This course is  Designed for students, new grads, and experienced clinicians who feel they lack the confidence to use manual therapy including  thrust manipulation of the spine, upper and lower extremity and the use of neurodynamics. A portion of this course will also discuss how to effectively layer your  treatment with the use of motor control exercises. This course will teach the clinical decision making when using manual therapy including thrust joint manipulation, and neurodynamics. Current statistics, analysis of outcomes from clinically relevant research, safety measures and screening required prior to providing a multimodal approach in order to increase the confidence of therapists to  design and implement appropriate plan of care for patients in pain.  Additionally, students will be taught the psychomotor skills to perform thrust joint  manipulation techniques of the spine, upper and lower extremity, and neurodynamics,  as well as exercises to compliment the manual techniques learned.