Holistic Physio Courses cooperates with the Chikly Health Institute in order to organize the Fluid Articular Release – Upper (FAR-U) course. This is a 3-day course that is scheduled to take place in Athens, 28 – 30 June 2019.

Course Instructors: Bruno Chikly MD, DO, LMT.

Alaya Chikly LMT.

Eligibility: Physiotherapists, Osteopaths, Chiropractors, Physicians specialized in manual therapy methods.

Cost of Attendance: 450 Euro (50 Euro early registration discount if registered until 28 March the latest) or 500 Euro (standard price if registered after 28 March 2019).

The course price includes 24% VAT. Invoices or receipts will be issued accordingly upon request.

Registration: The eligible participants can register and finalize their attendance only after remitting the advance payment for this course in the following bank account:

Piraeus Bank: IBAN: GR29 0172 7650 0057 6508 5950 945

Beneficiary: Ioannis Gouverakis

The remaining amount should be remitted in the aforementioned bank account the latest 3 days prior to the course starting date and only after having received a confirmation email or sms. The course will be confirmed only if the minimum number of participants will have remitted the advanced payment until 28 April 2019 the latest.

You are kindly requested to indicate your name and surname, as well as the seminar you are interested in when you conduct a bank transfer in the aforementioned accounts.

Advance Payment: The advance payment for FAR-U amounts to 200 Euro. If the course is cancelled due to Holistic Physio Courses or Chikly Health Institute, the advance payment shall be immediately returned to the participants (this is the only case in which the advanced payment can be refunded, since the advanced payment guarantees the participation to the course).

Course Language: English with simultaneous translation into Greek

Venue: Airotel Parthenon (6 Makri Street, Athens).

Tips: The participants are kindly requested to purchase their tickets and proceed to any other expenses related to the aforementioned course, only after the seminar is confirmed.

Contact Details: Ioannis Gouverakis DO, PT, MSc

Tel.: +30 28210 51797

Mob.: +30 6974 641282

Email: holisticphysiocourses@gmail.com

Facebook: Chikly Health Institute Greece – Cyprus

Facebook: Holistic Physio Courses

Course Information

This wonderful class will teach students to use a specific synovial fluid rhythm and the body’s inherent articulation rhythm to release restrictions specific to all body articulations, including “fused” embryological articulations.

This class, previously called LAFR/RAFT, has been successfully taught for over 10 years in the lymph curriculum but also can stand alone (no prerequisite) because the specific lymphatic rhythms are not utilized for this class.

  • Learn how to release joints in the body in a very non invasive manner.
  • Learn non-invasive articulation fluid release techniques for:
    – Peripheral (appendicular) articulations: upper extremity from acromioclavicular joint and clavicle to the hand articulations – embryological structures
    – Two types of rib cage articulations – sternum and embryological structures
    – Spine: cervical, thoracic, lumbar, sacral and coccyx – intervertebral, facets (zygapophyseal) and embryological articulations
  • Learn interstitial fluid release, with applications for edema, fascia, muscles, skin (i.e. scars and acne) and articulations (e.g. ethmoid, sacroiliac) as well as intraosseous techniques will be demonstrated.

These techniques use fluid and are gentle and can be applied with ease and great success to babies, elderly and even animal.

  • When the bony framework is out of place numerous type of pathologies can happen, from pain and dysfunction, discomfort, asymmetry/misalignment, range of motion abnormality, tissue/tone changes, affecting the muscles, fascia, viscera or bones themselves.

A wide range of pathologies can be associated with joint dysfunction, and may be alleviated by these techniques, including:

  • Musculoskeletal pain in general
  • Neck pain
  • Some headache, dizziness or vertigo
  • Joint pain such as shoulder pain, elbow pain, wrist pain, etc.
  • Carpal tunnel syndrome
  • Treatment of accidents and injuries, including some whiplash
  • Work injuries
  • Sport injuries
  • Repetitive stress injury (RSI), joint or muscle overuse
  • Arthritis, rheumatoid arthritis
  • Some gastrointestinal disorders (somato-visceral reflex)
  • Some nerve entrapment
  • Stress, general vitality and well being


Embryological articulations assessed and released during FAR-U classes:

  • Metopic suture
  • Symphysis menti
  • Vertical sternal bars
  • Sternebrae
  • Posterior neural arch of vertebrae, centrum and other articulations
  • Diaphysis / epiphysis of extremities



Scientific Facts:


  • Did you know that radiopaque substances injected in human articulations are drained/found few minutes later in the lymphatic vessels. Lymphatic dysfunction is found in degenerative joint disease. It may begin to explain how lymphatic techniques can help joint release.

– Albuquerque M., De Lima J.P. Articular Lymphoscintigraphy in Human Knees Using Radiolabeled Dextran. Lymphology. 1990, 23, P.215-218.

– Vittas D., Reimann I., Nielsen S.L.. Intraarticular Lymphoscintigraphy of the Human Knee Joint: A Preliminary Study. Lymphology. 1987, 20, P.98-101.


  • Lymphatic vessels are distributed in soft tissues around the joint capsule, ligaments, fat pads, and muscles of normal knees. The number of lymphatic vessels, particularly the number of capillaries, are significantly increased in joints of mice with mild osteoarthritis (OA), while the number of mature lymphatic vessels was markedly decreased in joints of mice with severe OA. OA knees exhibited significantly decreased lymph clearance (manual therapist can help stimulate lymph flow). The number of both capillary and mature lymphatic vessels was significantly decreased in the joints of patients with OA.

– Shi J, Liang Q, Zuscik M, Shen J, et al. Distribution and alteration of lymphatic vessels in knee joints of normal and osteoarthritic mice. Arthritis Rheumatol. 2014 Mar;66(3):657-66. doi: 10.1002/art.38278. PMID: 24574226


  • There is decreased drainage from the joint during arthritic flare (manual therapist can help stimulate lymph flow). Alterations in lymphatic flow may be of importance in the fluctuating course observed in chronic inflammatory diseases. In TNF-Tg mice, a model of inflammatory–erosive arthritis, the popliteal lymph node (PLN) enlarges during the pre-arthritic ‘expanding’ phase, and then ‘collapses’ (i.e. reduction in lymph node volume and contrast enhancement) with adjacent knee flare associated with the loss of the intrinsic lymphatic rhythm/pulse.

– Bouta EM, Wood RW, Brown EB, et al. In vivo quantification of lymph viscosity and pressure in lymphatic vessels and draining lymph nodes of arthritic joints in mice. J Physiol. 2014 Mar 15;592(6):1213-23. doi: 10.1113/jphysiol.2013.266700. Epub 2014 Jan 13. PMID: 2442135


  • Recent studies in mice demonstrated alterations in lymphatics from affected joints precede flares (so possibility of a potential preventative manual therapy).

– Bouta EM, Wood RW, Perry SW, et al. Measuring intranodal pressure and lymph viscosity to elucidate mechanisms of arthritic flare and therapeutic outcomes. Ann N Y Acad Sci. 2011 Dec;1240:47-52. doi: 10.1111/j.1749-6632.2011.06237.x. PMID: 22172039


  • The lymph generated in RA joints, as well as lymphatic flow, are increased during disease progression and contain significantly elevated levels of pro-inflammatory cytokines and chemokines. Manual drainage can help evacuation of these pro-inflammatory molecules.

– Olszewski WL, Pazdur J, Kubasiewicz E, et al. Lymph draining from foot joints in rheumatoid arthritis provides insight into local cytokine and chemokine production and transport to lymph nodes. Arthritis Rheum. 2001;44:541–549.


  • The blockade of lymphangiogenesis at the beginning of arthritis development increased the severity of joint tissue injury. Again, Manual drainage can help drain these joints.

– Guo R, Zhou Q, Proulx ST, et al. Inhibition of lymphangiogenesis and lymphatic drainage via vascular endothelial growth factor receptor 3 blockade increases the severity of inflammation in a mouse model of chronic inflammatory arthritis. Arthritis Rheum. 2009;60:2666–2676.


  • Many studies suggest that there is a direct relationship between lymph flow dysfunction and inflammation. First, loss-of-function studies have shown that inhibition of lymphangiogenesis with anti-VEGFR3 neutralizing antibodies decreases lymphatic flow from the foot and increases the severity of ankle joint inflammation. Secondly, lymphangiogenesis induced via intra-articular injection of recombinant adeno-associated virus that over expresses VEGF-C, significantly increased lymph flow, and reduces inflammation in arthritic joints.

– Zhou Q, Wood R, Schwarz EM, et al. Near-infrared lymphatic imaging demonstrates the dynamics of lymph flow and lymphangiogenesis during the acute versus chronic phases of arthritis in mice. Arthritis Rheum. 2010 Jul;62(7):1881-9. doi: 10.1002/art.27464. PMID: 20309866

Instructional Methods


Study Guide

Question & Answer

Power Point Slides


Practice sessions


Course Preparation

Review the following plates in Netter’s Atlas of Human Anatomy (1st Edition Netter=1E, 2nd Edition Netter=2E, 3rd Edition Netter=3E, 4th Edition Netter=4E)



Sternum, manubrium, xiphoid process, sternochrondral and chondrocostal articulation of thorax

Costovertebral and costotransverse articulation, intervertebral and zygapophyseal articulations (facettes)

Spinous and transverse processes

Odontoid of C2, atlanto-odontoidal articulation, alar ligament

Cranial bones and structures: frontal bone, parietal bone, temporal bone, occipital bone, sphenoid bone, ethmoid bone external occipital protuberance (inion)

Cranial sutures: coronal, sagittal, parieto-temporal, parieto-occipital (occipito-mastoid), lambdoid, metopic suture

Facial and cervical bones: mandible, maxilla, palatine bone, zygomatic bone, nasal bone, lacrimal bone, symphysis menti, hyoid bone greater and lesser cornu. 2E=1,3E=2,4E=2, 2E=49,3E=51,4E=55

Bones and articulations of the upper extremities, shoulder, scapula, clavicle, acromion, humerus, coracoid, epicondyle, radius, ulna, MCP (metacarpophalangeal). 2E=231,3E=342,4E=354

Add this unique assessment and treatment method to your repertoire and use it safely everywhere in the body!

Click below to watch a video about the Fluid Articular Release Method:

Fluid Articular Release (FAR)_ Orthopedic Lymph Drainage Therapy

Παρουσίαση της θεραπευτικής μεθόδου Fluid Articular Release!

Gepostet von Chikly Health Institute Greece – Cyprus am Donnerstag, 21. Juni 2018

Dr. Chikly's Fluid Articular Release (FAR) – Orthopedic LDT_ Thumb

Παρουσίαση της θεραπευτικής μεθόδου Fluid Articular Release στον αντίχειρα!

Gepostet von Chikly Health Institute Greece – Cyprus am Donnerstag, 21. Juni 2018

Fluid Articular Release (FAR) – Orthopedic LDT_ Cranial Suture Release

Παρουσίαση της θεραπευτικής μεθόδου Fluid Articular Release στις ραφές του κρανίου!

Gepostet von Chikly Health Institute Greece – Cyprus am Donnerstag, 21. Juni 2018