“Dr. Dunning’s dry needling course is far beyond just inserting needles into trigger points within muscles. Needling techniques are demonstrated for the direct treatment of tendons, ligaments, musculotendinous junctions, teno-osseus junctions and peri-neural stimulation. In addition, a comprehensive review of the literature underpinning the use of dry needling in musculoskeletal practice is given. I highly recommend this osteopractic dry needling course for all physical therapists interested in improving outcomes of patients with neuromusculoskeletal conditions.”

Dr. Wade Baskin, DPT, Cert. SMT, Cert. DN – Louisville, MS


“Dr. Dunning is the real deal; he can manipulate extremely well. He knows the evidence and dispels many of the myths and misconceptions about traditional manual therapy approaches. I recommend these osteopractic manipulation courses to all physical therapists, especially Fellows who want to become experts in spinal manipulation technique.”

Marcos Parga, PT, ATC, FAAOMPT – El Paso, TX


“Dr. James Dunning is an excellent lecturer, superb demonstrator and marvelous manipulator. His knowledge of the relevant spinal manipulation literature is extraordinary. I intend to does this course and the spinal manipulation techniques justice in my medical practice.”

Dr. Steven Landau, M.D. – Smithfield, NC


“My patients need spinal manipulation in certain situations. As a medical physician, I need to have the humility to know when medication is making a difference and when it is not. On this course, I learned how to effectively treat a variety of musculoskeletal pain syndromes with specific spinal manipulation procedures.”

Dr. Randy Naidoo, M.D. – Dyess Air Force Base, Abilene, TX


“This was a fantastic course! It was the most evidence-based and practical spinal manipulation course I have ever attended. Dr. Dunning supported the HVLA Thrust manipulation techniques with robust and recent evidence in the literature, not anecdotal stories. There was no wasting of time, and fantastic “clinical tips” were demonstrated throughout the course.”

Riccardo Rosa, PT, Cert. SMT, Cert. DN, Dip. Osteopractic – Saronno, Italy


“This was a fantastic class, and it was evidence-based. It not only met, but exceeded my expectations. I am looking forward to taking the advanced Osteopractic Spinal Manipulation course.”

Dr. Kristi Salinas, M.D. – San Antonio, TX


“Dr. James Dunning is a master clinician and educator. He is able to condense a considerable amount of material and make it clinically applicable. The idea of using thrust manipulation in practice can raise concern with some clinicians with limited experience; however, Dr. Dunning makes the participants at ease and comfortable with learning the techniques.”

Dr. William J. Hanney, PhD, DPT, ATC, MTC, CSCS – University of Central Florida, Orlando, FL


“Easily one of the best spinal manipulation courses I have ever taken. Thrust manipulation techniques are demonstrated and instructed for the entire spine and pelvis with a strong evidence-based explanation.”

Michael Turner, PT, MSc, OCS, MTC, FAAOMPT – Honolulu, HI


“The DN-1 & DN-2 dry needling courses by Dry Needling Institute provided both the evidence and practical skills for peri-neural, muscular, and connective tissue needling. It wasn’t just about inserting needles into taut bands or ‘trigger points’ like so many other courses out there. The course was framed by real life neuromusculoskeletal conditions that patients actually present with in clinic, not individual muscles. That is, I learned both the evidence and the hands-on needling skills to use dry needling for the treatment of knee osteoarthritis, plantar fasciits, mechanical neck pain, chronic low back pain, pelvic and hip pain, temporomandibular disorder, lateral epicondylalgia, shoulder pain, carpal tunnel syndrome, migraines, cervicogenic and tension type headaches.”

Victoria Galante, PT, MOMT, Cert. DN, FAAOMPT, Dip. Osteopractic – Phoenix, AZ


“The DN-2 Dry Needling course by Dry Needling Institute was exemplary. Unlike other dry needling courses that I have attended, Dr. Dunning’s depth of knowledge of the relevant literature and clinical background in both acupuncture and dry needling makes this course both first rate and truly evidence-based.”

Dr. Justin Dunaway, DPT, Cert. SMT, Cert. DN – Phoenix, AZ


“I have been a Physical Therapist for over 28 years and I’ve taken countless continuing education courses. Dr. Dunning’s dry needling course was by far the best, most evidence-based and useful course I have ever taken!”

Antoinette Munoz, PT, Cert. DN – Sedona, AZ


“Dr. Dunning’s DN-1 and DN-2 dry needling courses are a step above the rest. Dunning’s Dry Needling Institute teaches a highly evidence-based approach to dry needling for a wide variety of neuromusculoskeletal coniditons, not just myofascial trigger points. Needle puncture of tendons, ligaments, musculotendinous junctions, and teno-osseus junctions is instructed. In addition, and consistent with the literature, peri-neural and peri-vascular needling is integrated for conditions such as carpal tunnel syndrome, sciatica, or other neurogenic pain syndromes. In short, Dr. Dunning teaches a comprehensive and evidence-based approach to dry needling, not a narrowly focused TDN approach that lacks broad underpinning by the literature.”

Eric Shifley, PT, Cert. DN – Ideal Physical Therapy, Phoenix, AZ


“Best course I’ve taken in 14 years of clinical practice! This course is clearly evidence-based. Dr. Dunning teaches the performance of supremely comfortable spinal manipulation techniques, and this is what separates him from the the rest. ”

Dr. Andrew Ball, DPT, PhD, PT – Carolinas Medical Center, Charlotte, NC


“The course was excellent. I believe it is cutting edge and where we need to move as a profession. In two days, Dr. Dunning got rid of my headache that four practitioners (in 10 years) have been unable to cure. Thanks so much!”

Cindy Zalamea, PT – Winston Salem, NC


“Dr. Dunning is a dynamic, rational, realistic and proficient clinician. The knowledge and high-velocity thrust manipulation techniques that Dr. Dunning taught have enriched my osteopathic practice and demystified many areas in the realm of spinal manipulation. This is a great program!”

Roberto Bellinfante, D.O. – Montreal, Quebec, Canada


“What every manual therapist needs to be successful at spinal manipulative therapy. There are no other courses teaching such advanced and highly effective high-velocity low-amplitude thrust manipulation techniques like this one!”

Dr. Dmitry Shestakovsky, DPT, PT – Omega Physical Therapy, New York, NY


“Fantastic course that all physical therapists should take!  Dr. Dunning has a passion for finding the perfect pop!”

Danny Jordan, PT, MPT – Owner, Jordan Physical Therapy Center, Palm Desert, CA


“Dr. Dunning’s DN-1 and DN-2 dry needling courses are packed with ready to use information and backed by a vast amount of the most current evidence. Well worth the time and money!”

Dr. Kirk Sachtler, DPT, OCS, Cert. DN – Lake Tahoe, CA


“Dr. Dunning, Dry Needling Institute, and Spinal Manipulation Institute are elevating the physical therapy profession. Dr. Dunning’s dry needling & osteopractic spinal manipulation courses are a big step in the right direction for me, my practice, and my patients.”

Dr. Keith Fandry, DPT, Cert. SMT, Cert. DN – Scottsdale, AZ


“This course taught some fantastic osteopractic spinal manipulation techniques for those troublesome spots such as the cervicothoracic junction, thoracolumbar junction, upper cervical spine and sacroiliac joint.

Gary Kearns, PT – Allen, TX

“Dr. Dunning & Dry Needling Institute deliver the most evidence-based and practical dry needling course out there. If you want to practice dry needling and spinal manipulation in a manner that is consistent with the actual evidence, on a wide variety of musculoskeletal conditions, then I highly recommend Dr. Dunning’s course series.”

Cory McKinnon, DPT, Cert. SMT, Cert. DN – Casa Grande, AZ


“I really like the overall approach.  The techniques are comfortable, not painful.  The course demystifies manipulative techniques.”

Dr. Susan Appling, PT, PhD, OCS, MTC – University of Tennessee Health Sciences Center, Memphis, TN


“An excellent course in spinal manipulation! This knowledge and skill set will certainly help my medical practice. Dr. Dunning’s spinal manipulation techniques are both practical and evidence-based. Highly recommend this course.”

Dr. Ayyoub Baqer, M.D., F.R.C.P. – Physiatrist, Alrumaytheyah, Kuwait


“Dr. Dunning teaches original osteopractic HVLA thrust manipulation techniques that are less dangerous and very comfortable. He is an excellent teacher.”

Sebastein Lemire, D.O. – Montreal, Quebec, Canada


“I have attended nearly all major education courses from the biggest names in our field.  I rarely see instructors that combine complete knowledge of the anatomy and the literature with excellent clinical skills.  Dr. Dunning is very impressive.”

Jeff Allen, PT, OCS – Allen Physical Therapy, South Lyon, MI


“Dr. Dunning’s osteopractic spinal manipulation and dry needling courses are brilliant. All the SMT and DN courses are thoroughly grounded in the evidence. The thrust manipulation techniques are immediately effective on real patients Monday morning. The DN-1 and DN-2 dry needling courses are so much more than sticking needles into taut bands or ‘trigger points’. I learned peri-neural, muscular, and connective tissue needling techniques for a broad range of musculoskeletal conditions; in addition, I now have a vast amount of literature supporting dry needling that I can give to either patients or referral sources.”

Dr. Suzanne Walsh, DPT, Cert. SMT, Cert. DN – Bisbee, AZ


“Dr. Dunning has the ability to cut to the heart of the matter and teach dry needling techniques that are truly evidenced based. The DN-1 and DN-2 dry needling courses by Dry Needling Institute includes peri-neural, ligament, teno-osseus, musculotendinous and scar needling techniques, not just intramuscular trigger point needling. Dry Needling Institute teaches dry needling for the management of real clinical ‘conditions’ (i.e. plantar fasciitis, knee osteoarthritis, cervicogenic headache, low-back pain, lateral epicondylalgia, carpal tunnel syndrome etc) not individual muscles that patients usually do not present with; furthermore, multiple needles stay in situ for between 10 – 30 minutes as is the case in the controlled trials in the literature. This is the most evidence-based dry needling approach out there.”

Dr. Liz Marr, DPT, PhD, PA-C, Cert. DN – Lake Havasu City, AZ


“Very impressive techniques, theory and practical.  The techniques were theoretically sound and very applicable to our patient population.  I will send all of our therapists to this class as it would be a great investment for my company and our patients.”

Wade Rinehart, PT – First Choice Physical Therapy, Lynn Haven, FL


“This course provided a nice introduction to osteopractic manipulation techniques without getting bogged down in the minutia.  A must for any P.T. looking to improve his/her manual skills”

Jack Bice, PT – Huntsville, AL


“The course instructor was very passionate and knowledgable about the material.  The lab portion of the course was excellent.  We didn’t get bogged down with the biomechanical debates or discussions that often happen in spinal manipulation courses; this allowed ample time to practice the techniques.”

Adrian Carvalho, MPT, Cert. MDT, CSCS – Golden Gate Physical Therapy, San Francisco, CA


“Best spine course I’ve taken in 20 years of CEU education!”

Dr. Gary Uyeda, DPT, Cert. MDT, ATC, LMT, CSCS – Kaneohe, Hawaii


“This is an excellent course that gets straight to the point.  I’ve learned powerful tools that I’ll be able to use right away on my patients.  I would recommend this course to anybody treating spine problems.”

Max Piche, PT – Montreal, Quebec, Canada


“Best and most useful course I’ve ever taken.”

Gary Barker, PT – Hands On Rehab, Baton Rouge, LA


“Excellent course with a good blend of evidence-based practice, techniques and case presentations.  I would highly recommend this course to any manual therapist!”

Steve McCarthy, PT, OCS, FAAOMPT – Portland, OR


“The skills learned on this course will be very helpful in my spine based practice.”

Jody Rawlings, PT – Spine & Sport Physical Therapy, Rexburg, ID


“Well worth the money!”

David Bien, PT – Concentra Medical Centers, Brea, CA


“I wish I had taken this course years ago.  It would have decreased my use of mobilizations and wear on my body and increased the effectiveness of my treatments. ”

Shannon Ludloff, PT – Concentra Medical Centers, Huntington Beach, CA


“Excellent knowledge backed by research.  Wonderful hands on class with constant feedback.  I would recommend this course to any PT interested in stepping to the next level in manual therapy.”

Angela Cason, PT – Flowood, MS


“If you want evidence-based practice, you get it.  This course will change your mind about traditional therapy approaches and get your treatments to a new level.”

William Myers, PT – Borger Physical Therapy, Borger, TX


“This course is for every physical therapist interested in evidence-based practice.”

Dr. Cory Scott, DPT, PT – Fort Walton Beach, FL


“This is an incredible course.  The techniques are easy to learn and amazingly effective.  I’m looking forward to taking all of Dr. Dunning’s courses.”

Jonathan Marino, PT, MS – Superior Rehab, Lafayette, LA


“This course covered many thrust manipulation techniques in two days.  I gained information that is mandatory for treating the entire spine.  Plus my neck has not felt this good in over a decade!”

Kimberly Arnold, PT – Chattanooga, TN


“Amazing hands-on thrust manipulation techniques learned without having to first take 6-10 prerequisite courses.”

Jon Link, PT – Co-owner, Orthopaedic & Sports Therapy Institute, Cherry Valley, IL


“Extremely liberating theoretically and physically.”

Julius Rivera, PT – Sonoma Valley Hospital, Sonoma, CA


“This course is 80% hands-on thrust manipulation and something I have always wanted to do.”

Upender Singh, PT, MPTh (OM), OCS – Back in Motion Rehabilitation, Saginaw, MI


“This course is a clinicians dream.  The thrust manipulation techniques are very precise.”

Arnold Hebron, PT – St. Anthony Hospital, Chicago, IL


“This course cuts to the meat of thrust manipulation technique and is supported by the most up-to-date scientific research.”

Don Williams, PT – Oak Forest, IL


“If you’re looking for a “hands-on” spinal manipulation course, this would definitely be it!”

Dr. Katie Stearns, DPT – Eau Claire, WI


“This course brings a great perspective and application of the current literature in a frame-work that allows you to have highly effective treatments.”

David Love, PT – In Touch Therapy, South Hill, VA


“Excellent course!  I highly recommend this osteopractic spinal manipulation course to physical therapists practicing manual therapy.”

Karen Agostinucci, PT – Rhode Island Rehab South, Wakefield, RI


“This was the most evidence-based course that I have attended in the last 5 years!”

Daniel Macca, MS, PT – Bayside Rehabilitation, Melfa, VA


“Definitely recommend this course.  Excellent for practitioners who already use spinal manipulation because it takes you to another level.”

Jerry Barclay, PT – Kaiser San Diego, CA


“This course will dramatically improve the outcomes of my patients!”

Dr. Spencer Schreckengaust, DPT, OCS – Gasper Doctors of Physical Therapy, San Diego, CA


“Great course that teaches you how to perform pain-free thrust manipulation techniques that you can utilize proficiently by the end of the course.”

Dr. Kahl Goldfarb, DPT, OMT, CSCS – Owner, Water & Sports Physical Therapy, San Diego, CA


“This course demystifies spinal manipulative therapy.  It presents the most current and sound evidence to support the use of a wide range of spinal manipulation techniques.”

Dr. Kevin Pansky, DPT – San Diego, CA


“Straight up instruction without having to be politically correct.  Dr. Dunning got us into the practical sessions right away.”

Dr. Mike Straton, DSc, PT, MA, ATC – Gilbert, AZ


“Dr. Dunning’s osteopractic manipulation and dry needling course series has reframed the way I treat spine patients. His courses are flat out phenomenal and simply the best!”

Paul Berkeley, PT – Watertown, MA


“Dr. James Dunning has an awesome body of knowledge and shares it well during the seminar.”

Josue Rodriguez, PT – Monterey, CA


“This course helped me understand and treat the difficult areas of the spine that are not taught in other courses. You get immediate results with the techniques.”

Marty Romero, PT – Concentra Medical, Colorado Springs, CO


“I learned multiple osteopractic spinal manipulation techniques that I had never seen or read about prior to this course.”

Houston Daniel, PT – Albany, GA


“Very practical and effective spinal manipulation techniques are taught in this seminar. ”

Dr. Mark Dardis, EdD, DPT – Phoenix, AZ


“This course was an excellent place to build my spinal manipulation skills using an evidence-based approach.”

Tonya Olson, PT, MS – Rebound Physical Therapy, Bend, OR


“Excellent course to bridge the gap between joint mobilization and joint manipulation.”

Sam Dalal, PT – Houston, TX


“This is an excellent, comprehensive and thorough course on spinal manipulation.  The information and techniques can be immediately applied in the clinic.  Excellent value and very practical.”

Mary Luckey, PT, GCS – Bossier City, LA


“An excellent course.  I learned spinal manipulation techniques that I can start using in the clinic tomorrow.”

Adam Blumberg, PT – Richardson, TX


“It’s refreshing to have someone know the literature, but set it straight for the real world clinician!”

Debbie Leiter, PT – Miami, FL


“This is an evidence-based course in the use of spinal manipulation techniques.”

Dr. Simeon Lao, DPT, MTC – Tampa, FL


“Combines intuition and clinical evidence extremely well, and delineates what the current research supports.”

James Smail, PT, MSPT – Martin Memorial Health System, Stuart, FL


“Dr. Dunning’s knowledge of the current research and his ability to defend each statement is very impressive.”

Dr. Miguel Quintana, DPT, ATC, MTC – Ocala, FL


“Best spinal manipulation course I have ever taken!”

Daniel Villalta, PT, MPT – Physiotherapy Associates, Miami, FL


“This course is taking the profession in the direction it needs to go.  Dr. Dunning is very passionate about this topic.”

Scott Collins, PT – Birmingham, AL


“Dr. Dunning is a very entertaining and forthright speaker who cuts to the chase.”

Reta Pool, PT – HealthSouth Rehab, Dothan, AL


“This course provided exactly what it said it would; that is, instruction in the performance of high-velocity low-amplitude thrust manipulations.  In addition, these techniques were pain free, especially in the cervical region.  Great course!”

Vic Patel, PT – Rehab In Motion, Robertsdale, AL


“Most practical course I have attended.  I will be able to use these techniques Monday.”

Rose Dawson, PT – Maxwell Air Force Base, Montgomery, AL


“Easily the most instructive continuing education course of the spine that I have taken in 10 years of practice.  Great techniques to apply immediately.”

Chet Sternfels, PT – Thibodeaux, LA


“Excellent evidence-based course with a balance of research and Dr. Dunning’s experience in the clinic.”

Steve Friend, PT – Methodist Rehab, Jackson, MS


“Great course for effective thrust manipulation techniques for all spinal regions.  This course especially improved my confidence immensely in treating upper cervical spinal dysfunctions with high-velocity low-amplitude thrust manipulations.”

Brent Congo, PT – Madison, AL


“Dr. Dunning provides the evidence-base behind the use of  HVLA thrust manipulation techniques and debunks many ideas that our profession holds onto.  I would recommend this course to all manual therapists who want to enhance their spinal manipulation skills. ”

Scott Myers, PT – Queen Creek, AZ


“This is the course every physical therapist needs for their back and neck patients, it is as simple as that!”

Prathima Maddela, PT – Saginaw, MI


“I feel like I received the “meat and potatoes” of spinal manipulation.  This was exactly what I needed to further my manual therapy practice.”

Sara Manwiller, MSPT, ATC, CSCS – JointWorx Physical Therapy, CO


“A must course for all manual therapists!”

Dr. Dennis Welling, DPT, PT, LMT, CMT – Nashville, TN


“Excellent lab work with a clearly skilled instructor who presented evidence for the effectiveness of high-velocity low-amplitude thrust manipulation to the spine.”

Ed Scott, PT, OCS – Lafayette, IN


“This course is a must for every clinical toolbox!”

Dr. John Johnston, DPT, PT – Norwell, MA


“Outstanding course!  Way to cut through a lot of scientific dogma and get to the heart of what actually works and why.  Thank you Dr. Dunning.”

Dr. Zach Hunt, DPT, CSCS – Little Rock, AR


“Dr. Dunning’s use of the evidence in the literature to support the use of HVLA thrust manipulation techniques was exceptional and questions traditional approaches effectively.”

Dr. Thomas Bukoskey, DPT, PT – Associate Professor, Tennessee State University, Nashville, TN


“This was a great course!  It will go a very long way in advancing our profession.”

Chris Amundson, PT – Reno, NV


“This spinal manipulation course teaches the missing link in manual therapy skills; it will springboard your outcomes from good to excellent!”

Lorrie Harper, PT, MSPT – Eden, UT


“Excellent course!  I can use the spinal manipulation techniques taught on this course come Monday, and for the rest of my practice life.”

Bruce Murri, PT – Mountain Land Physical Therapy, Emmett, ID


“Every physical therapist needs this knowledge and to master these spinal manipulation skills.”

Bob Kannaka, PT – Denver, CO


“This was a fantastic course in spinal manipulation evidence and practical techniques!”

Christian Papeschi, Physiotherapist – Lucca, Tuscany, Italy


“Dr. Dunning is an excellent teacher.  This was a very useful course in learning HVLA Thrust manipulation techniques.”

Rocco Barbanera, Physiotherapist – Terni, Italy


“This course took the performance of spinal manipulation techniques to a higher level of effectiveness, comfort and success.”

Damon Rouse, MPT, OCS – Owner, PT & Back Clinic of Leicester, Asheville, NC


“Dr. Dunning is well informed and is an excellent instructor. I am going to take all 4 courses in the HVLA Thrust Manipulation series to attain the Certification in Spinal Manipulative Therapy.”

James Bruder, PT, MPT – Simpsonville, SC


“This is an excellent course for the learning of high-velocity low-amplitude thrust manipulation procedures. You will be able to apply the spinal manipulation techniques immediately.”

Lester Baumgarten, MS, PT, ATC – United States Air Force Academy, Colorado Springs, CO


“This course teaches great osteopractic spinal manipulation techniques that are backed by up-to-date research.”

Allan Lee, PT – Blue Ridge, GA


“The HVLA thrust manipulation techniques taught on this course work on my patients.”

Dr. Bryan Ruchin, DPT, MSPT, PT – Atlanta, GA


“Best no nonsense course on spinal manipulation that I have ever attended, and I have been to many with many different lecturers.”

Errol LeBlanc, PT – LHC Group, Opelousas, LA


“In 20 years of practice, this was the best hands-on spinal manipulation techniques and evidence-based course I’ve attended!”

Kevin Thibodeaux, PT – Lafayette, LA


“Perfect mixture of lecture and hands-on instruction.  I look forward to using the high-velocity low-amplitude thrust manipulation techniques and helping many patients with them.”

Dr. John Layne, DPT, PT, MTC – Opelousas, LA


“Best spinal manipulation course I have ever attended.  This course was very complete.”

Robert Genovese, PT – Louisiana Health System, Opelousas, LA


“Wonderful course for the manual therapist to advance their spinal manipulation skills.”

Dr. Tracy Hebert, DPT, MTC – Lafayette, LA


“Finally, someone is teaching evidence-based spinal manipulation.”

Rob Nelson, PT – Bend, OR


“Dr. Dunning demonstrates an unapologetic honesty as to the current state of the literature surrounding the use of high-velocity low-amplitude thrust manipulation and he gives you the hands-on skills to break away from the competitors.”

Dr. Jeff Moore, DPT – Bozeman, MT


“Dr. Dunning is extremely skilled at spinal manipulative therapy, communicates the theory and evidence underpinning the use of spinal manipulation with ease, and displays an astounding body of knowledge. Dr. Dunning is an outstanding educator and clinician.”

Danny Stobaugh, PT – Springfield, OR


“Very effective and safe high-velocity low-amplitude thrust manipulation procedures are instructed on this course.”

Dan McClanahan, PT – Albuquerque, NM


“The best and most useful course that I have ever attended.  It was thorough and very applicable to my practice.”

Brent Darrington, PT – Dallas, OR


“Dr. Dunning is a master of spinal manipulation.  The high-velocity low-amplitude thrust manipulation procedures taught on this course are wonderful.”

Dr. Paul Batchelor, DPT, MPT, MTC, CSCS – Sport & Spine Physical Therapy, San Juan Capistrano, CA


“This is an excellent course; a no nonsense approach to osteopractic spinal manipulation.”

John Kitchen, PT – Germantown, MD


“Dr. Dunning is “The Master” of spinal manipulation.  He is very good at teaching and guiding the student to get the “successful” manipulation every time.”

Danny Jordan, PT – Palm Desert, CA


“This is the only spine course that truly teaches high-velocity low-amplitude thrust manipulation!”

Gary Uyeda, DPT, Cert MDT, ATC – Oahu, Hawaii


“Best course I have taken in many years.”

Adrian Carvalho, MPT, CSCS, Cert MDT – San Francisco, CA


“This course provided me with the knowledge, hands-on-skills and treatment “edge” that so many of my peers lack or are affraid to learn.”

Walter Robert Burbella, PT – Cranford, NJ


“A must attend spinal manipulation course!”

James Mikrut, PT – Mikrut Physical Therapy, Dewey, AZ


“This spinal manipulation course is clear, concise and very practical. I highly recommend this continuing education course to all physical therapists. ”

Christian LoCascio, PT – U.S. Men’s Professional Tennis Tour


“Dr. Dunning dispelled many of the myths common to physical therapy practice today.  The cervical high-velocity low-amplitude thrust manipulation techniques taught on this course are safer and more comfortable than traditional techniques.”

Dr. Patrick Bray, DPT – Frazier Rehab Institute, Louisville, KY


“Extremely informative and refreshing course.  I loved all the hands-on practice of the spinal manipulation techniques taught and the one-on-one personal feedback from Dr. Dunning.”

Dr. Sarah Matics, DPT, ATC – Generations Physical Therapy, Teays Valley, WV


“Finally a course that offers practical spinal manipulation techniques that should be performed by all physical therapists.”

Nicole Swiatek, PT – Advanced Care Physical Therapy, Buffalo, NY


“This osteopractic spinal manipulation course is the missing component to manual therapy that you never learned in school!”

Tony Bruni, PT – Niagara Falls, NY


“This was the best continuing education course I have attended in 12 years of practice!”

Dr. Keith Barrett, DPT, PT – Columbus, OH


“This spinal manipulation course will change your practice immediately.  You will learn the best research and be able to think more clearly during the diagnostic process.”

Ann Rugh, PT – Catskill, NY


“Finally, a spinal manipulation course that doesn’t beat around the bush, but gets down to the actual technique delivery and performance of high-velocity low-amplitude thrust manipulation procedures.”

Dr. Mark Waldrop, DPT, PT – Newbury Physical Therapy, Newbury, SC


“Excellent course with supportive research references as well as the highly skilled demonstration of all spinal manipulation techqniques.”

Debra Virtanen, MS, PT – Riverfront Physical Therapy, Troy, NY


“Hands down, this was the most engaging and exciting educational opportunity!”

Karen Bonney, DPT Student – University of South Carolina, Columbia, SC


“This course was an eye opening experience into the integration of evidence-based practice and spinal manipulation procedures.”

Tristan Neville, DPT Student – University of South Carolina, Columbia, SC


“The level of skill displayed by Dr. Dunning during spinal manipulations far exceeds anything I have seen so far.  In addition, the procedures and principles advocated by Dr. Dunning were evidence-based at the highest level.”

Dr. Tom Siwy, DPT, PT – Brooklyn Comprehensive Care Center, New York City, NY


“The spinal manipulation techniques were explained by Dr. Dunning in the most effective and efficient manner of any manual therapy course I have ever taken.”

Dr. Vanessa Muncrief, DPT, PT – Harkness Center for Dance Injuries, New York City, NY


“This spinal manipulation course was simply awesome!”

Joe DiVincenzo, MSPT, COMT – Beverly, MA


“Dr. Dunning’s specific instruction in high-velocity low-amplitude thrust technqiues helped me improve the quality and delivery of many of the spinal manipulations I perform.”

Brian Russ, PT, FAAOMPT – Wellington, FL


“It’s great that there is finally a course for physical therapists that teaches “hands-on” high-velocity thrust manipulation procedures.  It is a necessary tool.”

Dr. Dmitry Shestakovsky, DPT – Omega Physical Therapy, Brooklyn, New York City, NY


“This course was by far the best hands-on training I’ve ever received in spinal manipulation!”

Dr. Michelle Briancesco, DPT, PT – New York, NY


“Simply the best and most useful course I have ever been to!  It will help me in day to day practice tremendously.”

Jonas Grani Gardarsson, Physiotherapist – Iceland Physiotherapy, Reykjavik, Iceland


“This spinal manipulation course answered questions that I have had for 12 years of practice as a physiotherapist.  It was an excellent course!”

Petur Orn Gunnarsson, Physiotherapist – Iceland Physiotherapy, Reykjavik, Iceland


“One of the best seminars I have attended; it was both evidence-based and hands-on.”

Hjalmar Sigurdsson, Physiotherapist – Hofn, Iceland


“This was an excellent course in spinal manipulation. ”

Einar Hardarson, Physiotherapist – Klinik Physiotherapy, Reykjavik, Iceland


“This spinal manipulation course was the best, no-nonsense and evidence-based manual therapy course I have ever attended.  I know that my patients will benefit from these procedures.”

Dr. Wade Baskin, DPT, PT, RRT – GT Physical Therapy, Louisville, MS


“This was the most clinically relevant continuing education course I’ve attended!”

Scott Higgs, MPT – North Oaks Rehabilitation Services, Hammond, LA


“This course demystified spinal manipulation and taught high-velocity thrust manipulation procedures that I can feel confident and competent to use immediately in the clinic.”

Karl Kleinpeter, PT – Baton Rouge, LA


“Best course I have attended!  Plenty of hands-on lab hours and feedback to help learn the high-velocity low-amplitude thrust manipulation procedures.”

Scott Pitarro, PT – North Oaks Rehabilitation Services, Hammond, LA


“The most patient friendly and comfortable cervical spine manipulation techniques I’ve been shown.”

David Hite, PT – Lafayette, LA


“This course encourages a paradigm shift with regard to the use of spinal manipulation in daily practice. ”

Dr. Lonny-Christopher Nenadovich, DPT, MS, MTC, STC, CSCS – Tuscon, AZ


“This course is breaking the proverbial box!”

Dr. Lauren Bounds, DPT, PT – Scottsdale, AZ


“Excellent course with outstanding use of the current literature to support spinal manipulation procedures.  This course revolutionized the way I treat my patients.”

Dr. Jeffrey Winter, DPT, PT – MultiCenter Physical Therapy, Blaine, MN


“Out of the six spinal manipulation classes I have taken over the last four years, the spinal manipulation techniques learned on this course are the easiest to apply to real life clinical practice. ”

Matthew Vraa, PT, MPT, MBA – St. Paul, MN


“One of the best instructors and best courses I have ever taken!  The spinal manipulation techniques are concise and immediately useable on patients.”

Barry Griffith, PT, MPT – Minneapolis, MN


“Excellent use of research studies to support the use of spinal manipulation in daily practice.  This course demystified spinal manipulation.”

Isaac Schaan, PT, CSCS – Rochester, MN


“Fantastic course.  Very informative and excellent skills were demonstrated by the instructor.”

Ross Van Natta, PT – St. Paul, MN


“Dr. Dunning presented both the current evidence and the actual performance of spinal manipulation techniques that work every time.”

Dr. Cathy Ortega, EdD, PT, ATC, OCS – University of Texas San Antonio


“This was an excellent course.  The spinal manipulation techniques taught were both evidence-based and clinically relevant.”

Marta Solomon, PT – San Antonio, TX


“I have been licensed in the State of Texas as a physical therapist for over 22 years.  Out of the dozens of courses and instructors, none have rated higher than Dr. Dunning.   With the use of just four high-velocity thrust manipulations, Dr. Dunning was able to completely eliminate vertigo and migraine in a live patient with a 20 year history of this problem–it was amazing and fantastic!”

Cruz Jimenez, PT – Jimenez Physical Therapy, San Antonio, TX


“Everyone in our profession needs to take this course!”

Dr. Matt Casseday, PT, DPT – Denver Physical Therapy, Denver, CO


“It’s about time for a spinal manipulation course like this!”

Chris White, PT – Brunswick, ME


“It was nice to learn the no-nonsense approach and evidence-based truth about spinal manipulation.”

Troy Harbour, PT – Carbondale, CO


“Great course!  The knowledge base of Dr. Dunning was very motivating.  Dr. Dunning presented the most recent research to support the clinical need and benefit of spine manipulation to a variety of conditions.  The course was well organized with lots of time to practice the HVLA Thrust Manipulation techniques.”

Jason Thyne, PT – Physical Therapy Professional Services, Kearney, NE


“After many years of sacroiliac joint pain from competitive sports, this was the first manipulation technique where my SI joint was actually manipulated, not my lumbar spine.  I’ve never had spinal manipulation feel so comfortable.  Very enlightened following the course.”

Dr. Errin Nelson, PT, DPT – Omaha, NE


“One of the best manual therapy courses I’ve been to.  Great lab-based course with the supporting research evidence also presented.”

Dr. Aaron Wenburg, DPT, PT, SCS, CSCS – Hastings Physical Therapy, Hastings, NE


“This was the best course I have taken in 17 years as a physical therapist!”

Stephan Abraas, PT – Canon City, CO


“Dr. Dunning teaches highly effective and evidence-based spine manipulation techniques.”

Dr. Mirko Vuksic, DPT, MPT, OCS, CSCS – San Juan Capistrano, CA


“This was my first exposure to high-velocity low-amplitude thrust manipulation techniques. The spinal manipulation technique demonstrations and desciptions were very clear. ”

Rosanne Crompton, PT – University of Michigan, Ann Arbor, MI


“This was an excellent course.  I highly recommend this course for any physical therapist treating spine patients.  The HVLA thrust manipulation technique instruction was first rate and well supported with the use of current literature.  Many of the traditional dogmas held by many within the orthopaedic manual therapy world were de-bunked using copious references from the literature.”

Matt Likins, PT, MPT, OCS – 1st Choice Physical Therapy, Sterling Heights, MI


“The spinal manipulation techniques were taught exceptionally well by Dr. Dunning during the lab portion of the course.”

Dale Waltman, PT, MPT – Royal Oak, MI


“The specific osteopractic spinal manipulation techniques taught by Dr. Dunning surpass all other manual therapy techniques in their effectiveness to treat spinal dysfunction.”

Dr. Ulysses Juntilla, DPT – Columbia, SC


“This is an excellent course in spinal manipulation.  I would recommend it to any physical therapist interested in taking their practice to the next level.”

Kevin Foster, PT – Bay City, MI


“Great course and excellent use of the current research to move our profession closer to true evidence-based practice.”

Brian Gilbert, PT, MSPT, OCS, Cert. MDT – The Center For Physical Rehab, Grand Rapids, MI


“Dr. Dunning has superb spinal manipulation technique that is backed by evidence-based research. This course will certainly change the way you treat your patients!”

Ann Herbert, MPT, OCS – Rehabilitation Health Center, Ann Arbor, MI


“Extremely useful and evidence-based course in high-velocity low-amplitude thrust manipulation procedures.”

Bart Jones, PT – Alexandria, LA


“Outstanding course!  Dr. Dunning has an amazing grasp of the current manipulative therapy research and is able to apply this to into evidence-based practice.  The spine manipulation techniques learned will change the way I practice.”

Vint Schoenfeldt, PT, MTC, CSCS – Denver, CO


“Certainly one of the best continuing education courses I’ve ever taken.  It provided practical hands-on spinal manipulation training opportunities that will tanslate into patient care tomorrow.”

Dr. Sean Flannagan, DPT – OneAccord Physical Therapy, Scottsdale, AZ


“The best manipulative therapy literature review I’ve ever heard.  Dr. Dunning’s ability to demonstrate and teach the spinal manipulation procedures is easy to follow and very effective.”

Troy Marsh, PT, Cert MDT – Tooele, UT


“Finally a course that teaches evidence-based spinal manipulation!”

Neil Cowley, MSPT, CSCS – Delta, CO


“The best spinal manipulation course I’ve attended by far.”

Raul Galvez, PT – Tracy, CA


“This four course series in spinal manipulative therapy is a must for physical therapists who treat spine pain and dysfunction.”

Paul Hughes, PT, MNSMT – Clinton, IL


“Great course that was professionally taught.  Dr. Dunning demonstrated a wide variety of spinal manipulation techniques and supported their use with plenty of evidence.”

Dr. Vinod Somareddy, DPT, PT – Long Island, NY


“This was truly a great course!  I highly recommend this course due to its emphasis on evidence-based practice for musculoskeletal disorders of the spine.”

Karen Agostinucci, PT – Body Mechanix Physical Therapy, RI


“This course was by far the most informative and clinically applicable course that I have ever attended.  I feel confident in returning to work Monday and using upper cervical spinal manipulation procedures for patients with cervicogenic headache.”

Rose Dawson, PT – Maxwell Air Force Base, Montgomery, AL


“Finally a course that gives me real tools!  I wish this four part series of courses in high-velocity low-amplitude thrust manipulation had been available to me 10 years ago.”

Marcus Thomson, PT – Gadsden, AL


“Dr. Dunning is Vision 2020 that materialized 10 years ahead of time!  The demonstrations and explanations of the high-velocity thrust manipulation techniques are very clear and precise.  The course is all substance.”

Dr. Tom Siwy, DPT, PT – New York, NY


“This course in spinal manipulation is all meat and potatoes.”

John Maxwell, PT, LAc – Chicago, IL


“This course teaches advanced spinal manipulation techniques that work every time.”

Christopher Davis, PT – Orthopaedic & Sport Physical Therapy, Lafayette, LA


“The spinal manipulation course I’ve been looking for, for over 15 years, is finally here!”

Dr. Mark Waldrop, DPT, PT – Newberry, SC


“Thie Part I HVLA Thrust Manipulation course was the best course I have taken in 15 years!  Parts II and III advanced level courses were even more helpful in refining my spinal manipulation technique. ”

Dr. Andrew Ball, PhD, DPT, PT – Charlotte, NC


“Dr. Dunning’s passion for the course material is clearly evident throughout the course and he constantly challenges the participant to re-examine the basic concepts that we are taught in physical therapy curriculums.  This challenge is substantiated by relevant and current research evidence, and the instructor has an unbelievable grasp and understanding of the literature.  I walked away from this course with a greater appreciation for critical thinking (as it pertains to clinical practice), as well as the motivation to restructure and refine the methods I use in the clinic on a daily basis.”

Curt Kaun, MSPT, PT, MS, CSCS – Tinley Park, IL


“Extremely practical and hands-on approach to spinal manipulation.”

Jeff Alves, PT, OCS, CSCS – Elk Grove, CA


“I’ve taken a lot of continuing education in 20 years as a physical therapist, and this spinal manipulation course is the most clinically relevant and useful yet!”

David Fabrizio, PT, OCS, CSCS – Los Angeles, CA


“Dr. Dunning teaches a no nonsense, evidence-based approach to the use of spinal manipulation in daily practice.  Excellent course!”

Richard Biggers, PT, CSCS – Focus Physical Therapy & Fitness, Charlotte, NC


“Hands down the best spinal course I have ever taken!  Not only does Dr. Dunning present up to date evidence in support of his spinal manipulation techniques, but he is also able to converse extensively on a variety of spinal manipulation approaches.  I will be able to use the high-velocity low-amplitude thrust manipulation techniques in clinic on Monday morning.”

Dr. Baron Duffy, PT, DPT – Falmouth Hospital, Falmouth, MA


“This spinal manipulation course was extremely informative and useful.  I will immediately be able to use the high-velocity thrust manipulation techniques in my practice.”

Derrick Wolk, PT, MPT – St. Louis, MO


“By far the best course I have ever attended!  I like to see instructors perform the spinal manipulation techniques on real individuals; this way I can see the results right there for myself–this is exactly what this course provided.  Many courses just talk about the theory of spinal manipulation and never demonstrate the actual procedures for you to see.  Dr. Dunning’s course was amazing.”

Dr. Anthony Perella, DPT – Myrtle Beach, SC


“This spinal manipulation course is a wake up call not only for the importance of psychomotor skill development and evidence for the use of thrust manipulation, but for the need to establish our autonomous practice rights as health care providers.”

Miriam Nelson, MPT, OCS, COMT – Asheville, NC


“This spinal manipulation course is a ‘must do’ for all physical therapists.”

Dr. Ian A. Young, DSc, PT, OCS, SCS, Cert. MDT – Savannah, GA


“Dr. Dunning has a vast knowledge of the evidence surrounding the use of spinal manipulative therapy.  An excellent course.”

Dr. Mark Oliver, DPT, ATC, CSCS, CPed – PRO 1 Therapy, Bluefield, VA


“Dr. Dunning has improved the delivery of spinal manipulation procedures by the use of physics principles.  As a result, a very high level of practitioner efficiency and proficiency is achieved on this thrust manipulation course.”

Dr. John Oviedo, DPT – Columbia, SC


“The most evidence-based course in spinal manipulation that you will ever take.  This course actually showed the manipulation techniques and the actual results on real subjects right in front of you.”

Fernando Pinhancos, PT – Warwick, RI


“By attending Dr. Dunning’s spinal manipulation course, I have taken one giant leap toward fulfilling my expectations and true potential as a clinician.”

Dr. Tim Clemmons, DPT, MEd, ATC, CSCS – Spine & Sport, Savannah, GA


“It is about time physical therapists had the opportunity to learn the art of spinal manipulation; it is a skill we have needed to serve our patients for so long!  Excellent course!”

Terri Klein, PT – Roseburg, OR


“Dr. Dunning has a tremendous ability at teaching complex spinal manipulation techniques in a simple and easy to learn format.”

Chris Ford, PT – Tacoma, WA


“Dr. Dunning is the best spinal manipulation educator I have ever met.”

Scott Weber, PT – Bend, OR


“I attend and teach numerous continuing education courses every year, and I have never attended one that allowed so much time for real treatment and laboratory opportunities.  There was a large hands-on portion to the course and the evidence surrounding the clinical use of HVLA thrust manipulation was also presented.”

Dr. Everett Lohman, DSc, PT, OCS – Faculty, Loma Linda University, CA


“Dr. Dunning makes high velocity low amplitude thrust manipulations easy to understand and learn.  He uses evidence-based research to support what he teaches and he shares his knowledge and technique in an entertaining manner.”

Dr. Wesley Swen, DPT, OCS – Redlands, CA


“One of the most useful, hands-on and clinically applicable courses I’ve ever taken!  This course will revolutionize my treatment approach and outcomes.”

Mason Smith, PT, CSCS – Bend, OR


“This spinal manipulation course made a lot of sense, it was a no non-sense approach to spinal manipulation with the evidence to support it.  I will be able to put these HVLA thrust manipulation techniques into practice on Monday morning.”

Josh White, MPT, ATC, MTC – Evergreen, CO


“This course is “boot camp” for spinal manipulation.”

Suzanne Poppen, MA, MPT, CSCS – Gilbert, AZ


“Dr. Dunning is passionate about what he does and is very skillful in spinal manipulative techniques.  His HVLA thrust manipulation techniques are very effective and he can teach you to perform them with amazing results.”

Jonas Holzer, PT – Phoenix, AZ


“Excellent incorporation of evidence into the practice of spinal manipulation. This course challenged my clinical reasoning skills.”

Dr. J.C. Andersen, PhD, PT, ATC – University of Tampa, FL


“Dr. Dunning’s course is a game changer!”

Teresa Glynn, PT – University of Miami, FL


“Great course on high velocity thrust manipulation techniques.  Dr. Dunning is a motivator for the autonomy of the profession.  I enjoyed his passion for what he does and his no-nonsense approach to the examination and treatment of the spine.”

Kurt Otten, PT – Owner, Atlantic Rehab Inc, Lighthouse Point, FL


“This course in spinal manipulation covers material that is not covered anywhere else.  The spinal manipulation techniques are appropriate for the majority of my patient population.”

Rebecca Arce, PT – Miami, FL


“Dr. Dunning opens a “new and improved” area of physical therapy practice and helps us all come out of the closet with spinal manipulation in our practices.”

Maciej Czerski, PT – Fort Myers, FL


“The best course I have ever taken! ”

Dr. David Robertson, DPT – Rome, GA


“This course in spinal manipulation has changed everything for me.”

Dr. Christine Yurcik-Dominick, DPT – Columbia, SC


“This spinal manipulation course was well organized and extremely beneficial.  I will be able to use these high velocity thrust manipulation techniques as soon as I return to the clinic on Monday.”

Dr. Laura Curran, DPT, ATC – Rocky Mountain Spine & Sport, Denver, CO


“I have attended many continuing education courses that have briefly touched on spinal manipulation; however, Dr. Dunning’s course was 100% instruction on the evidence and techniques of only high velocity low amplitude thrust spinal manipulation.”

Dr. Don Miller, DPT, MS, OCS, CSCS – Shelby, NC


“Dr. Dunning is on the cutting edge of spinal manipulation.  He talks the talk, and more importantly, he walks the walk in regards to the practice of high velocity thrust manipulation.  Excellent course.”

Dr. Mike Kelly, DPT, OCS, CSCS – Mt. Pleasant, SC


“This course in spine manipulation has given me the tools to make a greater impact in the pain and disability of my patients.  Great course.”

Nathan Johnson, PT, OCS – Jacksonville, FL


“Dr. Dunning demonstrates spinal manipulation techniques with extreme motor skill and precision. I highly recommend this HVLA thrust manipulation course to colleagues in private practice.”

Michael Williams, PT, MS, ATC, OCS, FAAOMPT – Morro Bay, CA


“Hands down, this is the best spinal manipulation course for HVLA thrust technique development.  Dr. Dunning is setting the bar for evidence-based spinal manipulation courses.”

Ryan Dewitt, MPT, OCS, CSCS – Aptos, CA


“Dr. Dunning has a phenomenal amount of knowledge of the literature surrounding the use of high velocity low amplitude thrust manipulation.  Great course!”

Dr. Tracy Mar, DPT, OCS, CHT, CSCS – Alta Bates Summit Medical Center, Oakland, CA


“Dr. Dunning is an excellent instructor of spinal manipulation techniques.  Not only was the course content great, but he delivered it in a simple, concise manner.  I appreciate the humor, candor and passion; excellent course!”

Philip Hixson, PT – Sacramento, CA


“This course quickly cleans up previously poor spinal manipulation technique and gives the practitioner the ability to safely perform HVLA thrust manipulation in all spinal regions.”

Robert Pauline, PT – Fresno, CA


“An excellent spinal manipulation technique development course that is firmly based on scientific evidence.  The HVLA manipulation procedures are immediately useful in real practice.”

Dr. Donald Uttenreither, DScPT – Porterville, CA


“Dr. Dunning tells it like it is–based on evidence, clinical experience and technique regarding the use of spinal manipulation in real practice.  Thank you.”

Matthew Landon, PT – Rochester, NY


“I’ve never seen research integrated into clinical practice as intimately as Dr. Dunning has presented in this spinal manipulation course.  He is a leading example of evidence-based practice in the area of spinal manipulative therapy.”

Dr. Caleb Terpstra, DPT – Eagle River, WI


“After 24 years as a physical therapist, I was long overdue in learning the art and science of spinal manipulation, but I didn’t want to take multiple pre-requisite mobilization courses before taking actual spinal manipulation courses.  This course is the answer.  I successfully manipulated mutliple spinal regions after this two day course.  Competence in HVLAT manipulation will dramatically change my practice.”

Cindy Marti, PT – Owner, Spinal Dynamics of Wisonsin, Milwaukee, WI


“This course in spinal manipulation by Dr. Dunning will make you re-think every other manual therapy course you have taken.  You will learn both the art and science of spinal manipulation on this course.”

Amy Goebel, PT – Green Bay, WI


“Best money spent on any continuing education course in 10 years!”

Lemuel Seow, PT – Richland Hospital, WI


“I have been to many muscle energy and mobilization courses in 30 years of PT practice and Dr. Dunning’s course in spinal manipulation has finally given me a tool that gives instant success with no more risk than any of the other non-thrust techniques but with much less frustration!”

Linda LaBorde, PT, BCB-PMD – Spinal Dynamics of Wisconsin, Milwaukee, WI


“This was the best spinal manipulation course, and most honest of all the continuing education courses that I have ever taken.  Learning the truth about spinal manipulative therapy is good!”

Dale Piacentine, PT – Tallahassee, FL


“The Part I to IV spinal manipulation seminars taught by Dr. Dunning are the best series of courses I’ve taken in 23 years of practice!  Dr. Dunning has excellent thrust manipulation skills and teaches you these same techniques very effectively.”

Dr. Don Miller, PT, DPT, MS, OCS, CSCS – Shelby, NC


“Dr. Dunning revolutionized my practice!”

Dr. Joe DiVincenzo, DPT – Boston, MA


“It is too bad it took me 12 years to find this advanced technique course in spinal manipulation.”

Marcus Thomson, PT – Gadsden, AL


“Dr. Dunning’s Part III Advanced HVLA Thrust Manipulation course is excellent; it has no ridiculous “filler” material and is all hands-on spinal manipulation technique development.”

Dr. Keith Barrett, PT, DPT – Columbus, OH


“This is the only evidence-based spinal manipulation course out there. I will be able to apply these high velocity low amplitude thrust manipulation techniques in practice on Monday morning.”

Dan Mudigonda, PT – Port Huron, MI


“Outstanding spinal manipulation course!”

Dr. Zach Hunt, DPT, CSCS – Little Rock, AR


“Dr. Dunning doesn’t waste your time with over complicated explanations and mystery “Guru” techniques; rather, he provides advanced, practical and evidence-based spinal manipulation techniques that you can employ immediately.”

Jack Bice, PT – Johnson & Hayes Physical Therapy, Huntsville, AL


“I’ve attended the full series of other manual therapy courses taught by various organizations, and with all the test subjects used during demonstrations  I never saw anyone get off the table with relief; however, on Dr. Dunning’s spinal manipulation course, during technique demonstrations, every subject got off the table with immediate relief, it was amazing!”

Dr. Anthony Perella, DPT – Myrtle Beach, SC


“Absolutely an incredible spinal manipulation course that is under-priced compared to other manual therapy continuing education courses.”

Dr. Tim Clemmons, DPT, ATC, CSCS – Savannah, GA


“This is by far the most engaging 15 hours of class I have had in a long time.”

Edward Collier, USC DPT student – Columbia, SC


“I gained immediate skill and confidence in my ability to perform cervical manipulation using momentum induced thrust technique that is very comfortable for the patient.”

Dr. Chris Marlow, DPT, OCS, CSCS – Hilo, HI


“I have taken many other manual therapy courses and systems; however, Dr. Dunning’s approach and spinal manipulation techniques are what I have been waiting for!”

Jud Williams, MPT, MS, OCS, CSCS – Southeastern Orthopaedics, Statesboro, GA


“Thank you Dr. Dunning for bringing out the truth about spinal manipulation.  I have been waiting for a course like this for over 10 years!”

Dr. Joel Vidana, PT, DPT, OCS, MTC – Las Vegas, NV


“Fantastic course on how to perform safe and effective spinal manipulation techniques for all spinal regions.  A wonderful learning environment.”

Hilary Rendon, PT, MEd – Starkville, MS


“This spinal manipulation seminar gave me a completely new perspective on manual therapy–it was liberating.  I learned some extremely effective thrust manipulation techniques.”

Ernie Dickson, PT, OCS, CSCS – Kingsport, TN


“Dr. Dunning’s spinal manipulation seminar was a tremendous learning experience. The new paradigm, the high velocity thrust manipulation techniques and the approach are all what I had in mind when I thought of what a physical therapist should be before I entered physical therapy school. I think spinal manipulative therapy is certainly a large part of the future for musculoskeletal physical therapists.”

Javier Gomez, PT – Chicago, IL


“I’m excited about this new paradigm of spinal manipulation in everyday practice.  I think the future of manual therapy is going more toward the use of HVLA thrust manipulation procedures for a variety of spinal conditions.  The thrust techniques learned on this course are extremely effective and give immediate results.”

Dr. Sonia Palmer, DPT – Schwab Rehab Hospital, Chicago, IL


“Dr. Dunning presents a tremendous amount of current research in the area of spinal manipulation.  This HVLA thrust manipulation course is a must in order to both understand the latest neurophysiological concepts and actually be able to competently perform high-velocity thrust manipulations of all spinal regions.”

Erica Fletcher, PT, MTC – Philadelphia, PA


“This spinal manipulation course completely changed my private practice!”

Henry Mui, PT – TLC Rehabilitation, Queens, NY


“This was a brilliant hands-on spinal manipulation course!”

Arni Alafsson, Physiotherapist – Reykjavik, Iceland


“Best manual therapy course I’ve ever attended!”

Thorfinnur Andreasson, Physiotherapist – Reykjavik, Iceland


“Best evidence-based and hands-on practical skill training spinal manipulation course out there.”

Dr. Danielle Sabella, DPT, ATC, CSCS – Finish Line Physical Therapy, New York, NY


“An excellent evidence-based and hands-on course with the focus on what the title says – spinal manipulation.”

Guy Murray, PT, NMT – Sport & Spine, Glasgow, Scotland


“The most practical spinal manipulation course I have ever attended.”

Jake Thompson, MPT, ATC, CSCS – Devils Lake, ND


“We need more courses that focus on real interventions that provide immediate improvements supported by research like this course.  This was the best manual therapy and spinal manipulation course I have ever taken.”

Brian McQuilkin, PT – Rochester, MN


“Dr. Dunning’s spinal manipulation techniques have revolutionized the way I treat my patients.”

Dr. Jeff Winter, PT, DPT – Minneapolis, MN


“Once you learn how to manipulate the cervical spine from Dr. Dunning, you’ll no longer be limited to telling every patient with neck pain to watch their posture and stretch their neck for six weeks!!  High-velocity thrust spinal manipulation works great.  This is a great course series.”

Dr. Matt Bubnis, PT, DPT, OCS, CSCS – Wilmington, NC


“You can only be marginally successful in treating back and neck patients if you do not use high-velocity low-amplitude thrust manipulation techniques.  Dr. Dunning will teach you how to perform spinal manipulation at a very high level.”

Ed Scott, PT, OCS – Lafayette, IN


“Best course I have ever taken!”

Ernest Lohman, PT – Laguna Beach, CA


“This is hands-down the most beneficial series of courses that I have ever taken. Dr. Dunning teaches advanced spinal manipulation techniques in an efficient and to-the-point fashion. This course is rich in both evidenced-based practice and actual spinal manipulation techniques. ”

Dr. Everett B. Lohman III, PT, DSc, OCS – Loma Linda University, CA


“Dr. Dunning’s spinal manipulation course was the best investment in a continuing education course that I’ve made in all the years I have been practicing as a physical therapist.”

Maria Rufener, PT – VA Medical Center, Cleveland, OH


“This spinal manipulation seminar is evidence-based; and Dr. Dunning’s HVLA thrust manipulation technique instruction is certainly superior.”

Aaron Dragone, PT, MSPT, CSCS – Cincinnati, OH


“This is an excellent spinal manipulation course with a true focus on high-velocity low-amplitude thrust manipulation as the title indicates.  Dr. Dunning instructs with a very high skill level the most advanced spinal manipulation techniques you will ever encounter.”

Dr. Steve Goldstein, DPT, MS – Union, KY


“Dr. Dunning is well versed in the spinal manipulative therapy literature.  He quickly debunked dogmatic barriers and old habits which allowed me to quickly acquire the spinal HVLA thrust manipulation skills.”

Dr. Lloyd Mayer, DPT, OCS – University Orthopaedic Center, Salt Lake City, UT


“This is clearly the best spinal manipulation course available!  Every physical therapist should take this course.”

Matthew Yeomans, PT – Aspen, CO


“This was the most useful and clinically relevant continuing education course that I have ever taken. The spinal manipulation techniques will benefit my patients immediately.”

Adam Kershaw, PT, MPT, OCS – MVP Physical Therapy, Seattle, WA


“Easily the best spinal manipulation course that I’ve ever taken!  Dr. Dunning’s high-velocity thrust manipulation techniques can be taken to the clinic and used straight away. ”

Dr. Ryan Wallace, DPT, OCS, MTC – Bonita Springs, FL


“This spinal manipulation course was excellent.  It was an eye opening experience in to the use of a procedure that has been misunderstood within and by the physical therapy profession.  Spinal manipulation certainly has its place in outpatient physical therapy daily practice.”

Dallen Lovell, PT – Balanced Body Physical Therapy, Salt Lake City, UT


“Finally a course that actually teaches the spinal manipulation skills and techniques physical therapists think they already know.  Monday morning patient care will be very different.”

Michael Bond, MS, PT – Eagle Mountain, UT


“Dr. Dunning is a very effective instructor, especially when it comes to learning hands-on spinal manipulation techniques.  The HVLA thrust manipulation techniques are extremely effective.”

Dr. Norene Christensen, PT, DSc, OCS – Jackson, WY


“For years I have focused on manual therapy in my practice to achieve the best results; however, I always knew I was missing the ability to give many of my patients spinal manipulation techniques. Since taking Dr. Dunning’s HVLA thrust manipulation course, I am now ready to competently deliver spinal manipulation procedures to my patients on Monday morning.”

Tina McDonald, PT, MPT – Conroe, TX


“Fantastic course!  This spinal manipulation course was hands-on with plenty of practice time.  Dr. Dunning provides honest feedback and his knowledge and skill in delivering spinal manipulation is absolutely amazing!  I now feel so much more confident in the area of high-velocity thrust manipulation.”

Dr. Jenna Sawdon-Bea, PhD, PT – Professor, California State University, Fresno, CA


“Dr. Dunning’s spinal manipulation course was the most useful actual treatment education I have ever taken; we do not seem to get this knowledge or training in physical therapy school.”

Derrick Hines, PT – Louisiana State University, New Orleans, LA


“This is a no non-sense, to-the-point teaching of spinal manipulation course with both the practical component and underlying evidence to support its use in daily practice.”

Dr. Andre Huu, DPT, PT – Houston, TX


“This spinal manipulation course was absolutely amazing!”

Dr. Pulak Parikh, DPT, MPT, MCPA – Toronto, Canada


“Dr. Dunning has excellent hands-on spinal manipulation skills.  The HVLA thrust techniques learned on this course will be immediately useful in my clinical practice.”

Dr. Mark Howard, DPT, OCS – Buffalo, NY


“Hands-down the best course I’ve ever taken!  You will leave Dr. Dunning’s course with excellent spinal manipulation skills that are evidence-based and immediately useful.”

Dr. Michael Hudakc, DPT, PT – Pittsburgh, PA


“I have had the privilege of learning from some of the most renowned experts in manual therapy from around the world. Dr. Dunning displays an exceptional depth of understanding of the spinal manipulation literature. In addition, his willingness to share knowledge, skill and hands-on manipulative therapy experience is invaluable to the advancement of the physical therapy profession and the dying art of spinal manipulation.”

Dr. Darren Beilstein, PT, MPhty (Manip), DPT, OCS, FAAOMPT – Physical Therapy Now, Newport News, VA


“Dr. Dunning does a phenomenal job of explaining and practically teaching the art and science of spinal manipulation.  This is an excellent course!”

Philip Hixson, PT – Kaiser Permanente, Sacramento, CA


“This is a great spinal manipulation course! I learned more manual therapy techniques and actual hands-on skills during Dr. Dunning’s Part I HVLA thrust manipulation course than I did during my entire three years of Physical Therapy school.”

Dr. Jeremy Houser, DPT – Columbus, GA


“Dr. Dunning’s spine manipulation course is one of the best and most practical manual therapy courses I have ever taken. I left with spinal manipulation skills that I feel comfortable using immediately. Dr. Dunning is a great speaker and instructor.”

Tom Kelly, PT – Knoxville, TN


“By far the most informative and practical manual therapy and spinal manipulation seminar out there!”

Edward Collier, DPT – Columbia, SC


“Dr. Dunning continues to deliver spinal manipulation courses that incorporate both the highest level of evidence and the most advanced high velocity thrust manipulation procedures.  This is where the physical therapy profession is going.”

Dr. Patrick Bray, DPT, NSCA-PT – Louisville, KY


“This is a great spinal manipulation course!  Dr. Dunning’s manipulation techniques are very useful in the clinic, and I wish I would have taken this course 10 years earlier!”

Jason Vega, PT, MBA, CSCS – Lexington, SC


“Best course on spinal manipulation that I have ever attended!  A first class experience.”

Dennis Rau, PT – Helena, MT


“This spinal manipulation course is very clear and concise.  The high velocity thrust manipulation techniques demonstrated are extremely effective.  I highly recommend Dr. Dunning’s spinal manipulation courses.”

Dr. Brian Power, DPT, MOMT, FAAOMPT – Seattle, WA


“Dr. Dunning’s spinal manipulation course is refreshing, sardonic and irreverent in a good way.  The spinal manipulation thrust techniques are extremely practical; and the whole examination and treatment paradigm to spinal dysfunction is a no-nonsense, highly evidence-based approach.  Excellent course!”

Carlos Miranda, DPT, MPT, OCS – Portland, OR


“This spinal manipulation seminar by Dr. Dunning was very exciting and full of practical high velocity thrust manipulation techniques that were supported by the current best evidence for a variety of musculoskeletal spinal conditions.”

Dr. Chris Jarrett, PT, DPT – Thomasville, GA


“Dr. Dunning is a real spinal manipulator; he is hands-down the best I have ever seen!”

Dr. Gyani Joshi, PT, DPT, MPT – Lawrence Hospital, Bronxville, NY


“This spinal manipulation seminar was an excellent combination of didactic information and practical skill application of actual HVLA thrust techniques.  Dr. Dunning is a humorous, animated presenter who keeps you awake and informed.  Great course that I highly recommend!”

Carrol Esterhuizon, PT, MHS, OCS – Corvallis Sport & Spine Physical Therapy, Corvallis, OR


“I would highly recommend this course to practitioners that are looking for a “hands-on” and evidence-based spinal manipulation training curriculum.”

Dr. Rachel Lawless, DPT – Center for Physical Rehabilitation, Grand Rapids, MI


“If you’re looking for a “hands-on” spinal manipulation course, this would definitely be it!”

Dr. Katie Stearns, DPT – Eau Claire, WI


“Dr. Dunning’s spinal manipulation course is the first I’ve attended that effectively debunked the many myths that currently surround the practice and science of spinal manipulation.”

Chad Morris, PT, MS, Cert. MDT – Center for Physical Rehabilitation, Grand Rapids, MI


“Dr. Dunning teaches a no-nonsense approach to spinal manipulation; he simplifies the “magic and mystery” of spinal manipulation that others in the field seem to try to complicate.”

Eric Mason, PT – Orlando, FL


“Dr. Dunning’s HVLA thrust manipulation course provided the hands-on spinal manipulation skills that so many other courses lack.”

Scott Roberts, PT, MPT, MS – Richmond, VA


“This is a fantastic series of spinal manipulation courses!  Dr. Dunning provides all attendees with a vast knowledge of thrust manipulation, both didactically and practically.”

Sean Kantola, DPT – New Castle, PA


“No-nonsense, evidence-based spinal manipulation techniques with excellent results!”

Dr. Bryan Ruchin, PT, DPT – Atlanta, GA


“You won’t find a better, more straight forward, evidence-based and practical spinal manipulation course anywhere!”

Dr. Chris McGlaughlin, PT, DPT – Springboro, OH


“The spinal manipulation techniques and supporting evidence are presented so clearly that the clinician is able to put the content into practice immediately.  Excellent courses!”

Brent Dodge, PT, OCS, CSCS – Owner, Alpine Physical Therapy, Missoula, MT


“Without question one of the best courses ever on practical and evidence-based spinal manipulation techniques.”

Barry Griffith, MPT, OCS – Minneapolis, MN


“Absolutely the finest of courses; Dr. Dunning is easily the best instructor in spinal manipulation.”

Danny Stobaugh, PT, MS – Springfield, OR


“Phenomenal course!  Best manual therapy course I have ever taken without question.  Dr. Dunning is an amazing spinal manipulator.”

Todd Sparks, MPT, CSCS – Scripps Ranch Physical Therapy, San Diego, CA


“Spinal Manipulation Institute does an unbelievable job of giving you the spinal manipulation skills necessary to stay relevant in a very liquid health care system.  If you want to be clinically superior, you should take these spinal manipulation courses from Dr. Dunning.”

Trent Rincon, PT, MPT, CSCS – Fischer Sports PT & Conditioning, Phoenix, AZ


“The rest of the physical therapy profession needs to get on board with learning the art and science of spinal manipulation.  Dr. Dunning’s HVLA thrust manipulation course is excellent!”

Timothy McCauley, MPT, OCS – Hermosa Beach, CA


“Dr. Dunning gets straight to the point so that the unnecessary information is sifted out, thus allowing more time to be spent on actually learning spinal manipulation techniques.  This was the most valuable course I have ever taken!”

Dr. Alexandra Kloss, PT, DPT – Golden Gate Physical Therapy, San Francisco, CA


“It’s about time for the physical therapy profession to break the ice with spinal manipulation.  This was a great course by Dr. Dunning that will take you to the next level with your patient care.”

Dr. Kier Fischbach, DPT, MS, PT – Vancouver, WA


“This spinal manipulation course was extremely refreshing; Dr. Dunning’s perspectives were a dose of reality for me.  Thoroughly enjoyed the course!”

Dr. Donald Chu, PhD, PT, ATC, CSCS – Athercare Fitness & Rehab, Castro Valley, CA


“Dr. James Dunning turns convention on its head with a research backed approach to the use of spinal manipulation.  This course forces you to act, not just think outside the box!”

Matt Whitaker, PT – Willits, CA


“Dr. Dunning very competently dispelled many of the myths surrounding the use of spinal manipulation.  Great course!”

Bill Hayner, PT, OCS, FAAOMPT – Seattle, WA


“This is the most useful and technique driven spinal manipulation course I’ve taken.  Dr. Dunning’s HVLA thrust manipulation techniques have been immediately beneficial to so many of my patients.”

Dr. Justin Clifford, DPT, PT – Denver, CO


“If you are looking for spinal manipulation training or exposure, take Dr. Dunning’s courses.  I have taken all levels and Dr. Dunning is certainly a master in the craft of spinal manipulation procedures, and he is extremely knowledgeable in the evidence-base surrounding its use.  Great course!”

Travis Carlton, PT, MSPT – Mesa, AZ


“Most advanced manual therapy course for spinal care I have ever taken!  Excellent research based approach and great application of HVLA thrust manipulation techniques.”

Terry Tripp, MPT, OCS, Cert MDT, ATC – Marquette, MI


“Dr. Dunning’s spinal manipulation courses are exceptional.  There is no way better to get through all the research unless you are willing to read it all yourself.”

Dr. Mac Cimbura, PT, DPT – Dickinson, ND


“This course provides the perfect combination of spinal manipulation technique and research.  You will have improved clinical skills immediately.”

Dr. Chris Moore, DPT, PT – Iron Mountain, MI


“I’ve learned more in taking two of Dr. Dunning’s spinal manipulation courses than in six previous manual therapy courses together.”

Dr. Aon Barrett, DPT, PT – Mesa, AZ


“Hands down the best continuing education course I’ve taken in over 10 years! This is where physical therapy practice needs to go in the near future.”

Brendon Olsen, PT, MSPT – Saranac Lake, NY


“Another high quality course offering from Dr. Dunning.  All the latest and relevant research is presented along with the most advanced spinal manipulation techniques.  This course will change your practice.”

Dr. Michael Hudack, PT, DPT – Pittsburgh, PA


“This spinal manipulation course is the missing link between academia and practice!”

Dr. Dallas Clark, PT, DPT – Diamondville, WY


“This is the best manual therapy course I have ever taken!  I highly recommend this course to all orthopaedic physical therapists.”

Yangwei Dai, MSc, PT – Ontario, Canada


“Dr. Dunning clarified the role of cervical spinal manipulation in physical therapy practice. Excellent course.”

Dr. Todd Reich, DPT – University of Utah Orthopaedic Center, Salt Lake City, UT


“Of the many spinal courses I have attended over 26 years as a physical therapist, this one is clearly the best! ”

Tim Gibbs, PT, OCS, Cert MDT – Kalispell, MT


“Dr. Dunning has a phenomenal grasp of the literature surrounding the use of spinal manipulation.  On top of this, Dr. Dunning has excellent motor control during the delivery of HVLA thrust manipulation procedures.”

Brian Miller, PT, MS, OCS – Advanced Rehab Services, Kalispell, MT


“Dr. Dunning’s osteopractic spinal manipulation course series is the gold standard for manual therapy training across professions.  Hands-down the most advanced and effective manual therapy educational program in the world!”

Richard Vieten, PT, MPT – Tillamook County General Hospital, Tillamook, Oregon


“Dr. Dunning not only presents the relevant research, but he also delivers a spinal manipulation course that will take any clinician to the next level. Great course!”

Dr. Matthew Waggoner, DPT, MTC, FAAOMPT – Ft. Lauderdale, FL


“Easily the best spinal manipulation course out there!  Dr. Dunning really helped me advance my manual therapy skills.”

Dr. Maria Theresa, DPT, OCS, CSCS – Brooklyn, NY


“Many of the traditional dogmatic beliefs and philosophies held by manual physical therapists were debunked on this brilliant spinal manipulation course.”

Dr. Sam Kan, DPT – BodyWork Studio, Singapore


“Great myth-busting, guru-challenging spinal manipulation course. Evidence-based practice at its popping clicking best!”

Sinead Fitzgibbon, MSc, PT, OCS – Sag Harbor, New York, Eastern Long Island


“Best manual therapy course I have ever attended!  Dr. Dunning taught us how to perform osteopractic spinal manipulation and the science underpinning its use in clinical practice.”

Dr. Kelly Orman, DPT, MTC – Laurel, MS


“This osteopractic spinal manipulation course is the best manual therapy course I have attended in 20 years of clinical practice.  Dr. Dunning’s evidence-based osteopractic manipulation course handled many of the confusions born out of other less workable manual therapy philosophies.”

Claire Hargis, PT – New Orleans, LA


“SMT-1 by Spinal Manipulation Institute was the most comprehensive and straightforward spinal manipulation course I’ve ever attended.”

Dale Brockman, PT, MS – Florence, KY


“Dr. Dunning demonstrates a mastery of both spinal manipulation technique and the literature surrounding its use in clinical practice.  Amazing course!”

Dr. AJ Ludlow, DPT – Advance Therapy, College Station, TX


“The SMT-1 course demystifies spinal manipulation and teaches a rigorous evidence-based approach to its appropriate use in real world practice.  This four course series gives you the technical ‘know-how’ to use thrust manipulation on all spinal joints come Monday morning!”

Victoria Galante, PT, MOMT – STI Physical Therapy, Phoenix, AZ


“This osteopractic spinal manipulation course totally changed the way I approach my patients with neck and back pain.”

Byron Blach, PT – Houston, TX


“The SMT-1 spinal manipulation course was entertaining and very informative; Dr. Dunning makes the learning of HVLA thrust manipulation seem easy!”

Dr. Nahn Ta, M.D. – Dallas, TX


“I have had headaches since a motor vehicle accident 10 years ago.  I have been treated many different ways including stretching, exercises, mobilizations and trigger point dry needling, all with little relief.  Manipulation of the AA and OA joints by Dr. Dunning left me headache free!  I highly recommend this osteopractic spinal manipulation course series.”

Dr. Angie Liddle, DPT, OCS – Colorado Springs, CO


“This is the first course I’ve taken in 14 years of clinical practice that I really feel I can apply to most of my patients when I return to work on Monday.  Great course in spinal manipulation evidence and technique!”

Lora Mozer, MSPT – Alpha Rehabilitation, Denver, CO


“I have attended various manual therapy courses with multiple approaches.  This is the first course where subjects showed immediate and dramatic reduction or complete elimination of their symptoms immediately after spinal manipulation to their neck.  These osteopractic manipulation techniques are very powerful, and I’m excited to begin to implement spinal manipulation into my practice.”

Chuck Beneck, PT – High Plains Physical Therapy, Fort Collins, CO


“Finally an immediate way to get results for patients with spinal pain that I can use in my clinic tomorrow.”

Cindy Williams, PT, CHT – Salem, OR


“Dr. Dunning is an amazing instructor; his osteopractic spinal manipulation techniques are very specific and extremely effective!”

Dr. Monica Ludlow, DPT, CMPT, OCS – University of Utah Orthopaedic Clinic, Salt Lake City, UT


“Best manual therapy course I’ve taken in 20 years of clinical practice! Immediate practical use of the spinal manipulation techniques.”

Stephen Deal, PT, CO – Mebane, NC


“Dr. Dunning cuts to the core of manipulation. Excellent course.”

Dr. Sayers Miller, PhD, PT, ATC – Penn State University, PA


“Dr. Dunning’s osteopractic spinal manipulation course was excellent! I was able to immediately apply the thrust manipulation techniques into real practice.”

Monty Strickland, MS, PT – Atlanta Falcons Physical Therapy, GA


“The SMT-1 course was extremely useful and clinically applicable. Dr. Dunning cleared up a great deal of the confusing information that I had previously been taught in school or on prior courses. Dr. Dunning’s approach is certainly evidence-based.”

Jean Holm, MPT – Albuquerque, NM


“This is by far the best manual therapy course I have ever attended. Dr. Dunning is an excellent manipulator and makes learning advanced HVLA thrust techniques seem easy.”

Matt Kellar, PT, Cert. MDT – Elberton, GA


“Best course I have ever taken! Dr. Dunning is also very entertaining.”

Dr. Megan Ansley, DPT – Optim Orthopedics, Savannah, GA


“Dr. Dunning is the best manipulative physiotherapist that I’ve been taught by in the US and the UK.  This course is a ‘must’ if you want to develop advanced skills in spinal manipulation.”

Ross McCormack, PT – Santa Cruz, CA


“Any practicing physical therapist that wants to get their spine patients better must take this course!”

Dr. Chris Koeplin, PT, DPT – San Francisco, CA


“By far the most informative and practical continuing education course in spinal manipulation that I’ve taken to date.”

Dr. Steven Nieto, DPT, OCS – Loma Linda, CA


“I learned more actual spinal manipulation techniques in this one weekend SMT-1 course than on any clinical rotation or quarter-long course.”

Dr. Cara Payne, DPT – Tucson, AZ


“I have been practicing physical therapy for 14 years, and this spinal manipulation course has changed the way I look at everything.”

Allen Carpenter, PT – San Francisco, CA


“Every physical therapist who works with the spine should take this course in spinal manipulation.”

Dr. Michael Maninang, DPT, MOMT, OCS, FAAOMPT – Chicago, IL


“Dr. Dunning demonstrated all the spinal manipulation techniques with expert skill. He is an extremely gifted teacher and real asset to the profession.”

Dr. Mark Neal, PT, DPT – Lexington, KY


“After taking this manipulative therapy course, you will be confident in performing spinal manipulation for all regions. This course will immediately change the way you think and practice.”

Ram Kodali, PT, MSc, FCAMT – Edmonton, Alberta, Canada


“I learned more high-velocity low-amplitude thrust manipulation techniques on Dr. Dunning’s course than during a 1.5 year credentialed residency!”

Dr. Nick Washmuth, DPT, DMT – Columbia, IL


“Dr. Dunning demystified spinal manipulation and debunked many of the dogmatic myths I had previously been led to believe. I highly recommend this course.”

Hamp Gaston, PT – Jackson, MS


“This course in osteopractic spinal manipulation completely changed what I know, made me question my previous education, and most importantly, it drastically improved my manipulation skills.”

Dr. Eric Marshall, DPT – Concord, NH


“This spinal manipulation course is the only one that teaches what all orthopedic physical therapists should know and don’t learn in school!”

Pamela Powell, PT, CSCS – Shrewsburg, MA


“Dr. Dunning is leading the way for the new future in physical therapy. He is definitely branding our profession which is long overdue. He is dynamic and extremely knowledgeable in regards to spinal manipulation and dry needling.”

Dr. Gregory Shea, DPT, CSCS – Boston, MA


“Hands-down the most evidence-based course I have ever taken for treatment of the spine.”

Dana Sackus, PT – Concord, NH


“Dr. Dunning’s spinal manipulation course gave me the practical knowledge (how to actually perform these procedures) and the latest evidence underpinning its use in clinical practice. This course was excellent and gave me a very effective tool and approach to manage spinal conditions in my practice.”

Dr. Rick Hanzel, DPT, MSPT, COMT – Hollywood, FL


“I have taken many spinal manipulation courses, but this course by Dr. Dunning is the real deal. It gives you the ability to actually do the thrust manipulation techniques on real patients, not promises that one day that will be shown like so many other courses. You observe, learn, practice and perform on this course. Amazing course!”

Richard Conrey, PT, CPO – Plantation, FL


“As a new graduate I left PT school with a ton of ways to evaluate spinal conditions, but little to no understanding of how to actually treat spinal pain. After taking Dr. Dunning’s series of osteopractic manipulation courses, I now have more manual therapy skills than I learned in 3 years of physical therapy school.”

Dr. Kaci Calaway, DPT – Bigfork, MT


“Dr. Dunning’s osteopractic manipulation SMT-1 course is the single most beneficial hands-on continuing education course that I’ve taken, and I’ve taken courses from most of the other big names that didn’t even come close.”

Dr. Ryan Lorenz, PT, DPT – Gwinner, ND


“Hands-down the best spinal manipulation course I have ever taken!”

Dr. Jordan Moen, DPT – St. Paul, MN


“Dr. Dunning’s osteopractic spinal manipulation course is evidence-based, pragmatic, and very comfortable for both the patient and practitioner. All the material and manipulation techniques presented are ‘need to know’. There is no unnecessary information. Great courses!”

Dr. Mohammad Jamali, DPT – Providence, RI


“Dr. Dunning’s osteopractic dry needling and manipulation series has reframed the way I treat spine patients. His courses are flat out phenomenal and simply the best!”

Paul Berkeley, PT – Watertown, MA


“Dr. Dunning is a masterful instructor of spinal manipulation technique!”

Dr. Gary Weiner, ND, LAc – Portland, Oregon


“Without question, this is the best spinal manipulation course out there! Dr. Dunning is well versed in the literature that underpins the use of spinal manipulation. All physical therapists need to take this course in osteopractic manipulation if they have an interest in treating patients with neck or back pain.”

Dr. Perry Follis, PT, DPT – Tacoma, WA


“Dr. Dunning is on the cutting-edge of our profession. He is thoroughly research based and excellent in the delivery of spinal manipulation technique!”

Dr. Kelly Malmin, DPT – Kalispell, MT


“Dr. James Dunning is a refreshing, extremely knowledgeable and progressive mover in the field of spinal manipulative physical therapy. I am glad to be a part of such a holistic vision.”

Dr. Ashley Stanford, PT, DPT – Woodburn, Oregon


“I’ve been looking for a course like this since I began working as a physical therapist 19 years ago. I highly recommend Dr. Dunning’s spinal manipulation course to all physical therapists!”

Brett Nelson, PT, OCS – Mount Vernon, WA


“High-velocity thrust manipulation cured my neck pain and headaches after a nasty whiplash injury. Dr. Dunning’s osteopractic spinal manipulation series has now equipped me with the same manipulation skills to improve the lives of my patients!”

Dr. Rachel Grubb, PT, DPT, Cert. SMT – Cookeville, TN


“Dr. Dunning and his team are the emerging leaders within the field of manual physical therapy. Spinal Manipulation Institute do an unparalleled job in teaching both osteopractic manipulation technique and the evidence underpinning its use in real practice.”

Trent Rincon, PT, MPT, CSCS – Fischer Sports Physical Therapy, Phoenix, AZ


“The advanced SMT-2 spinal manipulation course far exceeded my expectations. Dr. Dunning taught me how to manipulate all the spinal joints with varied hand-holds and in various positions. I highly recommend this osteopractic manipulation course series.”

Dr. Keith Fischer, DPT – Tucson, AZ


“If you want to get results with your patients suffering from headaches, the advanced SMT-2 course by Dr. Dunning in osteopractic manipulation is the one to attend. Excellent course!”

Antonio Gummels, PT – St. Maarten, Netherlands Antilles


“The DN-1 dry needling course by Dry Needling Institute was excellent. Dr. Dunning gave a thorough literature review of the evidence underpinning the use of dry needling for a wide variety of musculoskeletal conditions. There was plenty of lab time for dry needling technique development.”

Ernie Dickson, PT, OCS, CSCS – Kingsport, TN


“The DN-1 dry needling course was even better than the SMT program. Dr. Dunning has done it again! He is certainly the leader in both spinal manipulation and dry needling education.”

Dr. Mike Kelly, DPT, OCS, Cert. SMT – Mt. Pleasant, SC


“The dry needling and spinal manipulation course series that Dr. Dunning teaches are second to none. Spinal Manipulation Institute and Dry Needling Institute are taking our physical therapy profession where it needs to go!”

Todd Bonds, DPT, OCS, Cert. SMT, Cert. DN – Fort Walton Beach, FL


“Dr. Dunning’s dry needling and spinal manipulation courses make a very complex topic and skill set seem easy.”

Dr. Ian Young, DSc, PT, OCS, Cert. DN – Savannah, GA


“The DN-1 and DN-2 Dry Needling Institute courses by Dr. Dunning give you both the hands-on technique skill set and the evidence underpinning its use in clinical practice.”

Jeremy Pittman, PT, Cert. SMT, Cert. DN – Collierville, TN


“Dr. Dunning’s SMT-1 course was by far the best manipulation class I have ever taken. I never felt comfortable performing spinal manipulations before this course. Now I am ready to start on Monday, finally making a real difference!”

Dr. Christy Perez, PT, DPT – Plano, TX


“The SMT-3 spinal manipulation course was the most dynamic class I have ever taken. Dr. Dunning really knows how to manipulate the bones!”

Kelly Orman, PT, DPT, MTC – Laurel, MS


“After 30 years in physical therapy practice, I finally have the opportunity to offer my patients a chance at immediate pain relief! The osteopractic spinal manipulation taught by Dr. Dunning is second to none.”

Linda LaBorde, PT, Cert. SMT – Waukesha, WI


“The osteopractic spinal manipulation techniques taught by Dr. Dunning just work. Patients get quick and lasting results. I highly recommend the course series.”

Dr. Brian McQuilkin, DPT, Cert. SMT – Rochester, MN


“I’ve been to many spinal manipulation courses, but the combination of advanced hands-on manipulation techniques and the evidence supporting such makes Dr. Dunning’s courses unrivaled.”

Dr. Alex Herzlin, DPT – Suwanee, GA


“SMT-1 was the best course I have taken in 13 years as a physical therapist!”

Michael Goldberg, MPT – Progressive Physical Therapy, Charleston, SC


“Absolutely the best spinal manipulation course that I have ever taken!”

Dr. Kellie Keeney, PT, DPT – PRO Therapy, Dawsonville, GA


“Easily the most valuable course I’ve taken. The osteopractic manipulation techniques are simply effective.”

Tim Connelly, PT – Wilmington, NC


“Dr. Dunning supports the use of osteopractic spinal manipulation technique with extensive and relevant literature. The SMT-1 manipulation course challenged me and certainly made me a more effective practitioner.”

Dr. Anne Steinbroner, DPT – Pro Active Physical Therapy, Parker, CO


“The SMT-1 spinal manipulation seminar was by far the most useful course I have taken to help get my patients better faster. Dr. Dunning tells it how it is and does so with concrete evidence. This course really took my manipulation skills to a whole new level.”

Dr. Nicholas Thurlow, DPT – Denver, CO


“The dry needling and spinal manipulation courses by Dr. Dunning are no nonsense and straight to the point. The  literature underpinning the use of dry needling and manipulation for musculoskeletal conditions was presented in a comprehensive fashion. I highly recommend this course series!”

Eugene Jang, PT, Cert. SMT, Cert. DN – Miami, FL


“The DN-1 dry needling course was an intense experience. I learned how to needle not just trigger points, but also ligaments, tendons, teno-osseus junctions, and around or near nerves for a wide range of musculoskeletal disorders. In addition, a thorough literature review on dry needling was presented for all spinal and extremity regions.”

Dr. Courtney Collins, DPT, Cert. DN – Pearland, TX


“Dr. Dunning’s DN-1 and DN-2 dry needling courses changed my whole approach to the management of musculoskeletal conditions. Extremely practical and evidence-based.”

Steve Brien, PT, CSCS, Cert. DN – New Bern, NC


“The SMT-1 spinal manipulation course was easily one of the best courses I have attended in my career. Dr. Dunning is clearly evidence-based and his manipulation handling skills are excellent.”

Dr. Heather Wilsey, DPT, NCS, CSCS – Habersham Medical Center, Demorest, GA


“Dr. Dunning’s SMT-1 and DN-1 courses are an eye opening experience on the evidence-based use of both spinal manipulation and dry needling for the management of musculoskeletal conditions.”

Dr. Stephen Kritikos, DPT, Cert. DN – Habersham, GA


“The SMT-1 Spinal Manipulation course was one of the best courses I have attended in 19 years of clinical practice!”

Dr. Darrin Madole, DPT, ATC, CSCS – Hampstead, NC


“Prior to taking Dr. Dunning’s spinal manipulation series, I had never been to a course where the evidence was shown to back up what was being taught for techniques on the course. Spinal Manipulation Institute courses combine both the hands-on manipulation skills and the evidence underpinning its use in real practice. I have been to several other “manual therapy” courses, but the SMI manipulation courses are simply the best.”

Dr. Susanna Leffers, DPT, OCS – Spine & Sport, Savannah, GA


“Dr. James Dunning is a pioneer and visionary for the physical therapy profession. The SMT-1 osteopractic spinal manipulation course was an eye opener to say the least!”

Gary Soloman, MPT – Goldsboro, NC


“In 22 years of practice, this osteopractic spinal manipulation course was the most evidence-based course I have taken. I highly recommend Dr. Dunning’s manipulation and dry needling courses for physical therapists wanting to become experts in treating a broad range of musculoskeletal conditions.”

Jeff Hartline, PT, CSCS – Southeastern Physical Therapy, Virginia Beach, VA


“Without a doubt, this is the best spinal manipulation series out there. I have taken a variety of other courses in spinal manipulation, but Dr. Dunning’s courses are the most evidence-based and provide the highest level of actual technical skill set in the performance of thrust manipulation. These courses demystify a wide range of old school and guru based manual therapy paradigms.”

Dr. Keith Moyer, PT, DPT – Morehead City, NC


“These osteopractic manipulation techniques are superb! A must take for all clinicians.”

Aaron Dragone, MSPT, COMT, CSCS – Cincinnati, OH


“The DN-1 dry needling course by Dry Needling Institute gave me both the hands-on skills and the most recent evidence supporting the use of dry needling for a wide range of musculoskeletal conditions. Excellent course!”

Dr. Suzannah York, DPT, Cert. DN – Shreveport, LA


“Dr. Dunning’s Dry Needling Institute provides exceptional hands-on and evidence-based training in dry needling for a wide range of musculoskeletal conditions, not just individual muscles that patients don’t present with in real practice! Recommended point locations are provided and supported by the existing evidence for carpal tunnel syndrome, cervicogenic headaches, facet syndromes, temporomandibular dysfunction, knee osteoarthritis, hip osteoarthritis, plantar fasciitis, lateral epicondylalgia, low back pain, and mechanical neck pain. Dr. Dunning teaches a comprehensive approach to dry needling that is firmly backed by the relevant literature.”

Dr. Brennan Russo, DPT, Cert. DN – Plano, TX


“Dr. Dunning’s Dry Needling Institute teaches a clinically, condition-based approach, not an individual muscle-based approach to dry needling. The DN-1 and DN-2 dry needling courses teach you how to actually treat lateral epicondylalgia, carpal tunnel syndrome, knee osteoarthritis, mechanical neck pain, headaches, TMJ dysfunction, craniofacial pain, plantar fasciitis, and low back pain. Dr. Dunning also presents the evidence underpinning the use of needling for each of these musculoskeletal conditions. Excellent courses!”

Jeff Jones, PT, OCS, Cert. DN – Dallas, TX


“Dr. Dunning’s SMT-1 osteopractic spinal manipulation course is highly evidence-based and is hands-down the best technique training course in thrust manipulation out there. ”

Dr. Nicholas Rock, DPT – Rochester, NI


“The osteopractic spinal manipulation techniques and the level of evidence provided on the SMT-1 spinal manipulation course is far superior to any other spinal manipulation course that I have ever taken. It is as simple as that!”

Dr. Geoffrey Stankus, DPT – Trenton, NJ


“The SMT-1 course provides an excellent skill set in thrust spinal manipulation techniques; furthermore, the practical techniques are backed by a tremendous amount of evidence. Excellent course.”

Jorge Guerrero, PT, MS, FAAOMPT – San Antonio, TX


“I’ve been searching for a course that gives me that extra tool to manipulate the upper cervical spine with confidence. The SMT-1 and SMT-2 courses met that need. I highly recommend these courses by Dr. Dunning.”

Miriam Hammerle, PT – San Antonio, TX


“The SMT-1 spinal manipulation course is the first course in a long time where I feel I am going to be able to make an immediate and positive difference in my patient’s symptoms come Monday morning!”

Christine Slaninka, PT, MS, CSCS, Cert. MDT – Las Vegas, NV


“You can complete the SMT-1 spinal manipulation course and immediately apply the techniques to clinical practice. More importantly, I am now a believer — Dr. Dunning took away my constant 12 year headaches with a single thrust manipulation to the atlas.”

Dr. Dana Terrell, DPT, OCS – Destin, Florida


“The SMT-1 course is exactly what I’ve been looking for to set me apart from other local clinics. This skill set is a tool that I have wished for since graduating from physical therapy school 16 years ago. I regret not taking this course sooner! All of my preconceived negative myths about spinal manipulation have been resolved. Excellent course.”

Dr. Kevin Willmore, PT, DPT – Willmore Physical Therapy, Bullhead City, AZ


“The DN-1 and DN-2 dry needling courses by Dry Needling Institute were the best courses I have taken in 13 years of clinical practice. Evidence-based and practical techniques that really work on real conditions.”

Dr. Tina Neuwirth, DPT, OCS, Cert. DN – Fort Worth, TX


“SMT-1 by Dr. Dunning is an exceptional course. After 17 years of continuing education, this the the best course I have taken. I now feel confident that I can perform HVLA thrust manipulation. I highly recommend this course.”

Jacob Freyou, PT – New Iberia, LA


“After taking the SMT-1 spinal manipulation course and having my atlas manipulated by Dr. Dunning, I have no more cervicogenic headaches. Thank you.”

Sarah Hanna, PT, MPT – Phoenix, AZ


“The change to my practice success was immediate. By far the best hours of continuing education that I have done in 20 years of physical therapy practice!”

Dale Demonbreun, PT – Tucson, AZ


“Spinal manipulation should be required training for entry-level DPT programs. Dr. Dunning demystified spinal manipulation technique and the scientific principles underpinning the practice of such. His “less is more” approach really resonated with me and contrasted with the confusing information overload other programs seem to provide in this area.”

Dr. Doug Kechijian, DPT – New York, NY


“I don’t believe anyone can dispute Dr. Dunning’s grasp of the current evidence surrounding the use of spinal manipulation and dry needling for musculoskeletal conditions. His courses offer information and techniques that can be applied immediately. His team does a great job of dispelling many of the myths surrounding the use of spinal manipulation by physical therapists. Excellent SMT-1, DN-1, and DN-2 courses!”

Scott Bone, PT, CSCS, Cert. DN – Stanly Regional Medical Center, Concord, NC

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