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Questions

What is osteopathic medicine?
How does osteopathic manipulation work?
What happens during a treatment?
What types of conditions may be treated?

Can children be treated with osteopathic manipulation?

What types of conditions cannot be treated with osteopathic manipulation?
How is osteopathic manipulation different from chiropractic?
How often will I need treatments?

Where can I learn more?
Does Dr. Peine accept insurance?

What is osteopathic medicine?

 

Osteopathic Manipulation

Osteopathic Manipulation

 

Osteopathic medicine is a healing discipline with the goal of creating optimum health through a unique approach to the whole patient. Physicians trained in osteopathic medicine receive the degree of “D.O.”, or Doctor of Osteopathic Medicine. D.O.s are fully licensed physicians like their M.D. counterparts, but have also received hundreds of hours of additional training learning to treat medical conditions with their hands using osteopathic manipulation. Like M.D.s, osteopathic physicians can be pediatricians, surgeons, or family doctors, but some choose to limit their practice to osteopathic manipulation. Some D.O.s also choose to receive extra training in advanced techniques such as cranial osteopathy, an especially gentle technique that can even be used on newborn babies.

For over 125 years, osteopathic physicians have been trained to recognize the body as a whole. The osteopathic philosophy recognizes the person as a tightly regulated and integrated being, rather than a collection of independently operating systems. The contribution of mind and spirit to the health of the body is also an important concept that has been a part of osteopathic medicine for over a century. Additionally, osteopathic philosophy emphasizes the innate ability of the body to heal itself as a primary method for addressing medical conditions. Combined with modern medical and surgical training, these unique ideas allow D.O.s to provide unparalleled holistic health care for their patients.

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How does osteopathic manipulation work?

Osteopathic physicians are trained to recognize that all body systems work together in an innate expression of unity and interaction. With an understanding of the complex interrelationship between structure and function, D.O.s can use manipulation to restore the body’s tissues to their proper anatomical relationships, which then allows the body to function optimally. Nerves, blood vessels, muscles, and other important structures are all affected by areas of tissue restriction, or “tightness.” By using manipulation to carefully relieve the restricted areas, D.O.s assist the body’s natural healing ability by improving blood flow, nerve function, and lymphatic drainage. D.O.s may also prescribe medication or recommend other treatments to speed the healing process.

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What happens during a treatment?

 

Osteopathic Manipulation

Osteopathic Manipulation

 

Successful treatment begins with comprehensive assessment of the patient, including the contribution of mental and emotional factors to the disease process. Evaluation of proper biomechanics is also considered, especially in cases of sports injuries or repetitive strain injury. Though most osteopathic physicians are trained to use thrusting maneuvers that resemble chiropractic, there are many other gentler techniques that also equally effective. The treatment experience will be different for each patient depending on the osteopathic technique chosen.

Some D.O.s have sought additional training in advanced manipulative techniques to more successfully address difficult cases. Cranial osteopathy is one such technique. Known for its gentleness as well as its effectiveness, it can be used to treat any part of the body to relieve residual tissue restriction resulting from old traumatic injuries. Gentle traction and pressure are used to precisely balance tension in all body regions, thereby restoring the tissues to their proper relationships and maximizing their potential for optimal function. Because of its subtlety, cranial osteopathy is particularly suited for young children, even newborns. Due to the physical forces involved in the birth process, many children experience tissue restrictions that can lead to such problems as nursing difficulties and recurrent ear infections. Many times these “birth injuries” can be successfully addressed in one or two treatments.

Dr. Peine specializes in using these advanced, very gentle techniques to treat his patients. He frequently recommends exercises for stretching, strengthening, and balancing when necessary. He also may recommend other types of healing modalities (acupuncture, pilates, etc.) and mind-body techniques to speed the healing process and augment the effects of any other medical or surgical treatment a patient may be undergoing.

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What types of conditions may be treated?

 

Osteopathic Manipulation

Osteopathic Manipulation

 

Osteopathic manipulation can be very helpful in situations where other more conventional medical or surgical approaches have not helped. Also, many patients who wish to avoid aggressive or invasive procedures may benefit from osteopathic treatment. A number of bone, muscle, and joint conditions may be successfully treated with osteopathic manipulation:

  • Upper and lower back pain due to disc problems, muscle strain, overuse, traumatic injury, arthritis, etc.
  • Neck pain due to whiplash, muscle tension/stress, traumatic injury, etc.
  • Shoulder pain due to rotator cuff problems, bursitis, arthritis, pinched nerves, frozen shoulder, etc.
  • Hip pain and sciatica
  • Arm and hand pain due to tennis elbow, carpal tunnel syndrome, etc.
  • Leg, knee, and foot pain due to sciatica, sports injuries, pinched nerves, ankle injuries, etc.

Additionally, a number of other chronic and tough-to-treat conditions may respond to osteopathic manipulation, especially if other treatments such as drugs and surgery have not been helpful:

  • Chronic sinusitis and nasal congestion
  • Headaches, tension or migraine
  • Women’s and pregnancy issues
  • Vertigo and dizziness
  • Acid reflux

Advanced manipulation techniques such as cranial osteopathy allow appropriately trained physicians to effectively address chronic problems related to old traumatic injuries. An added benefit is the ongoing improved sense of well-being and health often experienced with routine osteopathic care.

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Can children be treated with osteopathic manipulation?

 

Osteopathic Manipulation

Osteopathic Manipulation

 

Children may receive the greatest benefit from osteopathic care because of the adverse effects of tissue restriction on their rapid growth and development. Techniques involving gentle traction and pressure such as cranial osteopathy, myofascial release, and balanced ligamentous tension can even be used on newborn babies!

Children are subject to numerous falls and minor injuries, which can result in tissue restriction. Additionally, unlike many conventional health care providers, osteopathic physicians are trained to recognize problems in newborns that may result from a “traumatic” birth process. As most mothers know, contractions during labor generate a tremendous amount of force. In certain situations, these forces may cause subtle restrictions in the newborn’s tissues that can contribute to many common childhood illnesses:

  • newborn nursing problems and poor weight gain
  • recurrent ear infections
  • asthma and respiratory problems
  • colic and reflux
  • torticollis
  • orthopaedic concerns

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What types of conditions cannot be treated with osteopathic manipulation?

No healing discipline is capable of treating every kind of illness. Just as modern pharmaceuticals and surgical techniques cannot successfully address every disease process, osteopathic manipulation cannot heal every type of illness. If it is appropriately used, however, it can be very effective.

Osteopathic manipulation can be very helpful in situations where other more conventional medical or surgical approaches have not helped. Also, many patients who wish to avoid aggressive or invasive procedures may benefit from osteopathic treatment.

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How is osteopathic manipulation different from chiropractic?

This is a very common question that is difficult to answer in a concise manner for a number of reasons. A superficial comparison of the two would do neither discipline justice.

 

Osteopathic Manipulation

Osteopathic Manipulation

 

First and foremost, both osteopathic medicine and chiropractic are very diverse disciplines. Both encompass a wide range of techniques ranging from conventional thrusting or “popping and cracking” maneuvers to very subtle, gentle advanced techniques. Because of this diversity, a superficial comparison that doesn’t take into account all of the different techniques in both osteopathy and chiropractic will be misleading.

Second, both osteopathic medicine and chiropractic are “operator dependent.” This means that, like surgery, they both depend on the skill of the person carrying out the procedure. This makes a precise comparison between the two even more difficult because some osteopathic physicians are more skilled than some chiropractors, and vice versa. In many ways, the ability of the practitioner is much more important than the training he or she has received

Historically, chiropractic has maintained its distinction and separateness from conventional medicine. Osteopathic medicine, by contrast, has evolved to incorporate conventional medicine into its practice. Accordingly, chiropractic medical education does not focus on conventional medical and surgical techniques to the extent that osteopathic schools do, and chiropractors are not considered fully licensed physicians like their M.D. and D.O. counterparts.

These philosophical and historical differences aside, there are some notable differences in the focus of chiropractic and osteopathic manipulation. Although there are many exeptions to this generalization, chiropractic physicians tend to focus on the bones of spine with thrusting or “popping and cracking” maneuvers intended to improve the function of the nervous system. In contrast, osteopathic physicians tend to focus on all areas of the body, frequently involving treatment of muscle, soft tissue, etc. Osteopathic techniques are also performed with the goal of improving the function of the body’s circulatory, lymphatic and other organ systems, in addition to the nervous system. Also, osteopathic manipulation is seen by many to encompass a more diverse group techniques than chiropractic.

Finally, because of their familiarity with modern medicine, osteopathic physicians sometimes incorporate pharmaceuticals and other therapeutic modalities into their treatment plans, while chiropractors generally focus on manipulation only.

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How often will I need treatments?

 

Osteopathic Manipulation

Osteopathic Manipulation

 

The precise number and frequency of treatments will of course vary with each individual patient. However, Dr. Peine generally recommends being seen once a week for at least 3 to 4 and perhaps as many as 6 treatments to address the primary problem. Afterwards, most patients usually return once every 3 to 6 months for “maintenance.”

It is also important to note that injuries and problems that have been present for many months or years frequently take longer to treat than recent injuries.

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Where can I learn more?

Below is a brief list of resources for further information. Dr. Peine ecourages his patients to educate themselves as much as possible!

An Overview of Osteopathic Medicine: Academic review article published in the Archives of Family Medicine in 1999 covering osteopathic philiosophy, history, and a practical description of the scope of osteopathic medicine in its current state.

Chiropractic and Osteopathy: A scholarly review of differences between these two disciplines published by the American Medical Student Association, with many other resources for further reading.

American Osteopathic Association: Website of the osteopathic equivalent of the American Medical Association, and a great source of quality information about D.O.s and osteopathic medicine.

American Academy of Osteopathy: Website of the academic body that oversees the practice of osteopathic manipulation in the United States, and a source of sound information about manipulation and osteopathy.

The Cranial Academy: Website for the component society of the American Academy of Osteopathy dedicated to osteopathy in the cranial field.

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Does Dr. Peine accept insurance?

Dr. Peine and Dr. House currently accept the following insurance types:

  • Blue Cross
  • Tricare
  • Medicare
  • ACN
  • Idaho Physicians Network – all IPN providers including: Aetna, Cigna, United Healthcare, Pacificsource

 ***Please note : Regretfully, Dr. Peine and Dr. House have elected to terminate their contract with Regence Blue Shield of Idaho effective May 11, 2011. Dr. Peine and/or Dr. House will happily continue to treat you as a patient, but our office will no longer be able to bill Regence Blue Shield of Idaho for services provided. Payment for services provided by Dr. Peine and/or Dr. House will be due at the time of service. However, you may submit a claim to Regence Blue Shield of Idaho for reimbursement if you choose to do so. You will then be reimbursed by Regence Blue Shield of Idaho at the out-of-network rate. Our standard patient self-pay discounts will apply to any services provided by Dr. Peine and/or Dr. House. If you pay in full at the time of service we offer a 35% discount and a 25% discount for payments made in installments over 3 months.

If you have questions regarding insurance billing please feel free to call the office at 208/ 947.0925.

 

 

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