OMTs

Osteopathic Manipulative Treatment (OMT) refers to a set of hands-on techniques used by Doctors of Osteopathic Medicine (DOs) and, in some contexts, other clinicians trained in osteopathic principles, to diagnose, treat, and prevent illness by addressing somatic dysfunction.

Techniques include high-velocity, low-amplitude (HVLA) thrusts, muscle energy techniques, soft tissue and myofascial release, counterstrain, articulation, lymphatic techniques, and still technique. OMT emphasizes the body's self-healing capacity and aims to restore motion, improve circulation, and alleviate pain.

Common indications include musculoskeletal pain such as low back, neck, shoulder, hip or knee pain; dysfunction affecting ribs or temporomandibular joint; and certain visceral disorders where musculoskeletal factors contribute. OMT is usually used in conjunction with conventional medical care and other therapies.

Evidence and safety: systematic reviews report modest to moderate benefit for some conditions like acute and chronic low back pain; evidence for other indications remains limited. OMT is generally safe when performed by trained clinicians, but adverse events can include soreness and, rarely, more serious injuries or vascular complications, especially with HVLA techniques.

Practice and training: in the United States, DOs are fully licensed physicians trained in osteopathic medicine; OMT training occurs during medical education and residency. Availability varies by country and setting; in many places, OMT is part of DO practice but not universal among physicians.