This article identifies an overlooked opportunity for chiropractors (DCs) to build referral relationships with Doctors of Osteopathy (DOs). While DOs are trained in osteopathic manipulative treatments (OMT) during medical school, the vast majority—nearly 57%—do not utilize these techniques on any of their patients. Research indicates this abandonment is driven by lack of time, lower reimbursement rates compared to other services, loss of clinical competency during residency, and a lack of support within hospital systems.

Because the philosophies of chiropractic and osteopathy are more closely aligned than those of traditional medicine, DCs are uniquely positioned to fill the gap in care for patients who need manipulation but whose DOs prefer not to provide it. Engaging in outreach to local osteopaths can create collaborative relationships that strengthen the position of chiropractic as a premier form of nondrug, nonsurgical spine care. By stepping up to fill this niche, chiropractors can provide superior care to a population already primed for the benefits of manipulative therapy, ultimately fostering a new, sustainable source of patient referrals from the medical community.