What is certification in NMM/OMM?

Certification in Neuromusculoskeletal Medicine/Osteopathic Manipulative Medicine (C-NMM/OMM) is one of 18 primary board certifications under the jurisdiction of the American Osteopathic Association (AOA). The American Osteopathic Board of Neuromusculoskeletal Medicine (AOBNMM) administers written, oral and practical examinations and recommends certification for successful candidates to the Bureau of Osteopathic Specialists.

Who can get C-NMM/OMM?

Osteopathic physicians who attend an American Osteopathic College have three ways to become eligible to enter the certification process. These options include completing a two year residency on NMM/OMM, completing a year long program (PLUS-ONE) after the completion of an AOA approved residency in another discipline, or completing a three year combined residency in family practice and neuromusculoskeletal medicine/osteopathic manipulative medicine (FP + NMM/OMM).

What does an osteopathic physician do with C-NMM/OMM?

C-NMM/OMM allows the osteopathic physician to see patients as a primary care resource and also see patients as a consultant. Many C-NMM/OMM physicians teach in medical schools and postdoctoral training sites. Many C-NMM/OMM physicians conduct research related to osteopathic principles and practice.

Typically, patients of all ages may seek a physician certified NMM/OMM for injuries, trauma, pain, or problems where one bodily dysfunction is causing other problems. C-NMM/OMM physicians are trained extensively in neuroanatomy, orthopedics, and rheumatology. They are well versed in many forms of OMT such as muscle energy, HVLA, counterstrain, osteopathy in the cranial field, fascilitated positional release and soft tissue.

C-NMM/OMM is a primary care discipline that focuses on the core tenets of osteopathic medicine – 1. body is a unit, 2. structure and function are reciprocally interrelated, 3. the body posesses self-regulatory mechanisms, 4. the body has the inherent capacity to defend itself and repair itself, 5. when normal adaptability is disrupted, or when environmental changes overcome the body’s capacity for self-maintanence, disease may ensue, 6. rational treatment is based on the previous principles.

Osteopathic physicians holding certification in NMM/OMM are likely to focus on your body as a whole to help the restoration of health. Osteopathic palpatory diagnosis and treatment in the form of osteopathic manipulative treatment (OMT) is a common hallmark of C-NMM/OMM. Viewing the body with an osteopathic perspective often extends diagnosis and treatment beyond OMT. While the cause of a problem could respond to OMT, its detection and treatment may require any means within the unlimited scope of practice of the licensed osteopathic physician.

C-NMM/OMM is a mandatory requirement in order to be chair of an osteopathic college department of osteopathic principles & practice/osteopathic manipulative medicine.

Do physicians need to be certified NMM/OMM in order to administer Osteopathic Manipulative Treatment (OMT)?

Absolutely not. Do physicians need to be a cardiologist in order to perform an electrocardiogram (ECG) on their patient? Sadly, some institutions and third party payers have told physicians that they must hold C-NMM/OMM in order to perform OMT. This is incorrect.

Osteopathic physicians who practice in the emergency room to the delivery room are trained to administer osteopathic manipulative treatment (OMT). Training begins in the classroom and in hands-on laboratories from the very first days of medical school. Having a Doctor of Osteopathy (D.O.) degree is the qualification needed to administer OMT.

Why would a physician want to gain certification in Neurosusculoskeletal Medicine/Osteopathic Manipulation (C-NMM/OMM)?

Certification in Neuromusculoskeletal Medicine/Osteopathic Manipulative Medicine is for the osteopathic physician who seeks to take osteopathic philosophy and osteopathic principles and practice to a higher level. This level allows the physician to be a practitioner, consultant, professor, and researcher. Various practitioners find it difficult to devote deep intensity to osteopathic pricinciples and practice. D.O.’s holding C-NMM/OMM define their focus with osteopathic philosophy.

All osteopathic physicians are trained in osteopathic palpatory diagnosis and treatment. All physicians, despite their area of practice, are capable of integrating osteopathic principles. Such integration, often includes the application of osteopathic manipulative treatment (OMT).

As with all fields of medicine, some desire a deeper understanding and a practice focus that promotes a greater intensity of practice in a particular field. C-NMM/OMM defines an osteopathic physician who has taken osteopathic principles and practice to a higher level. The highest earned level of recongition in this field is to be confered a Fellow of the American Academy of Osteopathy (F.A.A.O.). To gain F.A.A.O. status, one must first be C-NMM/OMM. AOBNMM serves the profession and the public by working with the American Osteopathic Association to certify and maintain certification in Neuromusculoskeletal Medicine/Osteopathic Manipulative Medicine.