What you will learn

Our focus in this first course in the Manual NVR series will be the neck, head, and upper thorax, including the brachial plexus, shoulder girdle, rib cage, and lungs. 

We will work gently and precisely with the vascular system to normalize tone in hypertonic muscles that are shortening the myofascial tracks, distorting posture, and limiting movement. 

We will work with restrictions of the cervical plexus, brachial plexus, intercostal nerves, accessory nerve, vagus nerve, phrenic nerve, and dura with the goals of reducing pain and improving structural and functional balance.

You will also:

  • learn or refine your ability to use "general listening" and other assessment methods borrowed from osteopathy
  • use less physical effort
  • become more efficient
  • learn new strategies for classic problems
  • improve your layer palpation and tissue-specific touch
  • grow your ability to meet the needs of sensitively-tuned individuals
  • pace your work to provide integration within the session.


As you add techniques to your tool bag, we will discuss applications and strategies for working with thoracic outlet syndrome, the residual effects of whiplash, jaw issues, problems leading to anterior head shift, shoulder mobility issues, upper body stiffness, hypermobile clients, and scoliosis.

Over time, your clients or patients will notice improved proprioception, interoception, and nervous system regulation, and they will grow in their appreciation for how smart and adaptive their bodies are.

This course is for all licensed manual therapists, including massage therapists, physiotherapists,  acupuncturists, and structural integrators.


Distance learning format

five Zoom classes, 20 hours total spread across six weeks

  • Spread out your learning over time. Practice the techniques and strategies you just learned and then return to class the following week with questions.

  • Reduce your travel costs. (If you attend Part 1 in distance learning format, ideally plan to attend Part 2 in person, so that you can receive this work early in your training.)

Attendance Option A:

Participate live from 8 am - 12 pm Pacific Time. Ideal for practitioners in the Americas, Europe, the UK, and Africa.

  • More time live with Kier

    Many opportunities to ask questions during anatomy lectures and while Kier is demonstrating techniques.

  • Receive help while you practice

    Receive guidance and ask questions while you work with your model.

  • Technique review between classes

    Use the time-stamped recordings to review techniques between classes.

Attendance Option B:

Watch the class recordings on your weekend and attend the live Q&A Tuesdays from 5:00 - 6:30 pm Pacific Time. This is Wednesday morning for practitioners in Asia, Australia, New Zealand, and the Pacific Islands.

  • Attend live at a time that works for your time zone

    Get more sleep because the Q&A is held in the morning in your time Zone! (The four-hour classes are in the middle of the night for you, so you'll learn better from the recordings.)

  • Time stamps allow you to plan your practice time

    Watch the anatomy lessons on your own along with the live demos, then replay the demos and follow along with the guided practice segments while you work with your model.

  • Bring your questions to the live Q&A each week

    Bring a model to the live Q&A. Kier will guide you through some practice during this 90-minute mentoring class.

New Buddy Discount

Recruit a friend to help you deepen your learning

Would you like to receive NVR regularly after completing this course? 

    •    Take care of your body's needs by making sure there is a practitioner near you who also knows NVR. 

    •    Enhance your learning by studying and practicing regularly with someone who lives near you.

Both practitioners must register as students and let Kier know the name of their practice partner (via WhatsApp or text 1+503-720-7403). Each of you will receive a 20% discount by registering with coupon code Buddies2024.


Overview of the Manual NVR Curriculum

Plan your journey

As you progress through the curriculum, you can alternate between distance learning and in-person courses. 


You may choose to do Parts 1, 2, 3, and 4 entirely in distance learning format, however, Kier encourages you to attend Part 1 or Part 2 in person so that you can feel the work in your own body early on in your training! Part 5 is held in person only and is an important capstone to your training.


Parts 1 and 2 are the first level of your Manual NVR training and need to be taken in order. In Part 1, we will focus on neck, shoulders, and upper thorax mobility, including some work for the lungs and vagus nerve. In Part 2, we will continue our work with the torso, focusing on the pelvis, hips, and thighs.


In Parts 3 and 4, the next level within the curriculum, we will study the distal extremities in detail, review techniques for the proximal extremities and thorax, and continue working with neurovascular restrictions affecting the organs. Because we will be building on skills learned in the first two courses and expanding your understanding of session strategy and lower and upper body patterns, Parts 1 and 2 are prerequisites for Parts 3 and 4.


Manual NVR Part 5 is a practicum focused on assessment and practical application. In full sessions with outside models, you will apply all that you have learned in Parts 1 through 4, practicing session strategy under Kier’s guidance. This is a great opportunity to bring family members with you to receive work!

Course curriculum

    1. Here is the Zoom link for all classes in this course

    1. Cultivating Interoception

      FREE PREVIEW
    2. Video 1: What is Neurovascular Release? Why are we doing this?

      FREE PREVIEW
    3. Video 2: Basic neck techniques, "Balloon lift"

    4. Video 3: Technique - "Wilted Flower" and the upper intercostal spaces

    5. Video 4: Is wilted flower technique addressing nerve or artery?

    6. Internal thoracic artery technique demo (recorded in 2018 during an in-person Manual NVR Part 1 class)

    1. Introduction to the Manual NVR Part 1 Technique Manual -- your agreement about copyright

    2. NVR Contraindications and Cautions - notes for discussion

    3. NVR Part 1 - technique manual

    4. Nerve and Artery Study Guide - neck and upper thorax

    5. After completing Manual NVR Part 1, structural integrators may find this guide useful for integrating NVR into series work, even though you have yet to learn all the techniques in this guide.

    1. Class 1 Video 1: Anatomy and intro to internal thoracic artery technique

    2. Class 1 Video 2: Demonstration of internal thoracic artery technique

    3. Class 1 Video 3: Guided practice for internal thoracic artery technique

    4. Class 1 Video 4: Demonstration of lower intercostal artery release

    5. Class 1 Video 5: Lower intercostal space bolstering and technique variations for internal thoracic artery technique

    6. Class 1 Video 6: Anatomy for occipital artery technique and deep cervical artery technique

    7. Class 1 Video 7: Demonstration of occipital artery technique

    8. Class 1 Video 8: Guided practice for occipital artery technique

    9. Class 1 Video 9: Questions after practice of occipital artery technique

    10. Class 1 Video 10: Demonstration of deep cervical artery technique

    11. Class 1 Video 11: Discussion after practice of deep cervical artery technique

    12. Class 1 Video 12: How to use the technique manual and guidelines for adding NVR to your practice

    13. Class 1 Video 13: Anatomy - cross-section of neck

    14. Class 1 Video 14: Demonstration of SCM techniques plus superficial nerve anatomy

    15. Class 1 Video 15: Guided practice for SCM techniques

    16. Class 1 Video 16: Anatomy and self-palpation/treatment of occipital nerves

    17. Class 1 Video 17: Guided practice - working occipital nerves on client

    18. 2nd Q&A session 2024-01-30 (discussing Class 1 videos) - included instruction for working with intercostal nerves at front of body, finding connection to spinous processes

    19. Bonus: Tips for working with the occipital nerves on yourself (plus a tip for working with clients with sensitive scalps!)

    20. Bonus for your review: Internal thoracic artery, guided practice and discussion

    21. Bonus for your review: Questions after internal thoracic artery practice

    22. Bonus for your review: Lower intercostal arteries

    23. Bonus: 2023-07-13 Manual NVR Part 1 class 1 - Q&A

About this course

  • $1,000.00
  • 138 lessons
  • 35.5 hours of video content