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Updated: May 1, 2026

Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling
Published on: February 5, 2019
Integrating Osteopathic Care Into Treatment of the Breastfeeding Dyad: Anatomic and Physiologic Considerations
Eileen Conaway1, A Hope Tobey2, Alice I Chen3
1Campbell University School of Osteopathic Medicine, Buies Creek, NC, USA.
Insights
Osteopathic physicians (Doctors of Osteopathic Medicine or DOs) offer osteopathic manipulative treatment (OMT) to enhance breastfeeding. OMT addresses infant issues like latch problems and parent concerns such as mastitis, supporting the breastfeeding dyad.
Area of Science:
- Integrative Medicine
- Pediatrics
- Osteopathic Medicine
Background:
- Breastfeeding dyad care requires a multidisciplinary team.
- Osteopathic physicians (Doctors of Osteopathic Medicine or DOs) are an underutilized resource.
- DOs possess expertise in osteopathic manipulative treatment (OMT), a form of manual medicine.
Purpose of the Study:
- To educate on OMT's role in breastfeeding care.
- To highlight the unique contributions of DOs to the breastfeeding dyad.
- To explore OMT applications for both infants and breastfeeding parents.
Main Methods:
- Literature review on OMT for breastfeeding dyads.
- Discussion of OMT techniques and applications.
- Synthesis of evidence supporting OMT in this population.
Main Results:
- OMT can address infant issues: latch challenges, tongue dysfunction, torticollis, plagiocephaly, colic, and reflux.
- OMT can manage parental issues: engorgement, low milk supply, mastitis, and pain.
- Evidence supporting OMT in breastfeeding dyads is growing.
Conclusions:
- DOs can uniquely contribute to breastfeeding dyad care through OMT.
- OMT offers a valuable manual medicine approach to optimize breastfeeding.
- Further research and integration of DOs in lactation care are warranted.
Abstract:
Care of the breastfeeding dyad involves an interprofessional and multidisciplinary team that may include lactation consultants, physicians, bodyworkers, and more. One often underutilized resource in the care of both breastfeeding parents and their infants is osteopathic physicians (Doctors of Osteopathic Medicine or DOs). DOs are full-scope physicians who have additional training in osteopathic manipulative treatment (OMT). Osteopathic manipulative treatment is a form of manual medicine that can be utilized to optimize the breastfeeding relationship. It can be useful to address latch challenges, tongue dysfunction, torticollis, plagiocephaly, colic, reflux, and more in breastfeeding infants. Osteopathic manipulative treatment can also be incorporated into the management of the breastfeeding parents to help with engorgement, low milk supply, mastitis, associated postural issues, and/or address other sources of pain. There is a growing body of evidence to support the use of osteopathic manipulative treatment in this population. This paper aims to provide insight and education on osteopathic manipulative treatment and how osteopathic physicians can uniquely contribute to the care of the breastfeeding dyad as both physicians and manual medicine practitioners.
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