Something like what, 25% of DOs even use OMM in the field? It tends to be very specialty specific. I haven't seen the numbers on that in a couple years but that's what I remember. One of the big problems is reimbursement rates and the time crunch of Medicare/Medicaid. Thus, you see spinoff clinics that practice on a cash-only basis for those patients who want the treatment. As mentioned that is entirely location dependent - most blue collar folks are not going to pay for that care out of pocket.
Also, I doubt many subspecialists are going to practice OMM on the side. If anything they're just going to take more patients or do more procedures which, in the end, will pay more than any OMM work.
On the side topic, I've actually been surprised at the number of MDs I have seen use OMM techniques in the field. They've picked it up somewhere along the way and use it in day-to-day practice. Especially things like pedal pump, the negative pressure technique to expand the lungs which I can never remember the name of, million dollar knee, and the various treatments for tennis elbow, carpal tunnel, etc. I don't know if it's that MD schools have adapted teaching some of these techniques or if DO schools have adopted them from other specialties (see: PT). A lot of the direct techniques we've used are seen in locker and training rooms in sports facilities worldwide.
Truth be told - it seems to me that OMM tends to be a combination of PT and chiropractic care. It's absolutely nothing like either of them individually in many cases. Chiropractors tend to do mostly HVLA (in my experience as a patient) which, at most DO schools, is only covered in the second year. So there's a huge gap between the skillset of a chiropractor and a DO.
