Frequently Asked Questions


  • Is your course like any other courses out there?

    No. Other courses that claim to be based on historic or great early authors have done nothing to evolve, edit and improve those ideas since the times they were written. The modern patient base has dramatically changed from the 19th and 20th century. A truly relevant Constitutional Osteopathic approach has to take this changing context into account. For example you may have studied subjects like Vasomotion and Visceramoton, but not been shown how that translates into the modern clinic. At least 80% of clinical practice is mentoring the patient through treatment reactions, including – interpreting the pace of recovery and supporting the patient. This course will show you how to do that.
    Other courses largely refer to anatomy and physiology from medical books, which limits the ability to understand the body as a biome. The constitutional immune system sees the value of the inflammatory process on the pathway to healing, rather than a tempestuous child that needs scolding at every turn!

    Whilst you are a BIO course delegate you can email/phone/text Howard at any point for course help/interpretation/discussion and it is true – if he is awake you will get an answer, usually immediately. That is unique! Email him  now and ask him a question! Try it!

  • Can I do your online course if I am currently a student?

    Of course, in some ways the earlier you start the better. There is no course anywhere that will teach you how to be a peer.

  • Is this the advanced or basic course?

    Both, most people who have taken the BIO course will say that they will never have to do another course in Osteopathy. It is a pathway, first you learn the thinking tools, the narrative – to see the body as a biome, trying to stay as well as it can with what it has. Is that basic or advanced? It is both. Then it will take you on a journey that shows you why evolving Osteopathy to work now, is about responding to the modern clinical setting, not about dumbing down Osteopathy to Osteolite, or being stuck in a historic, mantra driven time warp. What this course will do is change the way you work; in a way that will transform your practice, at your pace, on your terms and future proof it.

  • Is it really complex?

    No, it is the patients who can be complex! having a rational and framework to make a constitutional diagnosis is the most common-sense approach you could learn. You can choose to take on the level of case complexity you want – the method allows you to tailor the rational, to do this seamlessly. Why learn how to suppress 500 diseases badly when you actually only need to recognise one – to help patients with all of them?

  • If it is so simple why isn’t everyone doing it?

    In a way, the simple bit is making a diagnosis. The hard bit it is that the patient now has to do something, instead of sitting back and accepting ‘pathological fate’. the constitutional approach is more scientific than anything you will find anywhere. In my 23 years of practice I can’t think of the last patient who didn’t want their life back, under their control, but they have to work! Some of those journeys were not simple to say the least, but at least it wasn’t a medical mystery! It is worth saying that when you can show someone, even with a terrible prognosis, that they can take control and be part of them doing it – it is the most exciting day anyone could have in a clinic. The constitutional approach is about ‘team work’, it is the most patient centered/practitioner mentored approach there is.

  • How long does the course take?

    As long as you want. If you watch the films back to back there is around 8.5 hours of video content. The download notes and online summative assessment, will really help embed the knowledge. You could watch the whole course in a week, process the download content in the second week and be ready for the assessment in the following week. But this is entirely up to you. I have spent over 20 years evolving the narrative so you don’t have to spend 20 years repeating the exercise. Reading hundreds of publications to find the juice, distilling the juice and then evolving the narrative to make sense now. Everything in this course has been taken beyond theory into practice so it has been tested at the coal face again and again. When you add this all up, including emailing Howard with course exchanges, there is around 35+ hours of CPD. Learning by oneself and elements of learning with others too.

  • Who is the online course for?

    Primarily Osteopaths and Osteopathic students. Osteopaths in training or who have just graduated, right up to those who have been in practice for years but want to explore ‘expanding their scope of practice’. The online course will fundamentally evolve the way you both approach and treat patients, at all levels of practice. The course is open to all who would like to expand their narrative constitutionally, or study what a real alternative therapeutic is based upon – alternative narrative, not alternative technique.

    The online course makes Practical days flow, it is really easy to teach technique to people who have got the narrative! The online course ensures that all the delegates who attend Practical sessions are on the same page, it is the start of the ‘Pathway to Better Practice’.

  • I live overseas, do I have to travel to the UK for Part 3 (Practical Day)?

    For overseas classes, please email Howard, to discuss logistics:
    The Practical days are designed around groups of no more than 10 delegates. Howard can take these sessions anywhere in the world and often it makes more sense for him to travel. Sign up for a newsletter to get the latest releases on where and when.

  • What technique method is the Practical Day (Part 3) based upon?

    Making your technique approach stir up the constitutional reaction that is required for cleaning and healing. This needs good practitioner understanding on handling, mentoring, appropriateness of techniques and an ability to interpret what is happening. Because everyone on the the Practical day, has passed the online course, we can really focus on Practical methods. Howard has always used a general Osteopathic bodywork routine approach, which was first described by McConnel and Teal in 1902; as a framework for bodywork. Howard also draws upon visceral work, within a constitutional framework. This includes elements of hydrotherapy and extended soft tissue preparatory work in chronic cases. For a full list of the topics covered BIO Practical day topics

    Holding and handling of the patient can only really be learned by having real time feedback. The Practical day groups are no more than 10 so that Howard can demonstrate – and more importantly be ‘demonstrated upon’. The best feedback on method you can find! If you want to talk about it call Howard on 01189 885293, leave your number and he will call you back.

  • Do I have to take on really complex cases?

    No, The great thing about the constitutional approach is that you can apply it to any level of case. This gives you the choice of the kind of Practice you want to run. The value of this approach means that you get a much more stable outcome because it teaches you to embrace the fullest context you can. ‘Adjusting the posture’ is much more biometric if you consider all of the maintaining factors, right across the board. There is no such thing as a purely musculo skeletal problem, the whole body is always involved! An added bonus is that as your confidence in case complexity grows, you will find that the constitutional approach is future proofed. The frameworks for diagnosis and treatment don’t change, the reactions from patients don’t change either. All that changes is your realisation that you can do this work yourself!