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letamp;#39;s talk terminology here are the words you need to know to speak osteopathic medicine amp;#39;is the first term if you look at icd-10 what gets paid for its medical surgical or osteopathic under osteopathic there is one thing they pay for and that is osteopathic manipulative therapy or a somatic manipulative treatment so the diagnosis we use is somatic dysfunction diagnosing somatic dysfunction is an art itamp;#39;s understanding the body and understanding when a person is restricted in their functioning and not functioning at their optimal level when theyamp;#39;re not using their body as effectively efficiently as they can so if the body is out of alignment if it is in twisting bending flexing extending if itamp;#39;s not moving fluidly nicely comfortably something is wrong with the body system that also muscles are organs they have endocrine functions they have movement functions and theyamp;#39;re all going to be intertwined so the first definition somatic d