Manual Osteopathy: Putting Things Back Together

The rationale behind manual osteopathy’s effectiveness to whole person care: Manual Osteopathy helps the body return back to proper alignment. In addition, a typical manual osteopathic treatment improves the level of relaxation—through lowering cortisol levels.  The body is now better equipped to maintain homeostasis of all organ systems.

When the musculature relaxes, so, too, does the sympathetic nervous system, relieving destressed adrenal glands and concomitant high blood pressure. Of course, these physiological states are so prevalent in modern stressed societies. 

Additionally, lymphatic flow improves because manual osteopathic manipulations help release blockages.  Toxins and waste products are now more easily processed. Blood circulation increases allowing micronutrients and oxygen to be more effectively delivered to cells.  

When the body is properly aligned and functioning optimally, we feel better. A growing body of research suggests manual osteopathy is a fantastic way to decrease stress, restore the body to its natural function, and increase healing. It’s a powerful aid to many health concerns —everything from managing hormonal changes during pregnancy to treating chronic pain.

Manual Osteopathy can be thought of as addressing many complaints all at once, compared to taking a drug for pain, a drug for stress, and another drug for hypertension. It’s clear which option offers you the most freedom to help you thrive. 

What I love about manual osteopathy is that it is a noninvasive, drug-free treatment option (aka., no risk of addition, surgical complications, or side effects). It is rarely contraindicated with any other potential treatments.

Patients at SF Advanced Health have seen dramatic results through the amazing care received by manual osteopath Julie Duggan B.Sc. 


What to Expect From Your First Manual Osteopathy Appointment

First and foremost, manual osteopathy is an art. It’s performed by palpating or physically exploring the deep and surface tissues of the body with the practitioner’s hands, feeling for feedback in one’s back, shoulders, and joints. This is sometimes referred to as “listening.” When things sound good, the practitioner moves on to the next area. When there are disturbances in the flow of “sound” the manual osteopathic practitioner knows how to put back what has fallen out of place.

A practitioner usually looks for specific qualities in the tissues being explored, such as congestion, density, dehydration, scarring, stiffness, loss of resilience, and motility, an infinitesimal quality of movement inherent to all living tissues, which informes the practitioner about those tissues’ underlying status or condition. This is an art that takes years of practice.


What Our Patients Are Saying

“Julie has been great in helping me get back on track post-concussion. Andrew, the acupuncturist at SF Advanced Health, referred me to Julie as I started to get worried that my injury might also have spinal-related issues from the whiplash.  Julie’s therapy has been very helpful. She does a great job of listening to your symptoms, taking notes, and explaining the work as she's doing it.” - Audrey 

Are you considering manual osteopathic treatment for managing your chronic pain, easing your transition into pregnancy, aiding in relaxation, or ridding yourself of underlying tension? 

Dr. Bhandari and the Advanced Health Team Are Here to Support Your Health.

Our expert team of integrative holistic practitioners work with patients suffering from chronic health concern.  We help our patients reverse disease by better understanding how the body optimally functions and providing personalized treatment plan.  To learn more and book an manual osteopath appointment, contact Advanced Health.

Payal Bhandari M.D. Dr. Payal Bhandari M.D. Dr. Payal Bhandari M.D. is one of U.S.'s top leading integrative functional medical physicians and the founder of San Francisco' top ranked medical center, SF Advanced Health. Her well-experienced holistic healthcare team collaborates together to deliver whole-person personalized care and combines the best in Western and Eastern medicine. By being an expert of cell function, Dr. Bhandari defines the root cause of illness and is able to subside any disease within weeks to months. She specializes in cancer prevention and reversal, digestive & autoimmune disorders. Dr. Bhandari received her Bachelor of Arts degree in biology in 1997 and Doctor of Medicine degree in 2001 from West Virginia University. She the completed her Family Medicine residency in 2004 from the University of Massachusetts and joined a family medicine practice in 2005 which was eventually nationally recognized as San Francisco’s 1st patient-centered medical home. To learn more, go to

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