In the hands of an osteopathic doctor

In the hands of an osteopathic doctor

Starting this year, medical universities in Russia will begin to train osteopathic doctors. The training will last 5 years plus one year of work in the clinic. What does this mean for us patients?

About what osteopathy is and how it differs from other types of manual therapy, says an osteopathic doctor, doctor of medical sciences, professor of the Department of Integrative Medicine at I.M.Sechenov First Moscow State Medical University (Sechenov University ) Eduard Neymatov:

In Russia, osteopathy has been used as an official medical method since 2005, and in 2015 the profile commission of the Ministry of Health approved clinical guidelines on osteopathy, including it in medical and economic standards. It is an official medical specialty in which scientific research is carried out and dissertations are defended. Today, to become an osteopathic physician, you need to complete a three-year residency course. It includes 3,500 teaching hours, which is more than a neurosurgery residency. And since September, specialties have been opened at medical universities that allow them to study this medical specialty from the first year. This is how medical doctors, pediatricians, dentists, etc. study now. That is, along with these medical specialties, osteopathy has received the status of the same independent direction in medicine. And this is justified: the training of an osteopathic doctor is very serious, for successful work in his specialty he must acquire fundamental knowledge in anatomy, biomechanics, physiology, embryology and a number of other medical disciplines. In Europe and some other countries around the world, osteopathy is not a medical specialty and is not practiced by doctors. It so happened that in our country people who did not have higher medical education were also often engaged in osteopathy. Those who wish to practice further can obtain qualifications in the wellness system of metavitonics.

How are osteopaths different from other manuals?

In osteopathy, the body is considered as an integral system based on a biomechanical model - everything in the body is connected to each other through connective tissue, and great importance is attached to muscle fascia, which are continuously connected throughout the body into a single network and are in close relationship with blood vessels and nerves. Therefore, when tension and blockage occurs, this is transmitted to the entire network and causes a readjustment of the balance. Another important model is hydrodynamic. We are 90% liquid and 70% water only. And this liquid can have different constituents. For example, in a colloidal state, it is in the form of sols and gels, which have current and viscous properties, respectively. Therefore, gels can inhibit the movement of metabolic processes, causing their disruption.

Or, for example, in osteopathy there is a law of the primacy of blood vessels. When any of them is clamped, an artery, vein or even a nerve suffers inflow or outflow, this leads to a block. As a result, movement, sensitivity and nutrition of any organ or part of the body associated with this block are disrupted. The osteopath's job is to find this block and eliminate it. After that, the body restores normal activity here. That is, an osteopath does not heal where it hurts, but finds the cause of this dysfunction and eliminates it, restoring the natural mobility of tissues.

Osteopathy is different from other types of manual therapy. During massage, work is restored locally, at the level of a muscle group. Conventional chiropractors and chiropractors also work locally, affecting joints, ligaments, muscles and nerves. Osteopaths affect the body globally, presenting it as a single system functioning at different levels - mechanical, biomechanical, hydrodynamic and chemical.

What do osteopathic doctors treat?

They do not treat tumors, heart attacks, strokes, infections, fractures, deformities, intoxication. Osteopaths treat not organic but functional diseases. And their effect is aimed at such conditions when the restoration of function is possible. For example, they will not be able to cure a joint with obvious signs of arthrosis, but they can help such a patient by relieving pain and alleviating his condition.

Osteopaths treat a wide variety of pain syndromes - back pain, headache, pain in other locations, digestive problems, sleep and mood disorders, movement disorders, many female diseases, problems during pregnancy, after childbirth. Osteopathy in pediatrics has a good effect, it helps to eliminate the consequences of damage after childbirth, speech and sleep disorders, enuresis, delayed psychomotor development and many, many other problems.

Why is an osteopathic doctor such a rare specialty?

In the hands of an osteopathic doctor

On this day, we decided to remember the outstanding Russian doctors.

Fedor Petrovich Gaaz (-)

Russian doctor of German origin, known as the "holy doctor". From 1806 he served as a doctor in the Russian service. In 1809 and 1810 he traveled across the Caucasus, where he studied mineral springs (now the Caucasian Mineral Waters), investigated springs in Kislovodsk, discovered the springs of Zheleznovodsk, and was the first to report on springs in Essentuki. During the war of 1812 with Napoleon, he worked as a surgeon in the Russian Army.

Gaaz was a member of the Moscow Prison Committee and the chief physician of Moscow prisons. He devoted his life to alleviating the plight of prisoners and exiles. He made sure that the old and sick were freed from the shackles, he abolished the iron bar in Moscow, to which 12 exiles were chained to Siberia. He also achieved the abolition of shaving half of the head in women. On his initiative, a prison hospital and a school for the children of prisoners were opened.

In addition, Gaaz fought for the abolition of the right of landlords to exile serfs, and received and supplied medicines to the poor patients.

Dr. Haas's motto: "Hurry to do good." In honor of the famous physician, the Federal State Medical and Prophylactic Institution "Regional Hospital named after Dr. F. P. Gaaz" was named.

Grigory Antonovich Zakharyin (-)

Russian general practitioner, founder of the Moscow clinical school. Graduated from the Faculty of Medicine of Moscow University, was a professor at the Department of Diagnostics at Moscow University, later - director of the faculty therapeutic clinic. In 1894, Zakharyin treated Emperor Alexander III.

Zakharyin became one of the most prominent clinical practitioners of his time and made an enormous contribution to the creation of the anamnestic method for the study of patients. He presented his methods of diagnosis and views on treatment in "Clinical Lectures".

The research methodology according to Zakharyin consisted of a multi-stage questioning of the patient by the doctor, which made it possible to get an idea of ​​the course of the disease and risk factors. At the same time, Zakharyin paid little attention to objective research and did not recognize laboratory data.

Dr. Zakharyin was known for his difficult character and incontinence in his treatment of patients.

Nikolay Ivanovich Pirogov (-)

At the beginning of October 2020, the Ministry of Health of Russia submitted a departmental order, which, among other things, corrects the requirements for the specialty

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Our task is to consider all three components: medical center - tour operator - sanatorium.

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