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April 18, 1936

The Osteopathic Lesion

JAMA. 1936;106(16):1417. doi:10.1001/jama.1936.02770160075042

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This was intended by the authors, one of whom is both a Bachelor of Medicine and a Doctor of Osteopathy, as a defense of the practice of osteopathy. Even after reading it, one cannot obtain an entirely clear understanding of just what the authors mean by the "osteopathic lesion." The authors emphasize that osteopathy is not a process of manipulation or a procedure that is useful in every condition of ill health. They briefly discuss the anatomy of the spine, the physiologic considerations which they consider to be of osteopathic importance, the osteopathic lesion itself, which they consider to be a result of trauma initiating the somaticovisceral reflex, and the effects of repeated trauma, usually on a spinal joint with associated changes in ligaments and soft tissue structure. The effect of the lesion may be localized, peripheral, visceral or general. In the final chapter an attempt is made to describe

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