As a DO PM&R intern (can't wait for July 1st), I see OMM as a useful adjunct but certainly not the ultimate treatment modality in an MSK or sports med clinic. I really think proper diagnosis, good PT prescription, and patient compliance and diligence with the PT program result in better long term outcomes than OMM by itself. However, OMM can certainly be beneficial to get the ball rolling on the patient's treatment. As a med student, I just remember so many patients that came through the OMM clinic that got a week or two of relief after a treatment but never getting to the bottom of the problem.