« Take care of the person, not just the muscle, organ or joint as separate entities.

Manus Sapients Potens Est: A knowledgeable hand is powerful. The more scientific knowledge that supports a therapist’s hand, the more effective it will be. »

Stecco provides over 10,000 hours of training per year, with over 50 countries involved, over 2,500 healthcare professionals trained each year, and most importantly, an extensive body of medical literature.

Every day, doctors and physiotherapists around the world trust us to improve their training, enabling thousands of patients to benefit from their treatment results.

Stecco Fascial Manipulation

Fascial Manipulation refocuses therapeutic attention on the cause of dysfunction, which may be far from the pain being experienced.

Our approach recognizes the importance of the interconnectedness of the different systems in the treatment in order to restore physiological balance. Often, a minimal number of targeted sessions is enough to resolve a problem that has been lingering for years.

The strength of Fascial Manipulation lies in its recognition of the fascia as the conductor of movement.

  • The fascia is the membrane capable of coordinating all the variables involved in the act of movement. For a long time, this role was not recognized. The nervous system was considered the only controller of muscle action. The result of this incomplete analysis of the controllers of movement leads, in clinical practice, to an exclusive focus on the consequences, on pain as a disease, which must be overcome with painkillers.

  • Instead, fascial manipulation embraces pain and uses it to understand how to find – and act on – the cause of dysfunction.

  • The fascia is the connector of the entire organ system to the musculoskeletal system both anatomically and, more importantly, physiologically. This allows us to examine the connections between the various pathologies in the patient and to implement a personalized comprehensive treatment that brings the entire system back into physiological balance. The medical concept of physiological separation of the internal organ from the locomotor system does not exist in Fascial Manipulation.

Pain is an important signal and a therapeutic advantage. Through pain, the system informs us of the body’s limitations in protecting its integrity. The fascia therapist uses pain as a diagnostic tool. By working on the fascia he prevents injury, normalizes muscle function which relieves the painful symptom and prevents recurrence.

The therapeutic approach of Fascial Manipulation recognizes the presence of particular points capable of causing pain and imbalance. These points are called « Coordination Centers ». These Coordination Centers – far from the site of the pain – are the places where normal (or « physiological ») fascial tensions converge. These tensions, when they become non-physiological (« densifications »), can be at the origin of the painful symptoms. As such, they are at the center of the fascio-therapeutic treatment.

Sessions are generally weekly and follow the following steps:

  • Data collection – active listening to the patient including his clinical history, tracing the evolution of his current pathologies; decrease of the painful symptom during the treatment and evolution of the symptomatology from one session to another.

  • Hypothesis of a work plan – with a precise objective, the fascial therapist decides on the treatment to be followed, including the points to be privileged. Communication with the patient is a useful collaboration.

  • Motor examination – clinical orthopedic testing to identify possible muscle deficits.

  • Palpatory examination – to identify and define « densifications » within the Coordination Centers.

    In hypersensitive situations, manual therapy will initially be locally painful, subsiding at the end.
    Immediately after the session, the pain at the site of the symptoms often decreases considerably and the range of motion of the associated joint – as well as the muscle strength – will usually increase. After a few minutes, the reactive inflammatory phase begins which potentiates the proper remodeling of the fascia. This phase, which is necessary for the final goal of rebalancing the system, can last up to 48 hours. The number of sessions is based on the complexity of the problem and the patient’s healing capacity.


En situation d’hypersensibilité, la thérapie manuelle sera d’abord localement douloureuse, s’apaisant à la fin.
Juste après la séance, la douleur au site des symptômes diminue souvent considérablement et l’amplitude de mouvement de l’articulation associée – ainsi que la force musculaire – augmentera généralement. Après quelques minutes commence la phase inflammatoire réactive qui potentialise le bon remodelage du fascia. Cette phase, nécessaire à l’objectif final du rééquilibrage du système, peut durer jusqu’à 48 heures. Le nombre de séances est basé sur la complexité du problème et la capacité de guérison du patient.

Different types of imbalances can be treated such as dysfunctions of the musculoskeletal system (headaches, intercostal pain, radiculitis, arthralgia, Morton’s neuroma, carpal tunnel syndrome and tendinopathy).


We also treat internal dysfunctions, again, looking for the causes and solution to many illnesses not historically associated with manipulative therapy such as difficulty swallowing (dysphagia), chest tightness, tachycardia, asthma, gastritis and esophagitis, constipation, bloating, cystitis, vaginismus and dysmenorrhea, circulatory disease, edema, dermatitis and many more. We suggest you read our blog for updates and to learn more about this technique.

To know more about level 1


This program on the human fascial system is spread over three levels. 48 hours for levels 1 and 2 and 54 hours for level 3.
The objective of the method is to set up a customized treatment to allow the body to blossom while accepting its limits. These are the prerequisites of Fascial Manipulation, an innovative recovery method created by Luigi Stecco.

Medical publications

Arte documentary on fascias featuring Carla Stecco and her research on fascias. (fr)

Experienced professionals at the heart of the method

Luigi Stecco
Physiotherapist since 1975, creator of the evaluation and treatment « Fascial Manipulation® » – « aponévrotique Manipulation® » and owner of the brand and logo.
Author of various books, including: « Fascial Manipulation: practical part » 2007 « Fascial Manipulation: theoretical part » 2010
« Fascial manipulation for internal dysfunctions » 2012 Piccin editore.

Carla Stecco
Surgeon-Orthopedist, assistant professor of human anatomy and movement sciences at the University of Padua.
Founding member of the Fascial Manipulation Association and of the Fascial Research Society.
Scientific activity dedicated to the study of human fascia anatomy from a macroscopic, histological and pathophysiological point of view.

She has personally performed more than 100 cadaver dissections for research. Since 2000, she has been organizing and personally holding theoretical and practical courses on the technique of Fascial Manipulation in Italy and in other countries.

Author of more than 80 articles in extenso on fascial anatomy, of various chapters on fascial anatomy or Fascial Manipulation Technique.
Author of the book « Functional Atlas of the Human Fasciae » (Elsevier, 2014).
Co-author of the books: Fascial Manipulation: Practical part (Piccin, 2007); Fascial Manipulation for Internal Dysfunctions (Piccin, 2013).
Author of the book « Functional Atlas of the Human Fasciae » (Elsevier, 2014).

Antonio Stecco
Degree in Medicine and Surgery – University of Padua, with the thesis « Comparative analysis of the fasciae of the trunk and limbs ».
Fellowship at the University UMDNJ (USA) on myofascial pain.
Specialization in Physical Medicine and Rehabilitation – University of Padua, with the thesis « Chronic cervicalgia: therapeutic comparison between traditional dizionale and Ecografe rehabilitation treatment and national manipulation ».

Founding member of the Fascial Manipulation Association, of which he is currently the president.
Assistant President of the International Association of Physiatrists (ISPRM).

Dedicated to scientific research aimed at studying human fascia from a macroscopic, histological and pathophysiological perspective;
personally performs cadaver dissections for research purposes; organizes and holds theoretical and practical courses on the Fascial Manipulation method in Italy and in other countries.