

Systemic Drainage & Neurofluid Dynamics
A 2-Day Hands-On Osteopathic Manual Therapy Intensive
This immersive two-day laboratory course is designed for clinicians seeking to deepen their ability to influence systemic physiology through precise manual intervention. Grounded in osteopathic principles and informed by modern understanding of mechanotransduction, this course explores how to restore fluid dynamics across the body’s key regulatory systems.
At the center of this approach is a unifying premise:
when fluid cannot move, physiology cannot adapt.
Participants will learn how to assess and treat restrictions within the body’s primary drainage pathways using an integrated framework that combines:
The Five Diaphragms as global regulators of pressure, flow, and compartmentalization
Chapman’s Neurolymphatic Reflexes as diagnostic and therapeutic access points to visceral and endocrine dysfunction
Bennett’s Capillary Bed Techniques to optimize microcirculatory perfusion and enhance tissue-level exchange
Together, these systems form a powerful clinical model for restoring the biomechanical, bioelectrical, and biochemical environment necessary for healing.
Course Objectives
By the end of this course, participants will be able to:
Perform a global osteopathic scan to identify primary restrictions affecting systemic drainage
Evaluate and treat the five diaphragms as an integrated pressure-regulating system
Identify and interpret Chapman’s reflex patterns in the context of visceral and neuroendocrine dysfunction
Apply Bennett’s reflex techniques to improve capillary perfusion and fluid exchange
Integrate lymphatic, venous, and interstitial flow principles into a coherent treatment strategy
Utilize a scan → treat → retest model to verify clinical effectiveness in real time

Description coming soon...

Neal O’Neal graduated from University of Washington with a Bachelor of Science degree in Physical Therapy. Continuing his educational development, Neal trained in The Makenzie Approach to Low Back Treatment, Foot/Ankle Biomechanics in Gait and Sport, and Upper Extremity Biomechanics in Sport and Posture.
A focus on Golf Biomechanics training took Neal to volunteer his services at the LPGA Safeco Classic at Kent Meridian Golf Course. His continued focus on therapeutic development led him to The Washington Institute of Sports Medicine’s Acceleration Training Program and then on to Advanced Ergonomics, Inc.’s Pre-Employment Testing and Trainers program.
At the latter, Neal specialized in cardiovascular screenings as applied to pre-employment tests. As a Site Instructor for Advanced Ergonomics, Inc., Neal trained many testing sites and performed work-site evaluations for Newcastle Brick, The US Army at Fort Lewis, and the Washington Teachers Union.
From 2000-2016, Neal trained extensively at The Jones Institute and The Ursa Foundation to develop manual therapy expertise. He also worked with BioforceHRV in developing the use of Heart Rate Variability as a research and treatment tool for Ursa Educational Institute for Manual Therapy.
Neal is a past Director of Research for the Ursa Educational Institute for Manual Therapy, helped present and teach in Ghent, Belgium as part of the International Conference on Research in Osteopathic Medicine, and continues in Translational Research (turning current research into advanced treatment approaches and techniques) for Pursuit Performance Training, an Advanced Manual Therapy Educational Institute.
Most recently, Neal became certified in Functional Range Conditioning and has added several classes utilizing this self-directed exercise modality to further the benefits of manual therapy intervention. Currently, Neal maintains a busy manual therapy practice in Redmond and Renton, Washington.
The course objectives are structured to ensure participants gain both theoretical knowledge and practical skills. Upon completion, attendees will be able to:
These outcomes are designed to equip practitioners with the ability to detect and work with the subtle dynamics of the cranial system, a key aspect highlighted in Arbuckle’s approach.
The course is tailored for osteopaths, chiropractors, physical therapists, and other manual therapists who have a foundational understanding of osteopathic principles.
This audience is chosen because cranial mobilization requires a background in osteopathic philosophy and practice to fully appreciate and apply Arbuckle’s techniques.
Prerequisites include:
Basic knowledge of osteopathic principles and practice, ensuring participants can contextualize cranial work within a holistic framework.
Understanding of cranial and sacral anatomy, which is essential for performing the assessments and techniques taught in the course.
These outcomes are designed to equip practitioners with the ability to detect and work with the subtle dynamics of the cranial system, a key aspect highlighted in Arbuckle’s approach.
This ensures that participants are equipped to engage with the material and apply it effectively in their practice.This audience is chosen because cranial mobilization requires a background in osteopathic philosophy and practice to fully appreciate and apply Arbuckle’s techniques.
The curriculum is divided into several key topics to provide a holistic understanding of Arbuckle’s methods:
These topics ensure a comprehensive exploration of Arbuckle’s contributions, emphasizing both cranial and sacro-occipital aspects.
The course format includes a mix of lectures on theory and principles, hands-on workshops for practical skills, and case studies for clinical application. Lectures will cover the theoretical underpinnings of Arbuckle’s methods, while workshops will provide opportunities to practice mobilization techniques under guidance. Case studies will allow participants to discuss and analyze real-world scenarios, enhancing their ability to integrate these skills into practice.
The duration of the course is a 2-day intensive workshop.
This course offers a unique opportunity to explore the depths of cranial mobilization through the lens of Beryl Arbuckle, DO’s writings. By focusing on her innovative techniques and the integration of cranial and sacro-occipital work, participants will elevate their practice, enhancing patient care with a deeper understanding of the body’s subtle rhythms and dynamics. Join us to immerse yourself in this transformative approach to osteopathic manual therapy.
