Quotes

“I don’t know if I should be doing this anymore.”

I have heard different versions of this lament from osteopaths over the years. A disillusionment with the profession, or their practice of it. They wonder if they are making a difference, or if the results are worth the effort.

There can be a range of root causes behind this, and I’ve realised that a lot of the resources and other stuff I’ve developed over my highly-chequered career could be useful to people who are struggling with their own osteopathic careers. So I’ve decided to offer a new service to a very-limited number of people: osteopathic treatment for your career as an osteopath. More...

Anyone is welcome to download these free resources

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If you have any feedback about the site or the resources, or you wish to discuss any of the studies, please email me.

These resources are available for downloading:

Last updated

Spreadsheet of muscles and attachments

This spreadsheet is something I prepared at uni, when I was learning my anatomy. It shows the muscles, their origins, insertions, groupings, innervation, spinal levels and actions. You can use it to look up specific information about a muscle, but can also, for example, use it to look up what muscles attach to a given bone, or what muscles are supplied by the nerves from a particular part of the spinal cord.

To find out what nerves attach to a particular bone, click on the arrow at the top of the "Concatenation" column. (This column combines all of the origins and insertions into a single column). Select "custom filter", then "contains" and type the name of the bone you are interested in. Click "OK" and only the relevant muscles will be shown.

To find bring up a list of which muscles flex the forearm, select the arrow at the top of the "actions" column, and select "contains", then type forearm. Select "and" and then "contains" in the next row, then "flexes".

10 January 2000

Document explaining what osteopaths do

This is the same document that you can download from the "John's approach" page of this web site. The advantage of downloading it from within the database is that that will give me a record that you have it. If and when I modify it, I will be able to let you know that an update is available.

1 July 2015

Clinical update on the underactive thyroid

Undiagnosed hypothyroidism is a very common problem, and lies behind a lot of the problems that osteopaths see. This is because people with this condition often have increased sensitivity to pain. They know they aren't well, and often can't get the help they need to properly understand what is going on. This paper goes into some depth about the condition, about what has to happen to fully understand it in any given person, and about what can be done about it.

Some people reading this will want to undertake the testing themselves, and to recommend appropriate supplementation. Others will want to refer people to integrative/functional doctors and/or naturopaths. Even if you do not want to address this condition yourself, however, it is helpful for your patients if you understand what may be happening with them, and the journey they may need to take to get back to health.

10 July 2014

Infographic on methylation pathways

Methylation issues, and particularly genetic mutations affecting the body's ability to methylate (such as MTHFR) are becoming increasingly talked about in alternative-health circles. Unfortunately there is a lot of confusing and conflicting information around about them. Different web sites use words for different chemicals differently.

This infographic is my attempt to get my head around this complex issue. I have drawn up the different chemical structures, in order to avoid confusion about what words refer to which chemicals. If this is an area of interest to you, hopefully this diagram will help you to understand other things that you are learning about it.

14 March 2015

Infographic on biochemical burnout

Osteopaths often see people who have tried everyone else, who hurt everywhere, and who are extremely fatigued. This diagram explains some of the processes that get people into that state, talks about the sort of help that they need, and explains the part that an osteopath can play in helping people to get back to health. This version shows links between: emotional distress, increased production of stress hormones, widespread inflammation, food intolerances, low stomach acid, limited production of amino acids, poor digestion, poorly regulated sleep, a history of Epstein Barr virus, toxic accumulation, copper toxicity, under-methylation, high levels of pyrroles, low thyroid function, disruption of other hormones, chronic pain and chronic fatigue. It also lists research evidence which shows the way that osteopathy may be able to help people with these sorts of conditions though: helping them to feel better emotionally, reducing levels of stress hormones, improving immune function, improving sleep regulation, improving digestive function, improving some conditions associated with hormonal disruption, improving gastro-oesophageal reflux and reducing chronic pain. I use the diagram to help patients who are caught in these sorts of bewildering health mazes, first to see why their health problems seem so confusing, overwhelming, and resistant to treatment; and second, to help them to navigate through the maze to find their way back to health.

2 February 2017

Diagram showing the complexities of hormone interactions

Some time ago, I found myself getting confused about the way different hormones interact with one another. The more professional reading I did, the more interactions that I hadn't been previously aware of that I discovered. And so I created a database where I could store information about them, including the ways in which they interacted. Eventually I decided to draw these interactions up as a diagram. This document was the result. The clinical implications are also discussed.

10 September 2011

Document showing the evidence for physiological changes brought about by osteopathic treatment

Strangely, there are still people out there who don't know just how much scientific, clinical research there is that supports what osteopaths do. This is a 30 page document listing studies, and quotations from those studies, for 17 separate physiological changes that can be brought about through osteopathic treatment. To understand more about the clinical results of treatment by an osteopath, visit the "Conditions treated & Research" section of this web site.

3 August 2015

Summary of the evidence for treating the lymphatic system

Osteopathy is more that just a technique, and more than just a series of techniques. There is, however, a lot of evidence showing the effects of specific osteopathic techniques, both individually and together. This one is colour coded, showing my personal judgment of the level of evidence treating a range of different conditions by treating the lymphatic system.

6 May 2015

Summary of evidence for using "cranial" techniques

This document covers the evidence for both the underlying mechanisms that enable treatment using "cranial" techniques to work, the physiological changes that it has been shown to bring about, and the clinical outcomes of using it. It was developed with the assistance of a number of osteopaths; particularly Elissa O'Brien.

20 July 2015

Summary of evidence for using "thrust" techniques

This document covers the evidence for physiological change following thrust techniques, for pain reduction through their use, for clinical outcomes from using them on their own, and for clinical outcomes from using them in conjunction with other modalities. No attempt was made to make this document comprehensive. These techniques go by a number of different names: "high-velocity, low-amplitude thrust" or "high-velocity thrust" (osteopaths), "mobilisation with impulse" (physiotherapists), "chiropractic adjustment" (chiropractors) and more; and all of those terms can be abbreviated. This document is designed to merely be indicative, not comprehensive.

26 July 2015

Summary of evidence for using articulation/ harmonic/ oscillatory techniques

Note that no attempt has been made to make this document comprehensive; it should be seen as an indication of the sort of material that is around. Note also that no attempt has been made in this document to separate out studies that test this technique in isolation, from those that include this technique along with others.

3 August 2015

Summary of evidence for using balanced ligamentous tension techniques

Note that no attempt has been made to make this document comprehensive; it should be seen as an indication of the sort of material that is around. Note also that no attempt has been made in this document to separate out studies that test this technique in isolation, from those that include this technique along with others.

3 August 2015

Summary of evidence for using counter strain techniques

Note that no attempt has been made to make this document comprehensive; it should be seen as an indication of the sort of material that is around. Note also that no attempt has been made in this document to separate out studies that test this technique in isolation, from those that include this technique along with others.

3 August 2015

Summary of evidence for using lymphatic pump techniques

"Lymphatic pump techniques" are a sub set of all of the techniques that can be used to influence the lymphatic system. They are a set of rhythmical techniques that are designed to improve systemic immunity, rather than to specifically influence the flow of the lymph.

Note that no attempt has been made to make this document comprehensive; it should be seen as an indication of the sort of material that is around. Note also that no attempt has been made in this document to separate out studies that test this technique in isolation, from those that include this technique along with others.

3 August 2015

Summary of evidence for using muscle-energy techniques

Note that no attempt has been made to make this document comprehensive; it should be seen as an indication of the sort of material that is around. Note also that no attempt has been made in this document to separate out studies that test this technique in isolation, from those that include this technique along with others.

"Muscle energy" is a term favoured by osteopaths. They are similar to "PNF" stretches used by physiotherapists, except that they can also be focused to free up restricted joints, particularly in the spine.

3 August 2015

Summary of evidence for using myofascial techniques

Note that no attempt has been made to make this document comprehensive; it should be seen as an indication of the sort of material that is around. Note also that no attempt has been made in this document to separate out studies that test this technique in isolation, from those that include this technique along with others.

3 August 2015

Summary of evidence for using rib-raising techniques

Note that no attempt has been made to make this document comprehensive; it should be seen as an indication of the sort of material that is around. Note also that no attempt has been made in this document to separate out studies that test this technique in isolation, from those that include this technique along with others.

3 August 2015

Summary of evidence for using soft-tissue massage techniques

Note that no attempt has been made to make this document comprehensive; it should be seen as an indication of the sort of material that is around. Note also that no attempt has been made in this document to separate out studies that test this technique in isolation, from those that include this technique along with others.

3 August 2015

Summary of evidence for using trigger-point inhibition techniques

Note that no attempt has been made to make this document comprehensive; it should be seen as an indication of the sort of material that is around. Note also that no attempt has been made in this document to separate out studies that test this technique in isolation, from those that include this technique along with others.

3 August 2015

Summary of evidence for using visceral osteopathic techniques

Note that no attempt has been made to make this document comprehensive; it should be seen as an indication of the sort of material that is around. Note also that no attempt has been made in this document to separate out studies that test this technique in isolation, from those that include this technique along with others.

3 August 2015

Ideas and resources about recruiting a receptionist

One of the things I used to do in my previous career was advise large organisations on their recruitment strategies. (I was sort of an osteopath for their people-management practices). This document talks about the best way to receptionist, and gives you a sample advertisement, position description, interview questions, etc.

5 August 2015

Summary of evidence for using osteopathy to treat children

Chiropractors have had a lot of bad press for treating children. I have no comment about the evidence for what they do, but there is good evidence for the value of using osteopathy to treat children. This paper has 35 studies, with relevant quotations.

29 February 2016

Podcast about the thyroid

This is an interview done by the people at The Academy of Physical Medicine in the UK.

5 May 2016

Does your career as an osteopath need an osteopathic treatment?

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John Smartt, Osteopath
Bachelor of Applied Science (Osteopathy) Master of Osteopathy (UWS)
 

e: info@smarttosteopath.com
p: 0409-777-604

a SYDNEY CBD: Suite 12, Level 10, The Dymocks Building, 428 George St Sydney, NSW 2000 (CBD on-line bookings): Thu, Fri
a MORTALE: Mortdale Allied Health, Shop 1, 118 Railway Pde, Mortdale, NSW 2223 (
Mortdale on-line bookings): Tue, Wed, Sat. From 8 October 2017, this will change to Wed, Sat and Sun.
 

We say 'disease' when we should say 'effect'; for disease is the effect of a change in different parts of the physical body. Disease in an abnormal body is just as natural as is health when all parts are in place.”

AT Still, the "discoverer" of osteopathy,
(1828-1917)

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