Manual Therapy From A Pain Science Perspective

International Spine and Pain Institute offers a certification process in manual manipulative therapy for physical therapists who want to become specialized in spinal physical therapy. We believe that those who complete the series of courses, assignments, and examinations will become much more skilled, proficient and confident clinicians in the challenging field of treating spinal pain and rehabilitation.

The Experience

ISPI’s Certified Manual Therapy Certification (CSMT) is uniquely blended with online learning, faculty directed discussion, and three (3) hands-on weekend intensive courses, held at different locations throughout the United States. Coursework includes online didactic information to enable the participant flexibility in busy life schedules.

Experiences throughout this program include:

  • In-depth, faculty led learning of the spinal column, including clinical anatomy and pathology, pain science, evaluation and treatment
  • Unique blend of spinal manual therapy and pain science.
  • Virtual rounds and case presentations for interactive learning
  • Certification Examination
  • Intensive, hands-on experiences led by highly skilled instructors and leaders in the field of manual therapy and pain science
  • Larger Bio-Psycho-Social approach to spinal pain

The Outcome

ISPI’s Certified Spinal Manual Therapy Certification is designed to:

  • Create highly skilled spinal manual therapists with advanced clinical competency in evaluation and treatment of the spine within a pain science paradigm
  • Improve therapists’ knowledge of current evidence and promote the use of evidence-based practice in daily clinical practice
  • Enhance leadership skills to create master clinicians in the field of spinal manual therapy


Core Coursework

  • Introduction to Manual Therapy (online)
  • The Cervical Spine: A Manual Therapy and Pain Science Approach  (online)
  • The Thoracic Spine: A Manual Therapy and Pain Science Approach (online)
  • The Lumbar Spine: A Manual Therapy and Pain Science Approach  (online)
  • Onsite Weekend Intensive: Spine Manual Therapy Course
    • December 7-8, 2019 at Des Moines University
  • A Study of Neurodynamics: The Body’s Living Alarm (online)
  • Onsite Weekend Intensive: Neurodynamics Course (Day 1 only)
    • See course page for date and location options
  • Spinal Manipulation I (online)
  • Virtual Rounds and Case Presentations
    • Cervical & Thoracic and Lumbar courses
  • Onsite Intensive: Spinal Manipulation, Case Studies, & Lab Testing
    • See course page for date and location options
  • Therapeutic Neuroscience Education – Online Only




If you are in need of a disability-related accommodation, please contact We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner. For more information please see the Accommodation Procedures for Disabled Participants page.