Autonomic Regulation: Redefining the Future of Manual Therapy

When musculoskeletal disorders don’t start in the body – but in the brain, autonomic regulation is key.

Expert Keynote: 25 minutes talk + Q&A

SUMMARY (80 Words)

More patients are presenting with musculoskeletal pain that appears without clear cause and resists conventional treatment – often alongside sleep issues, headaches, tinnitus, digestive problems, or anxiety-like symptoms. The link? Chronic stress disrupting the body’s extended autonomic regulatory system. In this keynote, Tom Meyers introduces a regulation-first approach that equips manual therapists to identify and address this dysregulation before treating symptoms – unlocking better outcomes, avoiding counterproductive care, and keeping your practice relevant in today’s stress-driven health landscape.

 

EXTENDED SUMMARY (160 Words)

More and more patients are arriving with neck, shoulder, or back pain that seems to appear out of nowhere – and resists conventional treatment. Often, these aches are accompanied by sleep disturbances, headaches, tinnitus, digestive discomfort, or anxiety-like symptoms.

The common thread? Chronic stress. It’s not only dysregulating the autonomic nervous system, but the body’s extended autonomic regulatory system. If manual therapists don’t address that dysregulation first, symptom-focused treatment is unlikely to deliver lasting relief – and may even be counterproductive.

In his Expert Keynote, Tom will explore:

25 minute keynote

  • How health problems are evolving in a fast-changing world.
  • Key signs of stress-related dysregulation in patients.
  • What autonomic regulation really means – and how its failure drives far more than musculoskeletal disorders.
  • Why effective treatment goes beyond the ANS or vagus stimulation alone (and how the latter can sometimes worsen symptoms).

45 minute keynote

  • All the above plus
  • Symptoms checklist of the Extended Autonomic Regulatory System 
  • An introduction to Autonomic Reasetting with The Reaset Approach. 
 

REFERENCES KEYNOTE

 
  • By 2050, one in three musculoskeletal disorders will be non-traumatic. (BLOG LINK)
  • Rethinking Dysautonomia: Beyond the Autonomic Nervous System (BLOG LINK)
  • Making Regulation Explicit in Osteopathic Thinking – and Beyond (BLOG LINK)
  • Symptoms  Checklist for Clinical Assessment of Dysautonomia: Framed through the lens of the extended autonomic (regulatory) system. (LINK)

Treatment Mismatch in Musculoskeletal Disorders

When Yesterday’s Solutions Don’t Solve Today’s Health Problems – What Now?

Expert Keynote: 25 minutes talk + Q&A

BACKGROUND

Musculoskeletal disorders (MSDs) remain the leading cause of disability worldwide. Historically, manual therapy has been guided by trauma and degeneration models, yet an increasing proportion of MSDs today are non-traumatic in origin – arising from stress-related dysregulation of the extended autonomic regulatory system rather than structural injury. When these conditions are approached with yesterday’s structural- or function-based solutions, manual therapists encounter a treatment mismatch – patients fail to improve, relapse repeatedly, or develop complex multimodal disorders.

 

OBJECTIVE

This presentation challenges manual therapists to recognise why yesterday’s solutions no longer solve today’s problems. It introduces a new category of MSDs that require a regulation-first model – restoring autonomic balance before structural or biomechanical correction in order to achieve lasting effect.

 

CONTENT

  • Schrijf een beschrijving voor deze subkop of wijzig deze naar wens.Differentiating trauma-related from stress-related MSDs in everyday practice.
  • Understanding the clinical consequences of treatment mismatch in current physiotherapy models.
  • Applying a practical diagnostic approach to recognise dysregulation before treatment.
  • Integrating regulation-first strategies that enhance – not replace – structure–function protocols.
 

CONCLUSION

When yesterday’s solutions don’t solve today’s problems, the answer lies in rethinking the sequence of care. By avoiding treatment mismatch through adopting regulation-first strategies, manual therapists can expand and improve their therapeutic impact, achieve better outcomes, and align their practice with the evolving health challenges of the 21st century.

 

TOM MEYERS D.O. MSc. Ost.

I'm a Brussels-based osteopath, international lecturer, and Fitfull Futures Explorer with over two decades of clinical experience specialising in stress-related disorders and autonomic regulation. I am  the founder of The Reaset Approach – a pioneering method that places autonomic regulation at the centre of manual therapy – offering physiotherapists and healthcare practitioners a regulation-first model for addressing stress-related musculoskeletal disorders. I has delivered workshops and lectures worldwide and am the author of Futurize Yourself and The Futures Effect, recognised as a thought leader who bridges clinical practice with evolutionary biopsychosocial and spiritual wellbeing and future-oriented healthcare.

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