of body, mind and spirit.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>Q. What is an osteopathic doctor in the USA?</strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        A. In the USA, an osteopathic doctor is a fully licensed and trained
 | 
			
		||||
        physician and surgeon like an MD but with the addition of osteopathic
 | 
			
		||||
        manipulation. Each DO is licensed by each individual state to practice
 | 
			
		||||
        Osteopathic Medicine and Surgery. An English DO to practice in the US
 | 
			
		||||
        would have to take 4 years of Osteopathic Medicine at a US college plus
 | 
			
		||||
        3 years of residency/internship, then pass a national or state board
 | 
			
		||||
        exam. He would then be able to apply and receive a state license.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>Q. What is Osteopathic Manipulation?</strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        A. Osteopathic manipulation is a manual medical procedure that the
 | 
			
		||||
        physician applies to a patient. This manual hands-on technique involves
 | 
			
		||||
        putting joints and tissues through a range of motion, releasing
 | 
			
		||||
        membranous articular strain, muscle spasm and tight joint capsules and
 | 
			
		||||
        ligaments. Osteopathic manipulation alleviates somatic dysfunction.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>Q. What is Somatic Dysfunction?</strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        A. Somatic dysfunction is impaired or altered function of related
 | 
			
		||||
        components of the somatic (body framework) system. This includes
 | 
			
		||||
        skeletal, arthrodial, myofascial structures, and their related vascular,
 | 
			
		||||
        lymphatic, and neural elements.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>Q. What is the Osteopathic profession like?</strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        A. The osteopathic profession is a group of over 36,000 physicians and
 | 
			
		||||
        surgeons throughout the United States that are involved in unlimited
 | 
			
		||||
        medical practice providing diagnosis and treatment in all standard
 | 
			
		||||
        medical specialties including family practice, internal medicine,
 | 
			
		||||
        neurosurgery, cardiovascular surgery, obstetrics and gynecology, general
 | 
			
		||||
        surgery, cardiology, neurology, internal medicine, etc.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>Q. What is Osteopathic Manipulative Medicine?</strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        A. It is a primary care specialty emphasizing in-depth application of
 | 
			
		||||
        the osteopathic philosophy and special proficiency in osteopathic
 | 
			
		||||
        diagnosis and treatment.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>Q. What is Osteopathic manipulative treatment?</strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        A. It is a diagnosis followed by therapeutic application of manually
 | 
			
		||||
        guided forces by an osteopathic physician to alleviate somatic
 | 
			
		||||
        dysfunction. This is accomplished by a variety of techniques.
 | 
			
		||||
      </p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>
 | 
			
		||||
          Q. What are some techniques used in Osteopathic manipulative
 | 
			
		||||
          treatment?
 | 
			
		||||
        </strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>A. Some techniques include:</p>
 | 
			
		||||
 | 
			
		||||
      <p>
 | 
			
		||||
        1. Articulatory treatment - low velocity, moderate to high amplitude
 | 
			
		||||
        technique that carries a joint through a full range of motion to
 | 
			
		||||
        increase freedom of movement.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        2. Counterstrain - inhibits inappropriate strain reflex by applying mild
 | 
			
		||||
        strain opposite to the reflex.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        3. Cranial treatment - diagnosis and treatment using the primary
 | 
			
		||||
        respiratory mechanism.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        4. Directed treatment - engages the restrictive barrier and carries the
 | 
			
		||||
        dysfunctional component towards the restricted barrier.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        5. Exaggeration treatment - moves the dysfunctional component away from
 | 
			
		||||
        the restricted barrier through and beyond the range of motion.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        6. Facilitated positional release - myofascial release treatment
 | 
			
		||||
        involving activating force compression or torsion.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        7. Muscle energy treatment - patient moves as directed by the physician
 | 
			
		||||
        against defined resistance.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        10. Myofascial treatment - continuous palpatory feedback to achieve
 | 
			
		||||
        release of myofascial tissues.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>11. Ligamentous articular strain - myofascial release techniques.</p>
 | 
			
		||||
      <p>
 | 
			
		||||
        12. Traction treatment - stretching or separating parts along the
 | 
			
		||||
        longitudinal axis.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>13. Visceral manipulation - positioning viscera to fascial balance.</p>
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>Q. What is the Osteopathic philosophy?</strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        A. Osteopathic medicine is a philosophy of healthcare and a distinctive
 | 
			
		||||
        art supported by expanding scientific knowledge. Its philosophy embraces
 | 
			
		||||
        the concept of the unity of the living organism's structure and
 | 
			
		||||
        function. It applies science and art to establish and maintain health,
 | 
			
		||||
        prevent and alleviate disease. Osteopathic concepts emphasize principles
 | 
			
		||||
        like the body's self-regulatory mechanisms, interrelation of structure
 | 
			
		||||
        and function, and rational treatment based on these principles.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>Q. What is an Osteopathic structural examination?</strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        A. An examination of the patient by an osteopathic physician with an
 | 
			
		||||
        emphasis on the neuromuscular skeletal system. It includes palpatory
 | 
			
		||||
        diagnosis of somatic dysfunction in the context of total patient care.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>Q. What is palpatory diagnosis?</strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        A. It is the process of palpating the patient to evaluate the
 | 
			
		||||
        neuromuscular skeletal and visceral systems.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>Q. What is the primary respiratory mechanism?</strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        A. It refers to the interdependent function among five body components:
 | 
			
		||||
        brain and spinal cord motility, cerebral spinal fluid fluctuation,
 | 
			
		||||
        intracranial and intraspinal spinal membrane mobility, articular
 | 
			
		||||
        mobility of cranial bones, and sacral mobility between ilia or pelvic
 | 
			
		||||
        bones.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>Q. What is postural decompensation?</strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        A. It's the distribution of body mass away from the ideal when postural
 | 
			
		||||
        homeostatic mechanisms are overwhelmed, resulting in changes like
 | 
			
		||||
        scoliotic, rotational, kyphotic, or lordotic changes.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>Q. What is the somato visceral reflex?</strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        A. It's an involuntary nervous system response to sensory input that
 | 
			
		||||
        produces reflex responses in segmentally related visceral structures.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>Q. What is a visceral somatic reflex?</strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        A. It's a localized visceral stimuli producing patterns of reflex
 | 
			
		||||
        response in segmentally related somatic structures.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>Q. What is the cranial sacral mechanism?</strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        A. It refers to the connection between the occiput and sacrum by the
 | 
			
		||||
        spinal dura mater as described by William G. Sutherland D.O.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        <strong>Q. What is spinal facilitation?</strong>
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        A. It's the maintenance of a pool of neurons, motor neurons, or
 | 
			
		||||
        preganglionic sympathetic neurons in a state of partial or subthreshold
 | 
			
		||||
        excitation in the spinal cord, requiring less afferent or presynaptic
 | 
			
		||||
        stimulation to trigger impulse discharge.
 | 
			
		||||
      </p>
 | 
			
		||||
    </Article>
 | 
			
		||||
  );
 | 
			
		||||
};
 | 
			
		||||
 | 
			
		||||
export default ArticleOsteopathyFaq;
 | 
			
		||||
| 
						 | 
				
			
			@ -0,0 +1,136 @@
 | 
			
		|||
import Article from "@/components/Article";
 | 
			
		||||
 | 
			
		||||
const ArticleWhatIsADo = () => {
 | 
			
		||||
  return (
 | 
			
		||||
    <Article
 | 
			
		||||
      title="What is D.O.?"
 | 
			
		||||
      author="Richard A. Feely, D.O., FAAO, FCA, FAAMA"
 | 
			
		||||
    >
 | 
			
		||||
      <p>
 | 
			
		||||
        If you’re like most people, you’ve been going to a doctor ever since you
 | 
			
		||||
        were born, and perhaps were not aware whether you were seeing a D.O.
 | 
			
		||||
        (osteopathic physician) or an M.D. (allopathic physician). You may not
 | 
			
		||||
        even be aware that there are two types of complete physicians in the
 | 
			
		||||
        United States.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        The fact is, that both D.O.s and M.D.s are fully qualified physicians
 | 
			
		||||
        licensed to perform surgery and prescribe medication in all 50 states.
 | 
			
		||||
        Is there any difference between these two kinds of doctors? Yes. And no.
 | 
			
		||||
      </p>
 | 
			
		||||
      <h2>DOs and MDs</h2>
 | 
			
		||||
      <ol>
 | 
			
		||||
        <li>
 | 
			
		||||
          Applicants to both D.O. and M.D. colleges typically have a four-year
 | 
			
		||||
          undergraduate degree with an emphasis on scientific courses.
 | 
			
		||||
        </li>
 | 
			
		||||
        <li>
 | 
			
		||||
          Both D.O.s and M.D.s complete four years of basic medical education.
 | 
			
		||||
        </li>
 | 
			
		||||
        <li>
 | 
			
		||||
          After medical school, both D.O.s and M.D.s can choose to practice in a
 | 
			
		||||
          specialty area of medicine–such as psychiatry, surgery or
 | 
			
		||||
          obstetrics–after completing a residency program which requires an
 | 
			
		||||
          additional two to six years of training.
 | 
			
		||||
        </li>
 | 
			
		||||
        <li>
 | 
			
		||||
          Both D.O.s and M.D.s must pass comparable state licensing
 | 
			
		||||
          examinations.
 | 
			
		||||
        </li>
 | 
			
		||||
        <li>
 | 
			
		||||
          D.O.s and M.D.s both practice in fully accredited and licensed health
 | 
			
		||||
          care facilities.
 | 
			
		||||
        </li>
 | 
			
		||||
        <li>
 | 
			
		||||
          D.O.s comprise a separate, yet equal branch of American medical care.
 | 
			
		||||
          Together, D.O.s and M.D.s enhance the state of care available in
 | 
			
		||||
          America.
 | 
			
		||||
        </li>
 | 
			
		||||
      </ol>
 | 
			
		||||
      <h2>Something Extra</h2>
 | 
			
		||||
      <ul>
 | 
			
		||||
        <li>
 | 
			
		||||
          Osteopathic medical schools emphasize training students to be primary
 | 
			
		||||
          care physicians.
 | 
			
		||||
        </li>
 | 
			
		||||
        <li>Osteopathic physicians focus on preventive health care.</li>
 | 
			
		||||
        <li>
 | 
			
		||||
          D.O.s receive extra training in the musculoskeletal system — your
 | 
			
		||||
          body’s interconnected system of nerves, muscles and bones that make up
 | 
			
		||||
          two-thirds of its body mass. This training provides osteopathic
 | 
			
		||||
          physicians with a better understanding of the ways that an injury or
 | 
			
		||||
          illness in one part of your body can affect another.
 | 
			
		||||
        </li>
 | 
			
		||||
      </ul>
 | 
			
		||||
      <p>
 | 
			
		||||
        Osteopathic manipulative treatment (OMT) is incorporated in the training
 | 
			
		||||
        and practice of osteopathic physicians. With OMT, osteopathic physicians
 | 
			
		||||
        use their hands to diagnose injury and illness and to encourage your
 | 
			
		||||
        body’s natural tendency toward good health. By combining all other
 | 
			
		||||
        medical procedures with OMT, D.O.s offer their patients the most
 | 
			
		||||
        comprehensive care available in medicine today.
 | 
			
		||||
      </p>
 | 
			
		||||
      <h2>More than a Century of Care</h2>
 | 
			
		||||
      <p>
 | 
			
		||||
        Osteopathic medicine is a unique form of American medical care that was
 | 
			
		||||
        developed in 1874 by Dr. Andrew Taylor Still. Dr. Still was dissatisfied
 | 
			
		||||
        with the effectiveness of 19th Century medicine. He believed that many
 | 
			
		||||
        of the medications of his day were useless or even harmful. Dr. Still
 | 
			
		||||
        was one of the first in his time to study the attributes of good health
 | 
			
		||||
        so that he could better understand the process of disease.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        In response, Dr. Still founded a philosophy of medicine based on ideas
 | 
			
		||||
        that date back to Hippocrates, the father of medicine. The philosophy
 | 
			
		||||
        focuses on the unity of all body parts. He identified the
 | 
			
		||||
        musculoskeletal system as a key element of health. He recognized the
 | 
			
		||||
        body’s ability to heal itself and stressed preventive medicine, eating
 | 
			
		||||
        properly and keeping fit.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        Dr. Still pioneered the concept of “wellness” more than 125 years ago.
 | 
			
		||||
        In today’s terms, personal health risks–such as smoking, high blood
 | 
			
		||||
        pressure, excessive cholesterol levels, stress and other lifestyle
 | 
			
		||||
        factors–are evaluated for each individual. In coordination with
 | 
			
		||||
        appropriate medical treatment, the osteopathic physician acts as a
 | 
			
		||||
        teacher to help patients take more responsibility for their own
 | 
			
		||||
        well-being and change unhealthy patterns.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        For more about the history of the profession, visit The History of
 | 
			
		||||
        Osteopathic Medicine Virtual Museum.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        Just as Dr. Still pioneered osteopathic medicine on the Missouri
 | 
			
		||||
        frontier in 1874, today osteopathic physicians serve as modern day
 | 
			
		||||
        medical pioneers.
 | 
			
		||||
      </p>
 | 
			
		||||
      <ul>
 | 
			
		||||
        <li>
 | 
			
		||||
          Over half of all osteopathic physicians practice in primary care areas
 | 
			
		||||
          such as pediatrics, family practice, obstetrics/gynecology and
 | 
			
		||||
          internal medicine.
 | 
			
		||||
        </li>
 | 
			
		||||
        <li>
 | 
			
		||||
          Many D.O.s fill a critical need for doctors by practicing in rural and
 | 
			
		||||
          medically underserved areas.
 | 
			
		||||
        </li>
 | 
			
		||||
      </ul>
 | 
			
		||||
      <p>
 | 
			
		||||
        Today osteopathic physicians continue to be on the cutting edge of
 | 
			
		||||
        modern medicine. D.O.s are able to combine today’s medical technology
 | 
			
		||||
        with their ears, to listen compassionately to their patients; their
 | 
			
		||||
        eyes, to see their patients as whole persons; and their hands, to
 | 
			
		||||
        diagnose and treat injury as well as illness.
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>
 | 
			
		||||
        “As an osteopathic physician, I believe in prevention. I am committed to
 | 
			
		||||
        educating my patients so they can take the necessary steps to live and
 | 
			
		||||
        maintain healthier lifestyles.”
 | 
			
		||||
      </p>
 | 
			
		||||
      <p>Tyler C. Cymet, D.O., Internal medicine, Baltimore</p>
 | 
			
		||||
    </Article>
 | 
			
		||||
  );
 | 
			
		||||
};
 | 
			
		||||
 | 
			
		||||
export default ArticleWhatIsADo;
 | 
			
		||||
| 
						 | 
				
			
			@ -4,24 +4,36 @@ const ArtsForPatients = () => {
 | 
			
		|||
  return (
 | 
			
		||||
    <section className="min-h-screen p-36" id="artsforpatients">
 | 
			
		||||
      <div>
 | 
			
		||||
        <h1>Osteopathy Basics</h1>
 | 
			
		||||
        <Link href="/articles/pediatric-digestive-problems" className="block">
 | 
			
		||||
          Digestive Problems
 | 
			
		||||
        <h1>What is Osteopathy?</h1>
 | 
			
		||||
        <Link href="/articles/cranial-osteopathy" className="block">
 | 
			
		||||
          Cranial Osteopathy
 | 
			
		||||
        </Link>
 | 
			
		||||
        <Link href="/articles/pediatric-down-syndrome" className="block">
 | 
			
		||||
          Down Syndrome
 | 
			
		||||
        <Link href="/articles/cranial-osteopathy-faq" className="block">
 | 
			
		||||
          Cranial Osteopathy FAQ
 | 
			
		||||
        </Link>
 | 
			
		||||
        <Link href="/articles/pediatric-orthopedic-problems" className="block">
 | 
			
		||||
          Orthopedic Problems
 | 
			
		||||
        <Link href="/articles/intro-to-osteopathy" className="block">
 | 
			
		||||
          Introduction to Osteopathy
 | 
			
		||||
        </Link>
 | 
			
		||||
        <Link href="/articles/pediatric-respiratory-health" className="block">
 | 
			
		||||
          Respiratory Health
 | 
			
		||||
        <Link href="/articles/osteopath-comparison-table" className="block">
 | 
			
		||||
          Osteopath Comparison Table
 | 
			
		||||
        </Link>
 | 
			
		||||
        <Link
 | 
			
		||||
          href="/articles/pediatric-treatment-for-newborns"
 | 
			
		||||
          href="/articles/osteopathic-manipulation-in-pregnancy"
 | 
			
		||||
          className="block"
 | 
			
		||||
        >
 | 
			
		||||
          Treatment for the Newborn
 | 
			
		||||
          Osteopathic Manipulation in Pregnancy
 | 
			
		||||
        </Link>
 | 
			
		||||
        <Link
 | 
			
		||||
          href="/articles/osteopathic-manipulative-treatment"
 | 
			
		||||
          className="block"
 | 
			
		||||
        >
 | 
			
		||||
          Osteopathic Manipulative Treatment
 | 
			
		||||
        </Link>
 | 
			
		||||
        <Link href="/articles/osteopathy-faq" className="block">
 | 
			
		||||
          Osteopathy FAQ
 | 
			
		||||
        </Link>
 | 
			
		||||
        <Link href="/articles/what-is-a-do" className="block">
 | 
			
		||||
          What is a D.O.?
 | 
			
		||||
        </Link>
 | 
			
		||||
      </div>
 | 
			
		||||
      <div>
 | 
			
		||||
| 
						 | 
				
			
			
 | 
			
		|||
		Loading…
	
		Reference in a new issue