By Patrick Coughlin
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Extra resources for Principles and practice of manual therapeutics
OMT, the hallmark of osteopathic treatment as developed by Still, is used in patient care either alone or in conjunction with medicines and surgery, as appropriate. OMT is recognized as having beneﬁcial effects not only in the treatment of pain, but also to decrease physiologic stress and assist the body’s self-healing mechanisms. The application of contemporary osteopathic medical philosophy varies from country to country. There are vast differences in its application not only here in the United States as opposed to foreign lands, but also among practitioners in the United States, where osteopathy originated as a distinctive American philosophy and system of medical care.
S. 77 The process that culminated in this landmark decision began in 1974 when a large packet of conﬁdential AMA documents was left anonymously on the doorstep of the International Chiropractors Association’s headquarters. As a result of the ensuing Wilk v. AMA case, the AMA reversed its longstanding ban on interprofessional cooperation between medical doctors and chiropractors, agreed to publish the full ﬁndings of the court in the Journal of the American Medical Association, and 30 PRINCIPLES AND PRACTICE OF MANUAL THERAPEUTICS paid a substantial penalty, most of which was earmarked for chiropractic research on visceral disorders.
Chiropractors recognize the need for thorough evaluation of symptoms, and are trained to take histories and perform physical examinations in a manner that would not seem out of place at the typical medical ofﬁce. However, the chiropractic paradigm does not hold the elimination of symptoms to be the sole or ultimate goal of treatment. Health is not just the ab- CHAPTER 2 sence of disease symptoms. The true goal is sustainable balance, which is recognized by chiropractors and other holistically oriented health practitioners.