Osteopathic Manual Practice (OMP), also known as osteopathy, manual osteopathy, or European-style osteopathyoutside the United States—is a hands-on, patient-centered health profession focused on improving function and relieving pain through a whole-body approach. OMP is grounded in the principle that the body’s structure and function are closely interconnected. Practitioners consider the health of the muscles, joints, spine, nerves, circulation, connective tissues, and internal organsas part of a unified system working in harmony.The profession has roots in Cherokee Healing Arts and Bodywork and as such is considered a heritage of Indigenous People.

In the United States, Registered Osteopathic Manual Practitioners (ROMPs)provide hands-on, non-invasive care using a wide range of gentle manual therapy techniques. Unlike osteopathic physicians (DOs), OMPs do notperform spinal or joint manipulations involving high-velocity, low-amplitude (HVLA) thrusts. Instead, their treatments focus on gentle, low-force, rhythmic, precise, hands-on careto decrease pain inflammation & muscles spasm, improve flexibility and range of motion, support healing and improve function.