"FM has been taught in Europe for the past 16 years and is slowly spreading throughout the world.  There is no other soft tissue method with as much peer reviewed literature as FM.  More than 200 U.S. clinicians have become FM providers since 2010. Extremely successful in treating a variety of musculoskeletal conditions, this is an opportunity to learn Fascial Manipulation©, advance your skills and treat your patients better and faster."-- Warren Hammer, DC, DABCO

Fascial Manipulation© teaches you the current anatomy and physiology of the fascial system, its evaluation and treatment. It is based on the latest information on the relationship of fascia to muscles, tendons and ligaments.

The Fascial Manipulation© program is an intensive hands-on series. It combines theoretical lectures, demonstrations, and practicals throughout each course day.

Participants will learn to evaluate musculoskeletal dysfunctions with specific reference to the human fascial system, and to apply the Fascial Manipulation method as created by Luigi Stecco, PT. Lectures include the anatomy and physiology of the fascial system, an explanation of the biomechanical model used in application of this technique, and the anatomical localization of key fascial points. Emphasis will be placed on the evaluation of musculoskeletal dysfunctions (from history taking, to a hypothesis, to a verification and treatment) together with a methodology and strategy for treatment.


This course consists of two levels, divided into two parts per level:  Part 1A/1B Fascial Manipulation© and Part 2A/2B Fascial Manipulation©Successful completion of Part 1 is required before being able to attend Part 2. The course is sold as a complete package (unless you have already completed Part 1 or are re-taking any part).

Each part is designed to give participants adequate time (4-6 weeks) to practice the newly acquired assessment and treatment techniques before returning to the next part for fine-tuning of the method. Each level will conclude with an examination to appraise the level of understanding and skill level.

Course Objectives Part 1 and Part 2:

The primary objective is to develop an understanding of the Centers of Coordination (CC) that are responsible for the normal function of related monoarticular and biarticular muscles. By the end of the course, clinicians will:

  • Learn anatomy and physiology of the fascial system.
  • Learn how to evaluate myofascial planes: upper and lower extremities, spine.
  • Determine functional testing of areas of complaint.
  • Develop skill and understanding to assess abnormal functional findings with fascial points of involvement to restore normal function.

Part 1 vs Part 2

In a large percentage of patients, the treatment of Centers of Coordination (CC), as taught in Part 1, can be a final answer for obtaining a healing result, but the complete treatment of patients under FM requires Part 2.  Part 1 considers fascia regulating single planes of movement i.e., unidirectional muscle fibers such as in the 3 planes of motion (sagittal, frontal and horizontal).  Luigi Stecco realized that it was also necessary to coordinate two or three myofascial units involved in complex global movements where the forces of myofascial units converge. Centers of Fusion (CF) are taught to be used for single segments, along myofascial diagonals and myofascial spirals.  CF points are mostly found over retinacula and periarticular structures that are influenced by complex movements.  

CFs coordinate intermediate muscle fibers, activated during movements between mf units.  For example, CCs found mostly in muscle bellies would mainly be used for treating problems dealing with lumbar flexion, extension, lateral bending and rotation.  But movements between these planes such as oblique lateral backward bending (Kemp sign), oblique backward and medial bending, anterior lateral or anterior medial movement would require treatment of the CF. This would pertain, of course, not only to the lumbar spine, but to all the extremities and the trunk. Treating CFs also coordinate myofascial CC units. Often treating a CF frees the fascial tension created by the CCs.

Part 2 is very important for understanding its relationship with Part 1.  Some of the many questions to be answered are when and why CFs are treated, the relation of CCs to CFs, the exact location of CFs, how to treat CFs (different than CCs) and the concepts of diagonals and spirals. Some other subjects continued from Part 1, such as treatment strategies, physiology of motor control as it relates to fascia, posture and the use of the assessment chart, are continuously discussed.
FM is not a cookbook technique and requires dedication on the part of the practitioner to achieve the optimal results possible.  At the end of Part 1 and Part 2, a review examination is given.  Practitioners will be added to the FM Provider List after completion of Part 2.

-- Warren I Hammer DC, MS

Who Will Benefit?

Knowledge of these areas will be valuable for the practitioners thinking of adding soft tissue treatment to their practice and of particular value to those using Graston Technique®, Active Release Technique®, FAKTR-PM, Structural Integrationists and anyone using their hands or instruments to heal. 

The Fascial Manipulation© series is intended for physical therapists, osteopaths, chiropractors, medical doctors, and other licensed health care practitioners with a good working knowledge of musculoskeletal anatomy, physiology and notions of postural analysis. Massage therapists with a minimum of three years of experience may be eligible but need to contact us prior to registering to review their eligibility.