Latest Issue

June 2026 Vol. 126, No. 6

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Latest Articles
Musculoskeletal Medicine and Pain

Long-term chronic pain outcomes among patients treated by osteopathic physicians: per-protocol analysis of a retrospective cohort study

John C. Licciardone, DO, MS, MBA; Ronse Raphi, BS; Kamri N. McKnight, BS; Reshan N. Warnesuriye, BS; Jisu Kim, BS; Jeffrey Black, BS; and Subhash Aryal, PhD
Osteopathic medical care has been associated with better long-term outcomes in an intention-to-treat analysis of data from a retrospective cohort study involving chronic low back pain. This study utilized data from the previously reported study to conduct a per-protocol analysis to determine the outcomes of osteopathic medical care utilizing a pragmatic research design in which patients consistently received osteopathic or allopathic medical care during long-term follow-up.
NMM/OMT

Osteopathic manipulative treatment among long-term opioid prescribed patients

Brian K. Yorkgitis, DO; Ira Harmon, MS; Azad Khan, MBBS; Fern Webb, PhD; and Gabriel Brat, MD, MPH
Nonpharmacologic treatments are recommended for the treatment of pain including osteopathic manipulative treatment (OMT). It has been shown there is low utilization of OMT and disparities in access in patient with pain conditions. The objective of this study is to describe the current landscape of OMT receipt as an adjunct in adult patients prescribed opioids. Through the exploration of a national outpatient database, this study will discern if there are disparities to receiving OMT.
Behavioral Health

Psychoactive medication use and cardiac electrophysiology in hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorder: a retrospective analysis

Riya Kaushal, DO; Ian Snyder, DO; Ermin Tale, DO; Liat Jarkon, DO, MPH; Bernadette Riley, DO, MS; and Todd J. Cohen, MD
Ehlers-Danlos syndrome and hypermobility spectrum disorder (HSD) are connective tissue disorders associated with musculoskeletal manifestations and significant psychiatric comorbidities. Psychoactive medications commonly utilized in these populations raise concerns regarding potential cardiac effects. This study explores associations between psychoactive medication utilization and electrocardiogram parameters in patients with hypermobile Ehlers-Danlos syndrome and HSD to provide insight into potential cardiac considerations in this population.

Proposed Amendments to AOA Governance Documents

View the proposed amendments to the American Osteopathic Association (AOA) Governance Documents, which will be presented at the 2026 Annual Meeting of the House of Delegates on July 17-19, 2026.

AOIA State of Digital Health in Osteopathic Practice Survey

AOIA (American Osteopathic Information Association) is surveying the landscape to understand how digital health tools—such as AI, telehealth, and workflow automation—are being adopted across osteopathic practice. Your insights will help identify the barriers DOs face and ensure that innovation reflects real-world practice—not guesswork. Share your perspective and shape the future of medicine.

Click here to take the survey.

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Clinical Image

Gas gangrene of the great toe identified on radiograph

Representative anteroposterior radiograph of the right foot demonstrates (A) extensive soft tissue gas and (B) cortical irregularity and destruction of the distal tuft of the first distal phalanx, consistent with gas gangrene and osteomyelitis. Read more