How do you determine when to terminate an OMM session?

• A. When you have completed a fixed number of regions regardless of response.
• B. When the patient’s somatic dysfunction is improved, motion is restored, pain is reduced, and further treatment does not produce additional benefit or risks.
• C. When the patient requests termination.
• D. After one day.

Answer: (B)

The decision to terminate an OMM session is driven by how the patient responds and the risk–benefit balance of continuing. The session should conclude when somatic dysfunction has improved, motion is restored, pain is reduced, and further treatment is unlikely to yield meaningful additional benefit or could introduce unnecessary risk or tissue irritation. This reflects using the minimum effective intervention to restore function and homeostasis. Throughout the session you reassess signs of dysfunction, range of motion, tissue texture changes, and the patient’s comfort. If the response plateaus or worsening risk appears with additional techniques, stopping is appropriate. Times or regions done by a fixed rule don’t account for individual response, and while patient preference matters, it should be integrated with objective improvement and safety.