Rounds to Residency

Chiropractics, Allopathic, Osteopathic Differences in Approach to Pain Medicine – Part 2

On Part 2 of our episode with Dr. Mitchell Cohn, he continues his discussion on osteopathy: what makes good and bad research, the politics behind different therapies, and how it’s different from chiropractic.

  • [00:51] Science is Ever-Evolving
  • [04:30] How We End Up With Bad Information
  • [08:48] Politics Behind PRP and Prolotherapy
  • [11:05] Difference of Osteopathic Manipulation from Chiropractic Adjustments
  • [15:33] Chiropractors are Also Physicians

Good and Bad Osteopathic Research

Dr. Cohn gives an example of bad research: in the “Journal of American Association” under Osteopathic Manipulation studies, almost invariably, the conclusion of the study is that Osteopathic Manipulation is as good as MD treatment. Dr. Cohn recommends having better inclusion and exclusion criteria which is knowing the likely cause of a patient’s pain to help inform the type of treatment needed to cure them, rather than grouping patients’ cases under Osteopathic Manipulation and non-Osteopathic Manipulation.

Difference of Osteopathic Manipulation from Chiropractic Adjustments

Chiropractors are also physicians but are taught to focus on the spine while Osteopaths, being full-fledged physicians, look at biomechanical and peripheral problems while incorporating medicinal or injection therapy.

You can reach Dr. Cohn through [email protected].

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Chase DiMarco

Chase DiMarco is an MS, MBA-HA and MD/Ph.D-candidate. He is the founder of FreeMedEd, a free medical education resource, the host of the Medical Mnemonist 1-Minute Preceptor podcasts by MedSchoolCoach, creator of several medical education platforms, and CEO of FindARotation clinical rotations service.

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