There are over 40 different techniques in Osteopathic Manipulative Treatment(OMT). The trend in currently in OMT is away from fast articular techniques ( crunching and cracking joints). the doctors favor more soft tissue techniques. All techniques are safe and effective. Before treatment a history and directed physical are completed. The patient can always inform the treating physician if a treatment Change is needed, pain with treatment or ineffective treatment. Working with the treating doctor is very helpful for a successful treatment.