Treatment of pain syndromes and autonomic dysfunction

Osteopathic diagnosis – somatic dysfunction

somatic dysfunction2 Osteopathic diagnosis   somatic dysfunction

In osteopathy do not treat the diagnosis, and limited mobility in tissues, which causes tension in the muscles, blocks in the joints, restrictions in the skin, the fascia and ligaments of the organs with subsequent regional changes in blood flow and local autonomic inervatsii, and this process is very individual for both the patient and the osteopath. Some osteopaths may, after examining the patients, to identify the different dysfunction. The priority of dysfunctions in different osteopaths can be differently evaluated. So, someone will focus on gross biomechanical dysfunctions, muscle tension and joint blocks, and someone on the psychosomatic stress (“psychological cysts”) or vnutritorakalnah stranah. The patient’s body may be differently open to a variety of osteopaths in different ways to show the priority in the dysfunction.

Originally osteopathy used the term osteopathic lesion, but in view of the uncertainty and fuzziness of terminology and state recognition of osteopathy in the US insurance companies cover osteopathic treatment had a need to create a new standardized terminology, which brings together all the experts and clarified the specifics for insurance companies and doctors of osteopaths. To this end was developed the term “somatic dysfunction” and listed in the international classification of diseases 10th revision.

Somatic dysfunction ICD 10
M99.0
Segmental or somatic dysfunction
M99.1
Podvysokoye complex (vertebral)
M99.2
Stenosis of neural canal subluxation when
M99.3
Osseous stenosis of neural canal
M99.4
Connective tissue stenosis of neural canal
M99.5
Intervertebral disc stenosis of neural canal
M99.6
Podvysokoye bone and stenosis of intervertebral holes
M99.7
Connective tissue and disc stenosis of intervertebral holes
M99.8
Other biomechanical disorders
M99.9
Biomechanical violation of unspecified

the Following numbering refers to the localization of the lesion and presents for optional use with appropriate subcategories in category M99.-; see also p. “Localization of musculoskeletal lesions” in the Class description XIII (М00-M99)

0 the head Area of the cervical-occipital area
1 the neck Area of the cervical-thoracic region
2 the chest Region lumbar-thoracic region
3 lumbar Region lumbosacral region
4 the Region of the sacrum sacrococcygeal (caroliana) area
5 pelvic Region hip, pubic region
6 the lower limb
7 Upper limb placelucia, grudinoklyuchichnye area
8 Rib cage costochondral, rib-vertebral, grodnoryba area
9 abdomen and other

the Diagnosis somatic dysfunction in the ICD 10 is not recommended if the patient’s condition may be related to another category of ICD 10.

the Term osteopathic dysfunction within the ICD 10 classification does not give specific descriptions of the cranial and visceral dysfunction, but it can just indicate that there is cranial or visceral dysfunction in General and it is a priority. For specifying these disfunci can clinically and syndromological doesnit the nature of the problem.

the Definition of somatic dysfunction Association of colleges of osteopathic medicine:
“Somatic dysfunction is alteration or dysfunction of one component of the body’s systems (skeletal, ligamentous, myofascial) and related neural, vascular and lymphatic components. Somatic dysfunction is based on 3 criteria: asymmetry, impaired mobility, change in tissue texture (for all tissues).”

somatic dysfunction can be divided into primary and secondary (compensatory), acute and chronic.

Primary and secondary dysfunction is quite relative, because at the moment one of the dysfunction may be acute and priority for the body, which may have compensatory secondary dysfunction, but also simultaneously may be an important chronic dysfunction, not associated with acute and also to have a secondary compensatory disturbances, but at this point it is less of a priority for the body, and after recovery from acute chronic dysfunction can manifest itself as key. That is, in the course of treatment the body gradually unfold as the cabbage lettuce with a detection of old masked chronic dysfunction.