"The scope of practice of osteopathic practitioners varies by country. In general, 
osteopaths trained outside of the U.S. are not physicians, and are limited in practice to non-invasive manual therapies,
[4] and may provide nutritional, postural, and other 
health advice. Conversely, the U.S. trains 
osteopathic physicians who practice the entire scope of modern medicine. To avoid confusion, the 
American Osteopathic Association recommends using the terms 
osteopathic physician (U.S.-trained only) and 
osteopathic medicine to distinguish individuals trained in 
osteopathic medicine in the United States from 
osteopaths trained in 
osteopathy, the restricted-scope form of practice outside of North America." - Wikipedia