The Combined Approach: The Myofascial Spine

Understanding and integrating treatment for myofascial restrictions to spinal and rib movement. 

 About the Course


 The myofascial system envelopes the spine and the body and disruptions to normal muscle tone and myofascial compliance can disrupt movement and control. What’s the first thing that happens when you have pain? Muscles go into spasm. As well as mobilising and manipulating articular joint restrictions, specifically correcting spinal segmental joint restrictions of myofascial origin allows for a more complete restoration of spinal movement and improved segmental loading.

Focusing on altered muscle states, this course will cover the clinical relevance, assessment and treatment of myofascial restrictions to segmental movement of the cervical, thoracic and lumbar spines and ribs


This course provides a clinical toolbox of myofascial release approaches to assess and treat these restrictions to segmental movement and altered contractural states and sensitivity. An important part of this assessment is to differentiate between articular and myofascial restrictions to movement so as to better tailor treatment to the presenting dysfunction. Working area by area through the spine we will look at manual assessment of movement to make this articular/myofascial distinction, and then cover the application of a range of myofascial models of intervention and technique such as:

  • Positional release technique
  • Muscle energy technique
  • Trigger-point release
  • Respiratory release and
  • Visceral release

This course was written in 2014 for the 2015 Physiofirst conference Soft Tissue: The Hard Truths.

Tutor: Howard Turner MCSP

09:30 Registration
10:00 An introduction to the principles and a rationale for interpreting and assessing myofascial disorders
10:30 Introductory exercise to illustrate the clinical relevance of myofascial work
11:00 BREAK

Practical: Thoracic Spine and Ribs

  • PPIVM assessment of thoracic segmental and rib movement and restrictions
  • Differentiating myofascial restrictions from articular restrictions in the thoracic spine
  • Identifying and treating movement and respiratory dysfunction of the ribs
12:30 LUNCH
13:15 Ribs, continued

Practical: Cervical Spine

  • PPIVM assessment of cervical segmental movement and restrictions
  • Differentiating myofascial from articular restrictions of the cervical spine
  • Assessing and treating myofascial restrictions including muscle energy techniques
  • Associated trigger points and muscle restrictions
15:30 BREAK
16:00 Neck, Continued
17:00 CLOSE

Practical: The Lumbo-pelvic Complex

  • Integrating myofascial principles into the assessment of the lumbar spine
  • PPIVM assessment of the lumbar spine
  • Differentiating myofascial from articular restrictions in the lumbar spine
  • Assessing and treating myofascial restrictions in the lumbar spine and abdomen
  • Muscle Energy techniques in the lumbar spine
  • Associated trigger points and muscular restrictions in the lumbopelvic complex
10:30 BREAK
11:00 Lumbopelvic complex continued
12:30 FINISH

Timetable approximate


Would you like to arrange a course in your own department or clinic? We are always looking for new venues. You get two free places or a share of the proceeds. Get in touch and we’ll show you how.





Book when available

Fizziostuff UK Ltd trading as Wilmslow Physio and Physio-Hale

Wilmslow Physio: 20A Grove Street, Wilmslow SK9 1EB 

T: 01625530794

F: 01625 540010

Physio-Hale: C/O Re-Enhance, 17 Cecil Road, Hale WA15 9NZ

T: 0161 9770070



Company Number 03052852

Registered Address SImpson Burgess Nash Empress Business Centre, 380 Chester Road, Manchester, M16 9EA

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