DermoNeuroModulating is a structured, interactive approach to manual therapy that considers the nervous system of the patient from skin cell to sense of self. Techniques are slow, light, kind, intelligent, responsive and effective. Positioning of limbs and trunk affects deeper nerve trunks (by shortening and widening their container), and is combined with skin stretch directed toward cutaneous fields of nerves that branch outward into skin (which may draw neural structure further through its container). It is prudent to remember that manual handling of a patient?s physicality is only a small part of developing a complete therapeutic context for change?while optional, it can also be optimal.