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The pediatric surgical workforce in the United States faces increasing strain due to a limited supply of specialists, geographic maldistribution, and rising complexity in pediatric cases. Rural and underserved communities experience the greatest gaps in access to timely, specialized care. Additionally, existing literature lacks integration of osteopathic perspectives in workforce development discussions, despite the holistic and … Read More
Osteopathic manipulative treatment (OMT) has been recognized as a conservative management option for patients with carpal tunnel syndrome (CTS), although limited research exists to validate its ability to effect posttreatment changes in the median nerve or the surrounding soft tissues.
Chronic venous insufficiency (CVI) and peripheral arterial disease (PAD) are associated with significant morbidity, often manifesting as edema, pain, and nonhealing ulcers. Despite standard therapies such as compression, pharmacologic management, and surgical interventions, recurrence rates remain high, and outcomes are limited. Osteopathic manipulative medicine (OMM) lymphatic drainage techniques, including pedal pump maneuvers, aim to enhance … Read More
Intractable hiccups is a rare medical condition defined as daily hiccups continuing for more than 30 days and is recognized by the National Organization for Rare Disorders (NORD) and NIH Genetic and Rare Diseases (GARD) Information Center. Hiccups are spasmodic contractions of the respiratory muscles, triggered by activation of the hiccup reflex arc. Intractable hiccups can … Read More
Acute lateral ankle sprain (ALAS) is responsible for short-term disability, increased risk for future acute ankle sprain, and chronic ankle instability. Several studies highlighted that manipulative therapy may reduce pain and increase the range of motion (ROM) of the injured ankle, but not all of them targeted acute injuries. Some studies focused their interest on … Read More
The United States is facing a persistent physician shortage, particularly in rural and tribal regions. Oklahoma ranks 43rd nationally for primary care provider (PCP) availability, with rural and tribal communities experiencing some of the most severe health workforce shortages. The Indian Health Service (IHS) Oklahoma City service area reports a 16 % physician vacancy rate, with national … Read More
Heart failure (HF) affects 6.7 million American adults. The gold standard for HF assessment is echocardiography (echo) to determine the ejection fraction (EF). Evaluating the cardiac apex angle may be a possible way to estimate EF; however, there is a lack of investigation into this relationship.
In the October issue of Journal of Osteopathic Medicine (JOM), you’ll find a lineup of articles across various subspecialty areas and topics, including an investigation into whether OMT can reduce the severity of intractable hiccups, an analysis of current gaps in the pediatric surgical workforce with a proposal of actionable solutions, a randomized controlled trial … Read More
The clinical relationship between cardiovascular disease and deleterious surgical outcomes has been extensively examined; however, the relationship between cardiovascular risk and the association with major surgical interventions has yet to be examined at the population level.