Fascial Distortion Model for the Upper and Lower Extremities

Des Moines, IA US
May 17, 2013 to May 18, 2013


The Fascial Distortion Model (FDM) is an anatomical perspective, originated by US physician Stephen Typaldos, D.O., in which "the underlying etiology of virtually every musculoskeletal injury (and many neurological and medical conditions) is considered to be comprised of one or more of six specific pathological alterations of the body's connective tissues (fascial bands, ligaments, tendons, retinacula, etc.).  As a model, the FDM is an abbreviated interpretation of the pathology of fascial injuries and contemplates the structural consequences of orthopedic, medical, surgical, and manipulative interventions."

Dr. Typaldos described six principal types of fascial distortions, each with its own body language, signature presentation and likely outcome with and without Fascial Distortion Model treatments. He then tested his model over a period of almost 15 years and found that it held up exceptionally well.  Initially he treated mostly acute injuries (in the emergency room and in his private manipulative practice) which could be reversed almost instantaneously, but as the years went on, he tested his model on more and more difficult cases, some from injuries that had occurred 20 years earlier. The results were the same - dramatic and spectacular in most cases.

Some common injuries that are easily resolved with FDM manual treatments include: pulled muscles and muscle tears, sprained ankles, shin splints, Osgood-Schlatter Disease, whiplash, headaches, shoulder pain, frozen joints, kidney stones, plantar fasciitis, sprains, strains and tendonitis, and low back pain.  Chronic pain can also be successfully treated using the FDM, but results typically take longer than for acute injuries. Sciatica, carpal tunnel syndrome and many other injuries can also be successfully treated in this model.

Target Audience

Physicians. Unfortunately P.T.’s are not able to participate in the course.


The purpose of this Module 3 seminar is to introduce the Fascial Distortion Model (FDM) as an anatomical perspective in which the underlying etiology of virtually every musculoskeletal injury is considered to be comprised of one or more of the six specific pathologic alterations of the body’s connecting tissues as developed by Stephen Typaldos D.O.  Module 3 focuses on the use of the FDM to diagnose and treat injuries and conditions in the elbow, forearm, hand and fingers, calf, heel, foot and toes, and the head.  This goal will be accomplished through didactic presentations by FDM experts, as well as small group workshops where the treatments will be done on live patients.


  1. Review to the fascial Distortion Model
  2. Apply the model to conditions in the upper extremities.
  3. Apply the model to conditions in the lower extremities.
  4. Apply the model to conditions of the head region.
  5. Identify, diagnose, and treat conditions in the head, upper and lower regions of the body.


Friday, May 17

7:45 a.m. 

Registration and Breakfast

8 a.m.         

Introduction to the FDM – History, Terminology, Fascia, and the Distortions

10:15 a.m.  


10:30  a.m. 

Clinical Progressions of Distortions and Diagnosis of Distortions
Live Patient Demonstration

12:15 p.m.  


1 p.m.       

FDM Applied to the Upper Extremity: Includes elbow, forearm, thumb, fingers, Carpal Tunnel Syndrome, trigger finger.  This session will include hands on opportunity to diagnose and treat all the distortions as they pertain to the upper extremity.

2:30 p.m.    


2:45 p.m.   

FDM Applied to the Upper Extremity (Continued)

5:15 p.m.  

Live Patient Demonstration for Upper Extremity

6:15 p.m.  


Saturday, May 18

8 a.m.   

FDM Applied to the Lower Extremity:  Includes contusion, stress fracture, Ischemia (PVD), Interosseous membrane, Calf, foot, Heel Spur, plantar fasciitis, Hallux Valgus, and Hallux rigidus
Live Patient Demonstration

10 a.m.   


10:15 a.m.

FDM Applied to the Lower Extremity (Continued)
Live Patient Demonstration

12:15 p.m.


1 p.m.   

FDM Applied to the Head Region: Includes Headache, Jaw Pain, TMJ, and Hearing

3:15 p.m.  


3:30 p.m.

Live Patient Treatments of Head Region and Other Regions

5:15 p.m.  

Additional Questions and Hands-On Demonstrations

6:15 p.m.




  • Todd Capistrant, D.O., Clinician, Banner Health, Tanana Valley Clinic, Fairbanks, AK (Primary Instructor)
  • Jose Figueroa, D.O., Assistant Professor and Clinician, OMM, DMU, IA (Table Trainer)​

Planning Committee

  • Jose Figueroa, D.O. (Course Director), Assistant Professor and Clinician, OMM, DMU, IA
  • Todd Capistrant, D.O., Clinician, Banner Heath, Tanana Valley Clinic, Fairbanks, AK
  • Vanessa Ross, CMP, Manager, Continuing Medical Education, DMU, IA

Dress Code

Each participant’s body must be accessible for observation. Please refrain from wearing large or sharp jewelry. No jeans please. 

  • Women: Sports top or close fitting T-shirts, and shorts or sweats.
  • Men: Shorts or sweats and T-shirts.
  • All: Warm-up suits or other clothing worn over the above described attire is advised to ensure comfort between demonstrations, as temperatures may vary in the room.

Continuing Education Credit

  • DO:  Des Moines University and the AOA Council on Continuing Medical Education approve this program for a maximum of 18.0 hours of AOA Category 1-A CME credits.
  • AAFP:  Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.
  • Other:  Attendees will be given a certificate of participation for a maximum 18.0 continuing education hours.

Commercial Support

Educational grants are not being accepted for this activity.

Cancellation Policy

  • All cancellations must be received in writing at cme@dmu.edu.
  • A nonrefundable administrative fee of $20 will be charged for all cancellations.
  • No refunds will be given three (3) business days prior to the activity start date.
  • Cancelled registrations can be transferred to another individual for the same activity. 
  • Individuals who fail to attend the activity (no-shows) will not receive any refund. Forfeited fees may not be applied to any other activity. 

Disclosure Statement

Everyone in a position to control the content of this educational activity will disclose to the CME provider and to attendees all relevant financial relationships with any commercial interest. They will also disclose if any pharmaceuticals or medical procedures and devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). Determination of educational content for this program and the selection of speakers are responsibilities of the program director. Firms providing financial support did not have input in these areas.

Course summary
Available credit: 
  • 18.00 AAFP
  • 18.00 AOA Category 1­A
  • 18.00 CE Contact Hour(s)
Course opens: 
Course expires: 
Event starts: 
05/17/2013 - 8:00am CDT
Event ends: 
05/18/2013 - 6:15pm CDT
Des Moines University
3200 Grand Avenue
SEC #115
Des Moines, IA 50312
United States

Available Credit

  • 18.00 AAFP
  • 18.00 AOA Category 1­A
  • 18.00 CE Contact Hour(s)


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