What is the difference between an M.D.(Medical Doctor) and a D.O.(Doctor of Osteopathic Medicine)?
The differences between an MD and a DO lie primarily in philosophy on how to practice medicine. The DO receives training in the muscular and skeletal system, and muscular and skeletal manipulation. A doctor who is a DO tends to evaluate a person's health in terms of viewing the body as a complex related network. Any disease affects the whole body. The MD, conversely, may evaluate the disease in terms of how it affects certain parts of the body only.
A DO is less likely to specialize than an MD, because emphasis in training is given to preventative care and on the philosophy of taking time with patients to assess their total health and total health needs. This does NOT mean that the DO cannot prescribe medicines and treat a disease with equal competency. It does however mean that the DO may consider alternative approaches to treating disease, and may be more apt to consider the disease as a dysfunction of the total working of the body.
A DO also practices osteopathic manipulation treatment (OMT), which means slight manipulations of the spine or simply laying hands on the body to confirm diagnosis. This method of diagnosis may take slightly more time than that of the traditional MD symptoms and tests diagnosis.
In 1874, Andrew Taylor Still MD DO (1828-1917), a medical doctor living on the Missouri frontier, discovered the significance of living anatomy in health and disease. Dr. Still realized that optimal health is possible only when all of the tissues and cells of the body function together in harmonious motion. He reasoned that disease could have its origins in slight anatomical deviation from normal. He then proved he could restore health by treating the body with his hands, naming his innovative approach to restoring health: Osteopathy. He understood that the human body is composed of many parts, all intimately related as a functional whole. More than a hundred years ago, Dr. Still realized that the human being is more than just a physical body. He envisioned a totally new medical system that acknowledges the relationships of the body, mind, emotions and spirit.
At the age of ten, young Andrew Still suffered from frequent headaches with nausea. He constructed a rope swing between two trees, eight to ten inches off the ground. He lay down using the rope for a swinging pillow. He wrote, “I lay stretched on my back, with my neck across the rope. Soon I became easy and went to sleep, got up in a little while with headache all gone.” 1 He continued to use this ‘treatment’ successfully every time he had a headache.
Many years later Dr. Still considered his ‘rope swing treatment’ of headaches, and realized ... “I had suspended the action of the great occipital nerves, and given harmony to the flow of the arterial blood to and through the veins...I have worked from the days of a child...to obtain a more thorough knowledge of the workings of the machinery of life, in producing ease and health.” 2
As a practicing physician Dr. Still diligently researched and developed osteopathy. He discovered that he had the ability to put his hands on patients, change their physiology and restore health. He developed a very practical way of treating people using just his hands. Today, osteopathic physicians continue to use their hands to treat their patients in this same tradition.
In the late 1800s none of today's miracle drugs, such as antibiotics, were available. Out of necessity, Dr. Still looked first to nature's own ability to heal and found a way to access this ability within the body. Still saw this self-correcting potential as a cornerstone of his osteopathic philosophy. When combined with appropriate use of present day medical therapeutics, osteopathy offers a profound contribution to the practice of medicine.
1. Still A.T., Autobiography. Pulbished by the Author. Kirksville, Mo., 1897, p 19
2. IBID p 20
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