“There is no disease or disorder that cannot be made worse by a poor diet. There is none that can’t be improved by changes in Lifestyle especially where Nutrition is concerned” M. Williamson.
What is new at the Center for Osteopathic Medicine
Natural Healing has always been a part of my practice by incorporating it into my treatment plan whenever appropriate. I have started on a Journey by doing a Fellowship with the American Academy of Anti-aging Medicine/A4M (www.a4m.com). The Fellowship training focuses on Anti-Aging, Regenerative and Functional Medicine. The training will ultimately lead me to a Masters Degree in Metabolic and Nutritional Medicine through the University of South Florida’s Medical School. These strategies will open up new ways to evaluate and treat complex medical conditions leading to an improvement in the outcomes and quality of life for my patients.
The term Anti-Aging means different things to different patients and practitioners but the common ground is the focus on early detection, prevention and the reversal of age-related changes. Diseases in its earliest stages have the greatest potential for reversal therefore slowing the effects of aging. All of the treatment strategies that I have and will continue to learn through A4M are backed by evidenced based science and documented in peer-reviewed journals.
The body has the intrinsic ability to heal itself which is a basic concept held near and dear to Osteopathic Medicine. Regenerative Medicine works on optimizing these mechanisms in order to stimulate the replacement or regeneration of human cells. I have already been using Platelet Rich Plasma to assist with regenerating and healing tendon and joint injuries that have failed other conservative treatments. I will also be adding the use of Stem Cell Technology to assist in the management of Degenerative Joint Disease/Osteoarthritis. Stem Cells in the Bone Marrow or in the Adipose tissue have the ability to transform and repair these tissues.
Functional Medicine is an integrative approach to patient care that focuses on the root cause of illness as well as promoting an individualized wellness approach. There is a dynamic approach taken when assessing, preventing and treating complex medical problems. The goal of treatment is to restore the body to a wellness state by pursuing physiological, psychological and structural symmetry. Special attention is placed on understanding how the environment interacts with genetic predispositions which may lead to disease. Therefore this approach gets to the underlying cause of illness rather than treating the symptoms.
A new study published in the February 1 issue of Spine concludes that a consultation with a physical medicine and rehabilitation (PM&R) physician before proceeding to surgery results in more efficient treatment for low back pain, high patient satisfaction, and fewer surgeries.
“The Effect of Required Physiatrist Consultation on Surgery Rates for Back Pain” reports data from Priority Health, an insurance company that began to require that its patients with nonurgent, spine-related pain or disability see a PM&R physician, also known as a physiatrist, before proceeding to surgery. After one year, there was a net decrease of more than $14 million in total spine care costs.
Priority Health created its Spine Centers of Excellence program in an effort to reduce the health care costs of low back pain, especially the number of unnecessary surgeries. Many studies have found that non-surgical care for back pain is as effective as surgical care. To qualify for the program, a practice had to meet several criteria including the requirement of being staffed by a board certified PM&R physician, use of evidence-based treatment guidelines, and membership in the North American Spine Society or another organization specifically dedicated to the treatment of spinal disorders, including the American Academy of Physical Medicine and Rehabilitation (AAPM&R).
As a result of patients consulting with a PM&R physician before any surgical referrals, the number of spine operations dropped 25% and referrals for surgery decreased 48%. Patient satisfaction with this treatment for their back Continued next page pain increased. Over 70% of the patients surveyed were satisfied or very satisfied with the physiatric consultation they received.
The Institute for Healthcare Improvement (IHI) has encouraged the support of its Triple Aim goals for future delivery of health care in the US. The Triple Aims are: 1) improve the health of the population, 2) enhance the patient experience of care, and 3) reduce or control the cost of care. AAPM&R concludes that data from this study shows the vital role PM&R plays in the future of health care in meeting these triple aims with a focus on function.
Dr. Spiegel was featured in the spring newsletter of the Community Ministries of Rockville and the Masfield Kaseman Health Clinic, where he has volunteered for many years and sits on the KHC Board of Directors. Read the story here.
Published March 9, 2012