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According to the world Health Organization (2010) Osteopathy was developed by Andrew Taylor Still, a physician and surgeon in the United States of America in the mid-1800s,

Osteopathy (also called osteopathic medicine) relies on manual contact for diagnosis and treatment . It respects the relationship of body, mind and spirit in health and disease; it lays emphasis on the structural and functional integrity of the body and the body’s intrinsic tendency for self-healing. Osteopathic practitioners use a wide variety of therapeutic manual techniques to improve physiological function and/or support homeostasis that has been altered by somatic (body framework) dysfunction, impaired or altered function of related components of the somatic system; skeletal, arthrodial and myofascial structures; and related vascular, lymphatic, and neural elements


Philosophy and characteristics of osteopathy


Osteopathy provides a broad range of approaches in the maintenance of health and the management of disease. Osteopathy is grounded in the following principles for treatment and patient management:

the human being is a dynamic functional unit, whose state of health is influenced by the body, mind and spirit; 
the body possesses self-regulatory mechanisms and is naturally self- healing; 
structure and function are interrelated at all levels of the human body.


Osteopathic practitioners have a responsibility to diagnose and refer patients as appropriate when the patient’s condition requires therapeutic intervention that falls outside the practitioner’s competence. It is also necessary to recognize when specific approaches and techniques may be contraindicated in specific conditions.


According to the Australian Osteopathic Association :Osteopathy is a form of manual healthcare which recognises the important link between the structure of the body and the way it functions. Osteopaths focus on how the skeleton, joints, muscles, nerves, circulation, connective tissue and internal organs function as a holistic unit.

Using skilled evaluation, diagnosis and a wide range of hands-on techniques, osteopaths can identify important types of dysfunction in your body. Osteopathic treatment uses techniques such as stretching and massage for general treatment of the soft tissues (muscles, tendons and ligaments) along with mobilisation of specific joints and soft tissues.


The origin of the term “dry needling” is attributed to Janet G. Travell, M.D. In her book, ‘Myofascial Pain and Dysfunction: Trigger Point Manual’. During her career, Dr. Travell pioneered techniques for the treatment of myofascial pain, including dry needling. According to Texas Heart Institute Journal, it was her success with alleviating skeletal muscle pain and treating John Kennedy who suffered from terrible pain resulting from invasive back surgeries that resulted in Travell being the first female personal Physician to the United states of America’s President .

The Needle

The “solid filiform needle” used in dry needling is regulated by the FDA as a Class II medical device

Description of Dry Needling

 According to American Physical Therapy Association:

Dry Needling is an invasive skilled intervention that uses a thin filiform needle to penetrate the skin without medication or injection, send stimulate underlying myofascial trigger points, muscular, and connective tissues for the management of neuro musculoskeletal pain and movement impairments. Dry needling is a technique used to treat dysfunctions in skeletal muscle, fascia, and connective tissue, the goal is releasing and inactivating the Trigger Points and relieving pain.

Indications for Use

Dry Needling may be incorporated into a treatment plan when myofascial Trigger Points are present, which may lead to impairments in body structure, pain, and functional limitations. Trigger Points are sources of persistent peripheral nociceptive input and their inactivation is consistent with current pain management insights. Dry Needling also is indicated with restrictions in range of motion due to contractured muscle fibers or taut bands, or other soft tissue restrictions, such as facial adhesions or scar tissue. Trigger Points have been identified in numerous diagnoses, such as Back pain and radiculopathies, joint dysfunction, disk pathology, tendonitis, cranio -mandibular dysfunction, migraines, tension-type headaches, carpal tunnel syndrome, computer-related disorders, whiplash associated disorders, spinal dysfunction, pelvic pain  complex regional pain syndrome, nocturnal cramps.

According to Mayo clinic Massage therapy is a type of treatment in which a trained and certified medical professional manipulates the soft tissues of your body — muscle, connective tissue, tendons, ligaments and skin — using varying degrees of pressure and movement.

Massage is generally considered part of complementary and integrative medicine. It’s increasingly being offered along with standard treatment for a wide range of medical conditions and situations.

Studies of the benefits of massage demonstrate that it is an effective treatment for reducing stress, pain and muscle tension.

Origin and Definition

Cupping therapy is a traditional Chinese medical treatment which has been practiced for thousands of years. The World Health Organization’s (WHO) definition of cupping is a therapeutic method (Code 5.3.2) involving the application of suction by creating a vacuum.

N.B: In our clinic we use air pump instead of heating the Cups

According to Cochrane systematic reviews(2015) :

Cupping therapy (alone or combined with other interventions) was better than medications (or other interventions alone) for herpes zoster, acne, facial paralysis, low back pain, or cervical spondylosis and pain.

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