The therapy won't cure asthma, but Clark uses her hands to knead out tenderness in the rib cage that can restrict breathing. For patients with pneumonia, she will prescribe an antibiotic but also use manual techniques to improve circulation to the afflicted tissues.
In Clark's office, Susan Gillig-Grube has arrived for treatment of headaches and an injured shoulder. In a dimly lit treatment room, she lies on her back, side and stomach as Clark presses on her muscles and rotates her joints through a wide range of motion.
The doctor starts on the lower extremities, gradually inching her way to the shoulders, neck and scalp.
"The lower body is the foundation of alignment and structure," Clark said. "Everything starts on top of the sacrum [the bone at the base of the spine], and if anything is off in the lower body, the upper body isn't right either."
Although half of osteopathic physicians go into family or general medicine, more than ever are entering specialties.
At Hopkins, Dr. Parissa Salemi is a fellow in pediatric endocrinology, treating patients with diabetes, thyroid problems and growth disorders. She prescribes insulin for diabetics - but also recommends manipulation to improve blood flow to tingling feet.
Dr. Amelia McPeak works in the inpatient psychiatric unit at the University of Maryland Medical Center. She prescribes medications, but she is also open to hypnotherapy, yoga and exercise.
"I think many physicians approach patients in a holistic fashion, but I think as a D.O., you're almost guaranteed to have that holistic approach," McPeak said.
jonathan.bor@baltsun.com