Minimally Invasive Manipulation Workshops

Would you like to minimise the incidence of treatment reactions in your practice, and improve patient satisfaction?


Would you like to reduce the force you put into high velocity manipulations while maintaining excellent results?


Would you like to reduce the potential risks, and  increase the safety of your high velocity adjustments?


Would you like to be up to date on the latest examination methods for ensuring that your manipulations are as safe as is possible?


Our hands on workshops are designed for practitioners of all levels, from final year students to seasoned osteopaths, chiropractors or manipulative physiotherapists, who would like to make their high velocity manipulative techniques even more safe, even more gentle, and even more effective.

All the techniques presented in these workshops can be incorporated immediately into your daily practice. They require very little extra skill to master, yet they will make an immediate difference to your patient satisfaction and the success of your clinic.


What is Minimally Invasive Manipulation (MIM)?

MIM is an umbrella term that describes a group of novel techniques that allow the practitioner to reduce the muscular, neural and psychological barriers to high velocity manipulative techniques, resulting in much less force required to provide the desired result of better joint movement. The understanding is that less force leads to a reduction in treatment reactions, a reduction in the risks associated with high velocity manipulation, an increase in patient comfort, and an improvement in treatment outcome and patient satisfaction.

The techniques, which have been devised by the workshop leader Gavin Burt over 18 years of clinical practice, include the following:

  • Neurological assistance – using movements of the eyes, jaw, shoulder, stomach and toes to remove the need to ask the patient to ‘relax’.
  • Reciprocal inhibition and MET assistance – uses these concepts to encourage greater direction of force, and to remove muscular barriers to accessing joints, thus getting the patient to work with you.
  • Applicator adjustment – uses a mechanical adjusting tool to improve joint movement in those who do not like high velocity adjustments or who are not suited to high velocity techniques.
  • Tissue slackening – using slight adjustments to patient position, once joint bind has been achieved, to allow easier and softer final thrust.
  • Momentum, Vector and Speed – combining these three elements in different ways for different patients.

Workshop Structure

The workshop is over a full weekend, which is structured as follows:



  • Begins with a full discussion of the latest, most up to date thinking regarding how to screen patients for their suitability for High Velocity Adjustments through tests and medical case history taking. The cervical spine, naturally, takes centre stage in this discussion. Attendeees are then encouraged to pair up and practice screening with each other
  • Each and every technique will be explained, presenting the theory and reasoning behind it, before a practical demonstration. Following this attendees will pair up to practice the techniques together, under the watchful eyes of the course tutors
  • The areas covered on Saturday include techniques for the upper and lower cervical spines, the upper and lower costovertebral joints, and the upper and lower thoracic spines


  • A review of the HVT screening from Saturday.
  • Fielding of any questions from the techniques taught on Saturday
  • The areas covered on Sunday include techniques for the cervicodorsal junction, the 1st ribs, the thoracolumbar junction, the lumbar spine, the lumbosacral joint, and the sacroiliac joints
On both days lunch will not be provided, but “classy” biscuits and tea and coffee will be provided throughout the day! .



Course Leader

Gavin Burt DO. BSc (Hons) Ost Med

Gavin graduated in 1998 from the British College of Osteopathic Medicine, London, with a first class honours degree in Osteopathic Medicine.

He ran a clinic in Auckland, New Zealand, for 3 years before returning to the UK in 2001 to work in Kentish Town, London. In February 2006 he opened Backs and Beyond, in the leafy suburb of Dartmouth Park in North London.

Gavin is a keen runner, so make sure you don’t get him onto the subject (especially if you are not a runner!), and has treated amateur and elite runners alike, including Paula Radcliffe.

He taught at the British College of Osteopathic Medicine from 2001 to 2003, and has been a member of the General Osteopathic Council communications committee.

He is also the founder of the running injury website, and writes a blog for


MIM Workshop Dates 2015/2016

Full weekend workshop 11th & 12th March 2017 [FULL]

Full weekend workshop 28th & 29th October 2017 [BOOK NOW]

Full weekend workshop 10th & 11th March 2018 [BOOK NOW]

Full weekend workshop 13th & 14th October 2018 [BOOK NOW]


Full weekend workshops cost 280 UKP, and represent 12 hours of CPD.

5% of all proceeds from the workshops will be donated to the National Council for Osteopathic Research.

For more information, please call 020 7284 4664, or email to



Comments from previous workshops……..

“Excellent tuition, relaxed, non-judgemental. Happy to ask questions as tutors are approachable and friendly. Much better than college tutors!”

“Excellent demonstrations. Plenty of hands on, and tutors spending time individually to help.”

“The tutors were very approachable and generous with their time.”

“Very useful content, and applicable to clinical life”