This course is aimed to offer to Manual Therapists the knowledge and tools to understand a form of Structural Osteopathy called High Velocity Low Amplitude (HVLA).

Certified by

Limited access to: 24 students
Level 1 Weekend (Fri.-Sun.): TBD
Level 2 Weekend (Fri.-Sun.): TBD
Time: 9:00 am – 6:00 pm
Location: Fort Mason Center, 2 Marina Blvd, Building C, Room C205, San Francisco, CA 94123
Level 1: $750 early bird price of $700 
Level 2: $750 early bird price of $700

CEU Credits: 2.4 units/level (4.8 total) for Physical Therapists, Chiropractors, Athletic Trainers


The course is for the manual health care providers who understand that treating the symptoms is not enough to promote the self-healing process, who see the human body as a functional unit, who want to integrate in their practice the osteopathic manual practice techniques and philosophy, who want to improve their knowledge and practical skills.

Who can attend:
Physical Therapists, Osteopaths, Student osteopaths (from 3rd year), Chiropractors.



Traditional European Osteopathy consists of four pillars interlinked to each other: Visceral, Structural, Fascial, and Cranial Osteopathy. The aim of this course is to give healthcare professionals the knowledge and tools to understand a form of Structural Osteopathy called High Velocity Low Amplitude (HVLA).

HVLA – high velocity low amplitude – is an osteopathic technique that involves a rapid therapeutic force over a short distance and brief duration to restore the anatomic range of motion of a joint. The main goal is to engage the restrictive barrier of a joint in one or more planes of motion in order to encourage a release of restriction. In this way, the treatment allows for normal joint movement and articulation with its neighboring anatomical surfaces.

This form of osteopathic manipulation reduces and may completely eliminate the physical signs of somatic dysfunction, neural impingement, tenderness, pain, asymmetry, and restricted movement. Of all the osteopathic techniques, HVLA most closely resembles that of the chiropractic profession; one difference between osteopathic manipulative therapy and chiropractic therapy is that while chiropractors may at times engage a joint past its restrictive barrier and beyond its normal anatomical range of motion, an osteopath will always seek to correct the movement within the physiologic range of the joint. This allows for less contraindications, less adverse reactions, and higher rates of success and patient experience.

Joining this course you will

Develop practical and clinical skills underlying an integrative and multidisciplinary approach.

Learn when and how to use HVLA Techniques for the benefit of your patients.


The course is structured into two modules (Level 1 and Level 2) – each will be taught over the course of three days: Friday, Saturday, and Sunday from 9:00 am to 6:00 pm. It will total 48 contact hours with the opportunity to receive 4.8 CEU credits.

Participants will be evaluated based on observation in laboratory, class participation, and oral examination.

The modules are structured to first guide participants through a sound review of functional anatomy, to develop a personalized assessment routine, to safely practice a meaningful set of soft tissue release techniques and structural HVLA techniques, and to apply integrative osteopathic clinical reasoning to various cases.

Each module will focus on a set of specific body areas, in order to provide participants with a safe regional osteopathic structural approach fully applicable in their everyday practice.

Raggruppa 310


The course is both evidence-based and evidence-informed and the instructional strategies are “Student Centered”.

Active learning strategies such PBL (Project Based Learning) and TBL (Team Based Learning) approaches will be integrated with frontal lectures and practical sessions in order to promote an effective adult learning environment.

You will improve your theoretical knowledge and learn new practical approaches through active learning involving and transforming your own experience.


Main Instructor
Paolo Tresoldi

Additional Tutors and Instructors
Andrea Orlandi, Michelangelo Pavone, Gianluca Simonetti

Course Coordinators
Maret Rossi, Maria Mikoyan

Read more about our Faculty

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