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Osteopathic Manipulative Medicine

Osteopathic Manipulation Medicine (OMM) is a hands on treatment used to treat Musculoskeletal pain. Pioneered in the late 1800’s by a medical physician named Andrew Taylor Still, osteopathic medicine is dedicated to the treatment and healing of the entire patient, rather than approaching a patient’s symptoms in a crisis-oriented, one-spot only approach. This respect for, and study of, the entire functioning of the human system has led to various means of diagnosis and treatment. Perhaps the most recognizable means of treatment includes that of manipulation, whereby the physician uses a hands-on approach to assure that the body is moving freely. This free motion ensures that all innate healing systems are free to work unhindered.


Dr. Bretl uses a combination of myofascial release and cranial osteopathy. Myofascial release is a gentle technique used to aid the muscle and connective tissue in unwinding and/or decreasing the tension in these tissues. The study of Cranial Osteopathy began in 1939 as a result of the studies of William Garner Sutherland, an osteopathic physician. Dr. Sutherland’s observations have been borne out by scientific study. Within osteopathic medicine, there exists an understanding that here is a small but important motion between the bones of the head. This movement of the fluids of the body that is vitally important in the expression of health, including the maximum function of the body’s own healing system.


Many people are not familiar with what the difference is between a doctor of medicine (M.D.) and a doctor of osteopathic medicine (D. O.). They both use scientifically accepted methods of diagnosis and treatment, including medication and surgery. Educational requirements are the same as are most state licensing board examinations. The D. O. is given additional training in the evaluation of treatment of structural abnormalities which contribute to a patient’s illness. Osteopathic philosophy views the body as a self-regulating unit and maintains that structure and function are interrelated. Changes in the musculoskeletal system and related nerves, membranes, and blood and lymphatic vessels, which cause pain, can be evaluated and treated using OMM.



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