Journal of Osteopathic Medicine December 2023 - Integrating osteopathic manipulative treatment into prenatal care visits in a family medicine resident clinic

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Expires on Dec 07, 2026

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1 AOA Category 1-B Credit

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Journal of Osteopathic Medicine November 2023 - Ultrasound-assisted bony landmark palpation in untrained palpators

OVERVIEW:

Literature describing the integration of osteopathic manipulative treatment (OMT) during prenatal care visits in a resident clinic setting are scarce. Concise and readily accessible resources reviewing OMT in pregnancy are limited. Musculoskeletal (MSK) pain in pregnancy is common. Specifically, low back pain (LBP) often accompanies pregnancy and may negatively impact sleep, the ability to work, and the ability to complete daily tasks. Treatment options for LBP in pregnancy are limited due to the concern for fetal or maternal harm associated with pharmacologic options or invasive procedures. OMT is a low-risk intervention that has been demonstrated to improve back pain and reduce deterioration of back-specific function in pregnancy. OMT provides pregnant patients with additional treatment options and relief from MSK pain. This may reduce the number of patients with untreated MSK pain and benefit those who are unable to attend additional appointments outside of prenatal care due to financial or logistic barriers. OMT can be integrated into routine prenatal care visits in a training setting by providing complaint-specific OMT and determining how treatments can be performed for each unique examination room and table. Reviewing OMT in pregnancy with the attending physician prior to treatment, contraindications to OMT in pregnancy, and visualizing how treatments will be altered in pregnancy allows for smooth integration.

Authors: Travis D. Rath, DO, MS; Kyle R. Baum, DO, MS; Bradley D. Kamstra, DO; Jennifer A. Schriever, MD, MBA

OBJECTIVES:

 Discuss the incidence of musculoskeletal pain, and low back pain specifically, during pregnancy

 List the treatment options for LBP in pregnancy

 Outline the barriers to providing OMT in the office during prenatal visits

Expiration Date: December 6, 2026

The AOA designates this activity for a maximum of 1.0 AOA Category 1-B Credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.