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Contact Information
  • Name: Education Department
  • Tel: 01604 684968
  • Fax: 01604 589238
  • Email us

Physio First: central course

Saturday 30 September 2017, by Howard Turner

Focussing on neuromuscular myofascial disorders, this one-day clinical workshop will provide an integrated approach to the incorporation of myofascial treatment into the correction of spinal segmental dysfunction. It will cover the clinical relevance, assessment and treatment of myofascial restrictions to segmental movement in the cervical, thoracic and lumbar spines and the ribs.

This course brings you a whistle- stop tour of myofascial techniques for the spine in this action packed day. Needing inspiration? Want to refresh some of those existing hands-on skills and learn some more this course covers a wide range of techniques including muscle energy, positional release and fascia work.

"This was a refreshingly straightforward approach to assessing and treating the spine.

The three areas: articulate, neural and muscular/myofascial aspects of movement restriction were presented and explored. It touches on but does not go into detail about myofascial trains as in the Anatomy Trains concept. This course is predominantly practical, with many references referred to."

Course information

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.

This course provides a clinical toolbox of neuromuscular myofascial release approaches to assess and treat these restrictions to segmental movement and altered contractual 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 particular/myofascial distinction, and then cover the application of a range of models of treatment such as;

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

Who should attend this course?

This course is for manual therapists who wish to extend their capabilities in treating spinal pain and dysfunction.

Appropriate clothing is necessary for practical elements that incorporate visual and physical assessment, and treatment to the cervical, thoracic and lumbar spine/pelvis.


Improved versatility/outcomes in dealing with spinal pain presentations

Opening the market to liaise with spinal specialists or GPs seeing such cases and in this changing commissioning world potentially creating confidence and enabling Physio to market self and clinic and gain some recognition for treating spinal pain.


Tutor Biography

Practice Principal, part-time teacher and consultant

Howard Turner

Course author and tutor Howard Turner is an Australian-trained Chartered Physiotherapist in private practice. He is a part-time teaching fellow at Bath University and specialist external lecturer at Birmingham University, Queen Mary University of London, Kings College London and Keele University, lecturing on the pelvis, the hip and groin, clinical reasoning and the lumbar spine. He has consulted for British Cycling, UK Athletics, the English Institute of Sport, British Olympics and Paralympics, British Swimming and various other professional clubs and sporting bodies.


Course review

Howard turner skillfully weaves strands of assessment and treatment together with clinic al reasoning in a dynamic together with clinical reasoning in a dynamic and informative way, drawing on his years of clinical experience.

I have an issue with the term “articular” versus “myofascial” as where one ends and the other begins in controversial, which makes differentiating between them mostly redundant. To cover the amount of stuff contained in this course in 1 day was very ambitious and Howard did a good job in teaching a lot of techniques. For those not familiar with treating and palpating psoas, it would have been good to have time for than just a demonstration for this. The CSP sitting palpation was new to me and I will definitely use it.

- Susannah Solt, Midlands Regional Officer

Event Timetable

Time Topic
08:45 - 09:00 Arrival and registration (Howard Turner)
09:00 - 10:30 An introduction to the principles and treatment of trigger points and a rationale for interpreting and assessing myofascial disorders
10:30 - 10:45 Break
10:45 - 12:30 Practical: thoracic spine and ribs
12:30 - 13:15 Lunch
13:15 - 15:00 Practical: cervical spine
15:00 - 15:15 Break
15:15 - 17:00 Practical: lumbopelvic region
17:00 - 17:01 Course Close

Venue Information

Cranfold Physiotherapy

HORSHAM, Foundry Lane, Horsham, West Sussex, RH13 5PL

The success of the Physio First Education Programme relies on minimum delegate numbers. If the minimum requirement is not achieved it is likely the course will be cancelled. So if you see a course you like, please book it straight away!