
Most clinicians were taught manipulation.
Few were taught to trust it.
You know the technique exists. You may have been shown it in school, or picked it up in a course that moved too fast and left you uncertain about when — and whether — to apply it.
Precision with HVLA isn’t just about the thrust. It’s about reading the joint, understanding regional biomechanics, knowing exactly what you’re testing and why.
Without that foundation, the technique works sometimes and you’re not sure why — or doesn’t, and you don’t know what to change.
This course builds the foundation that most training programmes skip.
What the course covers
18
Hours of hands-on training
Two full days. No filler — every hour is on the table applying technique with direct feedback.
6
Core skill areas
Short-lever manipulation, regional safety testing, biomechanics, clinical reasoning, HVLA precision, and lab practice.
100%
Hands-on
No passive learning. Every concept is demonstrated and practised in the room with the ability to ask any questions.
1
Instructor
Direct feedback from a fellowship-trained manual therapist with over a decade of clinical application.
This is for you if...
You’re a licensed PT or 3rd-year DPT student
You’ve been taught manipulation but lack confidence applying it clinically
You want to understand the biomechanics behind the technique, not just the steps
You’re ready to leave with skills you can use straight away
Ready in 3-Steps
Step 1
Reserve your spot
Click the link below to reserve your spot at our next training
Step 2
Get ready
Prepare any questions you might have around advanced therapy techniques
Step 3
Attend the program
Listen, take notes & be sure to ask questions

About the instructor
Dr. Oron Fiksel holds a Doctorate of Science in Physical Therapy with doctoral research focused on manual therapy for chronic headache and TMJ dysfunction.
He completed his Fellowship in Orthopedic Manual Therapy through the North American Institute of Orthopaedic Manual Therapy in 2023 — the highest post-graduate clinical credential available in this field.
He has treated patients across Israel, India, New York, New Jersey, and South Florida, including world-ranked competitive athletes and complex post-surgical cases.
He has been teaching and applying spinal manipulation clinically for over a decade. The techniques covered in this course are ones he uses in practice every week.