Bone WizardryMEDICAL EDUCATION
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Medical board review

OMM

Somatic dysfunction, viscerosomatic reflexes, and the muscle energy you must know cold.

Foundations
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OMM Fundamentals: From Examination to Treatment Choice

Use patient goals, tissue findings, motion barriers, spinal naming, contraction mechanics, safety, and reassessment to choose a fitting manual approach.

HIGH YIELD
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Fryette's Principles: From Examination to Direction

Level 1 explains orientation and coupling; Level 2 turns findings into diagnosis and direction; Level 3 follows response and safety.

HIGH YIELDfryette'slawsspinalmotiontype
Spine Mechanics
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Thoracic Counterstrain Tenderpoints

HIGH YIELD
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Lumbar Dysfunctions: From Palpatory Findings to a Coherent Diagnosis

Interpret lumbar rotation and positional ease, distinguish neutral groups from segmental patterns, and choose localized treatment with clear clinical limits.

HIGH YIELD
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Cervical OMM

Distinguish OA, AA, and subaxial mechanics, name tested ease accurately, and select cervical OMM only after assessing instability and neurologic risk.

HIGH YIELD
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Scoliosis

Read spinal curves in three dimensions, assess growth and progression, and choose observation, bracing, or referral while defining the role of OMM.

HIGH YIELD
Sacrum & Pelvis
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Innominate Rotations: Position, Direction, and Clinical Judgment

Read pelvic landmarks in context, distinguish rotation from shear, choose muscle-energy directions, and reassess symptoms without overstating the examination.

HIGH YIELD
➡️

Innominate Shears, Flares, and Pubic Shears

Distinguish pelvic translation, rotation, and flares with landmark comparisons, localized treatment principles, and cases that test safe clinical reasoning.

HIGH YIELD
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Lumbar and Pelvic Counterstrain: Landmarks Before Positions

Localize lumbar and pelvic counterstrain tender points, choose supported ease, distinguish close neighbors, and reassess safety and function.

HIGH YIELD
Visceral & Autonomic
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Viscerosomatic reflexes: pathways, patterns and limits

Trace visceral sensory pathways, interpret spinal and Chapman associations, and separate useful anatomical reasoning from unsupported diagnostic claims.

HIGH YIELD
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Autonomic Spinal Levels: Trace the Pathway Before the Pattern

Trace sympathetic and parasympathetic pathways, compare organ-level maps, and interpret viscerosomatic findings without mistaking them for diagnoses.

HIGH YIELD
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Colonic Parasympathetic Supply and Viscerosomatic Reflexes

Visceral & Autonomic
Cranial
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Cranial Parasympathetic Techniques: Anatomy, Contact and Clinical Judgment

Trace cranial parasympathetic pathways, compare five cranial techniques, and use anatomy, safety findings and clinical evidence to guide decisions.

HIGH YIELD
Peripheral
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Piriformis and Deep Gluteal Pain

Map piriformis and sciatic anatomy, compare buttock-pain sources, and use examination, exercise, and osteopathic treatment without overstating diagnostic certainty.

HIGH YIELD
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Fibular Head Somatic Dysfunction

Anterior vs posterior fibular head. The seesaw model, muscle energy positioning, HVLA thrust. Interactive diagram + quiz.

HIGH YIELD
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Radial Head: Rotation, Examination, and Safe Decisions

Understand radial-head rotation, interpret the examination, compare treatment principles, and distinguish pulled elbow from fractures and other elbow conditions.

HIGH YIELD
Spine & Axial
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Zink Patterns

Interpret the four regional Zink preferences, compare compensatory patterns, and connect accurate anatomy to OMM while recognizing the limits of the model.

HIGH YIELD
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Rib mechanics and respiratory dysfunction

Read respiratory rib findings, distinguish pump, bucket and caliper mechanics, select the key rib, and match safe treatment to the restriction.

HIGH YIELD
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Rib 3-5 Inhalation Dysfunction and Muscle Energy

Spine & Axial
🥈

Thoracic Type II Somatic Dysfunction

Spine & Axial
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Pregnancy Biomechanics and Lumbar Lordosis

Spine & Axial
Diagnostics & Special Tests
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Special tests: load the anatomy, then choose the action

Use special tests to load anatomy, combine findings for diagnosis and management, and guide referral, follow-up and safer OMT beyond the boards.

HIGH YIELD
Cranial & Autonomic
🔢

Cranial Strain Patterns

Level 1 learners classify cranial strain patterns from axes, relative sphenoid-occiput motion, vault contacts, and the traditional primary respiratory mechanism.

HIGH YIELD
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Cranial Dysfunction: Axes, Landmarks, and Clinical Limits

Interpret traditional cranial strain axes with explicit reference directions, locate skull landmarks, and distinguish model language from urgent clinical findings.

HIGH YIELD
Lymphatic OMT
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Lymphatics: Fluid, Anatomy, and Safe Technique Selection

Trace lymphatic drainage, explain edema, compare regional techniques, and use clinical findings to choose safe assessment and care without relying on shortcuts.

HIGH YIELD
Peripheral & Extremities
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Upper and Lower Extremity Findings: Anatomy, Autonomics and Manual Medicine

Localize limb findings, predict joint and autonomic responses, and distinguish useful osteopathic examination models from unsupported diagnostic claims.

HIGH YIELD
Psoas Syndrome and the Opposite-Motion Rule
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Psoas syndrome: assess the restriction, then the cause

Distinguish hip-flexor shortening from painful loading, control pelvic compensation, localize nerve findings, and recognize when urgent investigation comes first.

HIGH YIELD
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Psoas syndrome: assess the restriction, then the cause

Psoas Syndrome and the Opposite-Motion Rule
Pelvis & Sacrum
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Sacral Torsions

L-on-L, R-on-R, L-on-R, R-on-L. Forward vs backward torsion. The axis, the L5 finding, the ILA, and the treatment position. Morphing tabs + elimination game.

HIGH YIELD
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Sacral diagnosis from landmarks and motion

Build sacral diagnoses from sulci, inferior lateral angles and motion tests, distinguish torsions from shears, and choose safe treatment principles.

HIGH YIELD
🥈

Posterior Innominate Rotation and Hamstring Dysfunction

Pelvis & Sacrum
Soft Tissue Techniques
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Soft Tissue OMT: Stretch, Traction & Inhibition

HIGH YIELD
🥈

Myofascial Release and the Muscle Stretch Reflex

Soft Tissue Techniques
More
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Low Back Pain: Clinical Patterns and Osteopathic Reasoning

Triage back pain, localize leg symptoms, interpret structural findings and spinal curves, and integrate osteopathic examination with reassessable care.

HIGH YIELD
⚡

Lower Extremity Nerve Injuries: Localize by Function

Trace lower-extremity nerve lesions from branch anatomy to urgent workup, recovery monitoring, rehabilitation, referral and real-world symptom control.

HIGH YIELD
⚡

Brachial Plexus and Upper Extremity Nerve Injuries

Localize upper-limb weakness from plexus roots to hand nerves, distinguish shoulder and finger patterns, and apply careful radial-head naming without overreading tests.

HIGH YIELD
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Fascial Subtypes: Why the Joint Capsule Is Deep Fascia

HIGH YIELD
More OMM lessons

Chapman Points

Master Chapman points for the DO boards. Anterior and posterior reflex locations mapped to each organ, with an interactive body map and high-yield board vignettes.

HVLA principles: judge the tissue before the thrust

Master high velocity low amplitude OMT for the boards. Indications, absolute contraindications, localization to the barrier, and the thrust, with interactive drills.

Muscle Contraction Types

Understand muscle energy for the boards. Isometric, isotonic, and isolytic contractions, post-isometric relaxation, and how MET resets the barrier, fully interactive.

Thoracic Somatic Dysfunction

Diagnose thoracic somatic dysfunction for the boards. Type 1 group curves vs Type 2 single segments, ERS and FRS naming, and rib relationships, with interactive drills.

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