Osteopathic Manipulation, OM®
Osteopathic Manipulation Approach to Patients
Body Manipulation Technique
Lato Sensu Ad Modum Palmer
Scientific Study Hours: 500 Hours
Clinical Training Hours: 150 Lessons (à 45 min.) during 20 days


About the Course

Osteopathic Manipulation
Foundation Course Theory & Practice


Lato Senso course comprising academic lectures, practical sessions, scientific study course work, and clinical literature review plus directed & guided home-study. The Course is based on the Original Teachings of Dr Andrew Taylor Still, DO.


Development of the knowledge & transferable skills required to begin applying the Philosophy, Principles & Concepts of Osteopathic Manipulation in practice; and to stimulate further future academic and practical interest in studies relating to the Anatomical and Physiological functioning of the Physical, Mental and Spiritual bodies (how to same interact one with each other) and its relations to the Creator.

Assessment Criteria

Fulfilment of the learning outcomes relating to each module; and meeting the attendance expectation of 100%. Students who for any given reason who miss the certain class will have to take those missed classes before a Diploma is awarded.

Please note: Those students who miss classes and do not take at a later date those missed classes will be awarded a Certification of  Attendance to the Course stating the total of Hours attendance and which modules where attended.

Assessment Methods

Written course work, review presentation, case-history presentation, practical examination by viva.


Set texts & references in relation to each module; guided literature review. Reading Required: All books of Dr Andrew Taylor Still, DO and selected recommended Anatomy Books.
Osteopathy Illustrated: a Drugless System of Healing by Dr Andrew P. Davis, DO

Course Material

Course Materials in respect to the Teachings of Osteopathy Manipulation, this are given free of charge, which are a fundamental part of the Teaching Materials.
Video teaching aids materials are provided for private use only and self study.

Prerequisite Qualifications

Students applying to this Course need to have Anatomy, Physiology and Pathology either as a Course or part of another course.
Anatomy, Physiology and Pathology classroom hours should be no less than 150 hours.
Students should have already qualified in another Health Discipline.
Students should have a total of at least 2 years of previous study in health care.

Diploma on Completion of Course

Diploma in Osteopathic Manipulation, Foundation Course Theory & Practice

Students per Course

1 to 8 maximum (This course is very technical thus its not suitable for larger numbers in clinical training)

Course Fees:  £3,000
Price includes: Breakfast, Lunch & Dinner


     Osteopathic Manipulation, OM®

Course Syllabus  
(Non Exhaustive list)

Part I

Principles Osteopathy
Osteopathy Articulation
Osteopathy Manipulation
Red flags and counterfeit clinical presentations
Joint movement

Postural Assessment:
Structure and function
Fluid dynamics
Neural transmission and positional movement issues

Part II

The cervical spine
Spinal mechanics
Vertebrobasilar Insufficiency (VBI)

Thoracic Spine
Rib mechanics
Lymphatic drainage
Autonomic considerations

Part III

The Upper Limb
Treatment combinations
A different approach to impingement
Extensor tendinopathy
Optimising neural outcome

Lumbar spine and pelvis
Spinal and pelvic mechanics
Assessment considerations for the pelvis
Sacroiliac Joint (SIJ) Tests
Iliosacral vs sacroilial lesions

Part IV

The Lower Limb
Functional testing
Hip impingement
Patellofemoral Joint pain

Part V

Treatment Techniques

Flexion Distraction Therapy

Part VI

Cranial Approach

Craniosacral Therapy

Dr William Garner Sutherland, D.O. (1873–1954) was an American Osteopathic physician and important figure in Osteopathy.
Dr Sutherland was the first Osteopathic physician to conceptualize the Cranial Approach and teach it systematically.
Dr Sutherland acknowledged that Dr Andrew Taylor Still, DO was the developer of all Osteopathy, including the Cranial Approach.
The Cranial Approach can be seen performed extensively in the illustrations of the Book “Osteopathy Illustrated” published in 1899 by Dr. Andrew P. Davis, MD, DO, DC, who was a student of Dr. Still in his first Course of Osteopathy in 1892.

Dr Sutherland was the first person to claim to feel a rhythmic shape change in the bones of the cranium. He later applied this movement to all body tissues and this movement is the agent of change in dysfunctional tissues. He later named this motion the body's "Primary Respiration."

Osteopathic Manipulation, OM® Course
Clinical Training
Total Hours:   Osteopathic Manipulation, OM®

Europe: England

September / October

- South America: Belo Horizonte, Recife Brazil & Concepcion, Chile
- Caribbean: Punta Cana, Dominican Republic

January / February

Course Fees:  £3,000

1. Scientific Study Hours:         500 Hours
3. Clinical Training Hours:          150 Lessons (à 45 min.) during 20 days

Time Table
The course runs 5 days with 1 day off, for each 5 days of training:

5 Days Training, 1 Day Off
5 Days Training, 1 Day Off
5 Days Training, 1 Day Off
5 Days Training, End of Course

    Osteopathic Manipulation, OM®

Osteopathic Manipulation

The manipulation of the various parts of the body of the person who is afflicted with pain or disease, so as to liberate any and all undue press-ure, such as over-contracture of muscles, pressure on a nerve or blood-vessel which, interfering with the normal circulation.

Glossary Terminology definition: impaired or altered function of related components of the somatic (body framework) system: skeletal, arthroidal and myofascial structures and related vascular, lymphatic and neuroelements.

The positional and motion aspects of somatic dysfunction are best described using at least one of three parameters:

1. The position of a body part as determined by palpation and reference to its adjacent defined structure,
2. The direction in which motion is freer, and
3. The direction in which motion is restricted.

The diagnosis of somatic dysfunction is made by determining the presence of one or more findings, known as T.A.R.T. (Tenderness, Asymmetry, Restriction of Motion and Tissue Abnormality). Osteopathic manipulative treatment includes thrust (active correction), muscle energy, high velocity-low amplitude, articulation, counterstrain, myofascial release,
and visceral and craniosacral techniques.

The chosen treatment will vary depending on patient’s age and clinical condition. Somatic dysfunction in one region can create compensatory somatic dysfunction in other regions. Osteopathic manipulative treatment can also be used to treat the somatic component of visceral disease and any organ system.

This component can manifest as changes in the skeletal, arthrodial and myofascial tissues. Normalizing musculoskeletal activity (relaxing tense muscles, etc.) can normalize outflows through sympathetic or parasympathetic autonomic nervous systems to visceral systems, resulting in more normal visceral and any organ system function.

Osteopathic Manipulation Treatment when necessary is performed by a qualified professional, in patients whose history and physical examination indicate the presence of somatic dysfunction of one or more regions.


Acute Somatic Dysfunction: Immediate or short-term impairment or altered function of related components of the somatic (body framework) system. Characterized in early stages by vasodilation, edema, tenderness, pain, and tissue contraction. Diagnosed by history and palpatory assessment of tenderness, asymmetry of motion and relative position,
restriction of motion and tissue texture change.

Chronic Somatic Dysfunction: Impairment or altered function of related components of the somatic (body framework) system. It is characterized by tenderness, itching, fibro
sis, paresthesias and tissue contraction.

Linkage: Dysfunctional segmental behaviour where a single vertebra and an adjacent rib respond to the same regional motion tests with identical asymmetric behaviours (rather than opposing behaviours). This suggests visceral reflex inputs.

Primary: The somatic dysfunction that maintains a total pattern of dysfunction. The initial or first somatic dysfunction to appear temporally.

Secondary: Somatic dysfunction arising either from mechanical or neurophysiologic response subsequent to or as a consequence of other etiologies.

Somatic Dysfunction: Impaired or altered function of related components of the somatic (body framework) system: skeletal, arthrodial and myofascial structures, and their related vascular, lymphatic, and neural elements. Somatic dysfunction is treatable using osteopathic manipulative treatment. The positional and motion aspects of somatic dysfunction are best described using at least one of three parameters:
1). The position of a body part as determined by palpation and referenced to its adjacent defined structure,
2). The directions in which motion is freer, and
3). The directions in which motion is restricted.

Somatogenic: That which is produced by activity, reaction and change originating in the musculoskeletal system.

Type I Somatic Dysfunction: A group curve of thoracic and/or lumbar vertebrae in which the freedoms of motion are in neutral with side bending and rotation in opposite directions with maximum rotation at the apex (rotation occurs toward the convexity of the curve).

Type II Somatic Dysfunction: Thoracic or lumbar somatic dysfunction of a single vertebral unit in which the vertebra is significantly flexed or extended with side bending and rotation in the same direction (rotation occurs into the concavity of the curve).

History of Manipulative Therapy

Various forms of manipulative therapy — including massage, spinal adjustments and many others — have been practiced all over the world for over millenia. Certain historical references point to the fact that manipulative therapies aimed at correcting musculoskeletal and spinal abnormalities were used in Europe as far back as the year 400 B.C.

According to a publication in the Journal of Manual and Manipulative Therapy, Hippocrates himself described his own spinal manipulative techniques for treating conditions, including scoliosis, naturally. (History of Manipulative Therapy) (The Female Bone Setter) (Anglesey Bone Setter)

Hippocrates believed that the use of gravity — along with basic tools and equipment like straps, wheels, ladders and axles — could be used to impart enough pressure on the skeletal system to help realign body parts contributing to dysfunction. Hippocrates and other physicians who followed in his footsteps also recommended practicing exercises after adjustment, along with building strength in weak areas, standing and walking more.

Even today many modern massage techniques (such as Swedish, deep tissue or Thai massage) and spinal manipulation manoeuvres draw on knowledge and traditions dating back centuries. Manipulative healers from countries such as Greece, Japan, China, Thailand, India and others have contributed a large body of research and expertise to the entire field of Osteopathic Manipulation.

The Founder Of Osteopathic Manipulation

Dr Andrew Taylor Still, D.O. - Was the son of a Methodist Pastor and country physician, Andrew become exposed to; diseases such as cholera, smallpox, and meningitis that often wiped out entire families.

At an early age Still became aware of the lack of knowledge of the cause and treatment of these devastating diseases. He recognized the tragic toll of such ignorance, and decided there must be a better way.

Although Still had long been aware of the appalling degree of medical ignorance which existed at that time, it was a tragedy in his own life that propelled him toward a search for answers and the development of osteopathic medicine.

In 1874 Missouri was ravaged by an epidemic, one now identified as viral meningitis. Dr. Still lost three children that spring. Although a physician he had no way to cure them - no way to help them. Still's loss sent him on a personal and professional search for the truth.

He was driven to understand why some people became sick, and others remained healthy.

The doctor grew to reject the prevailing medical practices of frequent amputation and the overuse of drugs. He called his new system of medicine "osteopathy" (osteon is Greek for bone), because it was based on anatomy. Still developed his methods of diagnosis and treatment by relying on the belief that the human being should be treated as a unit.

A person cannot get sick in one area of his body without having other areas affected. All body systems operate in unison. Through experimentation and clinical observation, Still developed the art of osteopathic treatment, applied directly to the musculoskeletal system. In addition, he eliminated many toxic drugs from his practice.

Dr. Still was eager to present his new ideas and methods of treatment to the medical community. He selected Baker University in Baldwin, Kansas as the place for his presentation, a school Still and his family had helped found. The University refused him.

Turned down by his peers, but determined he was right, Dr. Still settled in Kirksville, Missouri and began practicing the osteopathic medicine he had developed. His reputation spread, and soon people from all over the United States were travelling to Kirksville for his treatments. As his fame increased, so did the attacks by his former medical colleagues.

Still was called a "crank," "faker," and a man who had lost all reason. He was scorned by most, but not all. An increasing number of doctors were drawn to Still and his methods.

In 1892 the first formal classes in the teaching of osteopathic medicine met in Kirksville, later to become the American School of Osteopathy. A.T. Still 1828-1917

The Foresight and Vision of Dr Andrew Taylor Still, D.O.

Was the first to identify the human immune system and develop a system for stimulating it naturally.
Was the first to welcome women and minorities into medical school.
Predicted that western type of medicine would have a major drug addiction problem within the century if physicians did not stop over-prescribing addictive drugs.
Warned that women were far too often the victims of needless surgeries.
Believed that physicians should study prevention as well as cure.
Believed that disease in one body part affects all other parts.

     Core competencies

    • Essential competencies for Osteopathic Manipulation Practice

    • Strong foundation in the study of Osteopathic Manipulation its History, Philosophy and Approach to Health;

    • an understanding of the basic sciences within the context of the philosophy of Osteopathy and the five models of structure-function.
      Including the role of vascular, neurological, lymphatic and biomechanical factors in the maintenance of normal and adaptive biochemical, cellular and gross anatomical functions in states of health and disease;

    • ability to form an appropriate differential diagnosis and treatment plan;

    • an understanding of the mechanisms of action of manual therapeutic interventions and the biochemical, cellular and gross anatomical response to therapy;

    • ability to appraise any deemed valid scientific literature (taking care to discard nonsense and garbage litterature) critically and incorporate relevant information into clinical practice;

    • competency in the palpatory and clinical skills necessary to diagnose dysfunction in the aforementioned systems and tissues of the body, with an emphasis on osteopathic diagnosis;

    • competency in a broad range of skills of Osteopathic Manipulation;

    • an understanding of the biomechanics of the human body including, but not limited to, the articular, fascial, muscular and fluid systems of the extremities, spine, head, pelvis, abdomen and torso;

    • Competent expertise in the diagnosis and Osteopathic Manipulation of neuromusculoskeletal disorders;

    • thorough knowledge of the indications for, and contraindications to, Osteopathic Manipulation.

      Osteopathic Practice Standards: Safety and quality in practice

  1.     Training Curriculum for Osteopathic Manipulation

Basic science

      • History and philosophy of Health and its natural progression and understanding upon the Osteopathic concept and practice; Gross and functional anatomy, including basic embryology, neuroanatomy and visceral anatomy; Fundamental bacteriology - Microbiome, fundamental biochemistry, fundamental cellular physiology; Materia Medica

      • Physiology with special emphasis on the neuroendocrine immune network, the autonomic nervous system, the arterial, lymphatic and venous systems and the musculoskeletal system;

      • biomechanics and kinetics. Understanding of other Therapeutic Methods and application within the scope of practice such as Hydropathy and how come same complement Osteopathy and vice versa.

Clinical science

      • models of health and disease; safety and ethics; basic pathology and pathophysiology of the nervous, musculoskeletal, psychiatric, cardiovascular, pulmonary, gastrointestinal, reproductive, genitor-urinary, immunological, endocrine and otolaryngology systems; basic orthopaedic diagnosis; basic radiology; Nutrition; basic emergency care.

Osteopathic science

      • philosophy and history of Osteopathy; Osteopathic models for structure/function interrelationships; clinical biomechanics, joint physiology and kinetics; mechanisms of action for osteopathic techniques.

Practical skills

      • physical and clinical examination; osteopathic diagnosis and differential diagnosis of the nervous, musculoskeletal, cardiovascular, pulmonary, gastrointestinal, endocrine, genitor-urinary, immunological, reproductive and otolaryngology systems; general synthesis of basic laboratory and imaging data; clinical problem-solving and reasoning; understanding of relevant research and its integration into practice; communication and interviewing; clinical documentation; basic life-support and first-aid care.

Osteopathic skills

      • Osteopathic diagnosis; osteopathic techniques, including direct techniques such as thrust, articulatory, muscle energy and general osteopathic techniques; indirect techniques, including functional techniques and counterstrain; balancing techniques, such as balanced ligamentous tension and ligamentous articulatory strain; combined techniques, including myofascial/fascial release, Still technique, osteopathy in the cranial field, involuntary mechanism and visceral techniques; reflex-based techniques, such as Chapman’s reflexes, trigger points and neuromuscular techniques; fluid-based techniques, such as lymphatic pump techniques.


Manipulation: the act, process, or an instance of manipulating especially a body part by manual examination and treatment; especially: adjustment of faulty structural relationships by manual means (as in the reduction of fractures or dislocations or the breaking down of adhesions) in "Merriam-Webster Medical Dictionary".

Osteopathic Manipulation is the treatment of the body using hands-on manoeuvrers that move, stretch, drain, realign or massage any problematic or dysfunctional areas of the body.

Osteopathic Manipulation Techniques include active release technique, myofascial release, visceral techniques and lymphatic pumping.

Osteopathic Manipulation is used to treat and prevent illness or injury affecting the skeleton muscle which may have an impact in the normal functioning of the circulation system or affecting the nervous system.

Removing any impediment to circulation, removing any impediments to the normal functioning of the Emunctories by releasing and correcting the normal physiology, working with the body, not against the body, thus aiding the natural recovery of the body.


The Journal of the American Osteopathic Association (JAOA) has published findings regarding the benefits of Osteopathic Manipulation for different conditions and injuries.
Manipulative therapies are most commonly used to treat some of the following:

The early, accurate application of Osteopathic Manipulation can aid the damaged tissues and structures of the joints by:

Promote healthy cellular homeostasis,

Encourage faster tissue repair & recovery,

Reduce musculoskeletal pain & discomfort,

Increasing joint movement by stretching fibrous tissue and affecting the stretch reflex excitability,

Increasing the vascular circulation in and out of the joint,

Improve structural stability and integrity of the intervertebral disc,

Preventing degenerative changes to the articular surfaces,

Inhibiting the build-up of fluid and distension forces upon the tissues and joint,

Aiding the removal of metabolic waste products,

Influencing the sympathetic nervous system activity, thus affecting blood flow, blood pressure, heart rate or respiratory rate.

Breathing & Respiratory Functions

A 2014 study published in the Journal of Visualized Experiments found that osteopathic manipulative treatment could be used as an effective adjunctive tool for patients with respiratory conditions, inflammation of the lungs or airways, or illnesses including pneumonia. (Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia)

Specific techniques that are used to address respiratory problems through means like lymph drainage and rib cage mobility include: Rib Raising, Thoracic Pumping, Doming of the Thoracic Diaphragm, and Muscle Energy work. Some of the ways that these osteopathic manoeuvres can help manage these illnesses include increasing lymphatic flow, improving overall respiratory function by lowering inflammation, and boosting immunological defences by targeting anatomical structures involved in the respiratory and immune systems.


Joint articulation techniques that involve considerable movements should be avoided, as they may:

Exceed the natural motion barrier

Stress the tissues excessively

Force the tissues to undergo the plastic deformation

Who is this course suitable for?

Student of Osteopathy

Student of Chiropractic

Students of Physical Therapy

Other Health Care Providers

Please Note

The Osteopathic Manipulation Course, does not, nor it is intended or qualify you as a Doctor in Osteopathy.

In England Under Section 32(1) of the Osteopaths Act 1993 it is an offence to infer or imply that you are an Osteopath if you have not carried out the relevant training, and the following designations or titles are prohibited to use: "Osteopath, Osteopathic Practitioner, Osteopathic Physician, Osteopathist, Osteotherapist, or any other kind of Osteopath".

Successful Qualified Students after the completion of the program course in Osteopathic Manipulation, when describing themselves, either in written or verbal form, must state that they are trained, certified or qualified in Osteopathic Manipulation Techniques.


Paul Health, LMT®, OM®
Lymphatic Manipulation Therapy
Osteopathic Manipulation

Image: Copyright Mark Turnbull

Health is the result of harmonious action of the system where all its parts are unirritated by any cause, such as increased or diminished flow of the fluids of the arteries or veins, or the nerve force, by partial or complete dislocation of bones, muscles, tissues, membranes or parts of the whole system. The object of Osteopathy is freedom of all electric or other fluids, forces of substances pertaining to life.” - Statement of A. T. Still 1893 in the original Diplomas of Osteopathy.


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