Dr. Carfagno has been doing Osteopathic Manipulative Treatment (OMT) for 29 years.
Dr. Carfagno likes to combine OMT with physical therapy, myofascial and stretch therapy as well as re-education to maximize healing and prevent further injury and pain. There are different types of osteopathic manipulative treatment, the three main types of osteopathic manipulative techniques are: Soft Tissue, Direct Osteopathic Techniques, and Indirect Osteopathic Techniques. Soft Tissue Techniques include stretching, kneading, and inhibition. These involve pressure being applied to muscles and soft tissue to relax the muscles and improve circulation and function. Direct Osteopathic Techniques include Muscle Energy. This involves the patient flexing a muscle against the physician's pressure, then relaxing their muscles while the physician coordinates the treatment to release tension and increase the range of motion of a region. Indirect Osteopathic Techniques include Indirect Treatment, and Jones Strain/Counterstrain. Indirect Treatment or myofascial release, involves holding a musculo-skeletal structure in a position of ease, balancing it in three planes of motion, and continuing to make minute positional correction until the tissues around that structure relax. Jones Strain/Counterstrain involves positioning a part of the body so that a tender point will be pain-free, holding that position for a period of time, and allowing the tissues to relax.