You’ve mastered the Foundation. You understand the two-way street between the floor of the mouth and the body’s four primary pillars. Now, it’s time to refine your precision.

Join a select group of practitioners for an intensive, clinically focused program that fuses the foundational precision of Floor of the Mouth/Floor 4 with the world-premiere of Dr. Bulchandani’s advanced system: Mandibular Diaphragm Cranio-viscero-plantar Integration (MDCVPI) distilled to Functional Mandibular Diaphragmatic Integration (FMDI).
Over four days, you’ll refine diagnostic clarity, deepen palpatory accuracy, and integrate mandibular, cranial, visceral, and plantar relationships into a unified, reproducible clinical approach.
Functional Mandibular Diaphragmatic integration (FMDI) is a clinical method developed by Dr. Neel Bulchandani that links the mandibular diaphragm (floor of the mouth) with cranial mechanics, visceral relationships, and plantar/foot dynamics. When the mandibular diaphragm frees, the body undergoes a “phase shift”: a rapid, system-wide reorganization that unlocks easier breathing, improved alignment, and more efficient movement.
This master-level course is for practitioners who have completed the Foundational Floor 4 Training and are working with complex, multi-layered cases, including:
- Chronic TMJ Patients with persistent, non-responsive pain.
- High-Level Athletes looking for performance optimization through airway efficiency.
- Severe Developmental Cases involving complex feeding and speech issues.
Note: Whether your scope of practice allows for hands-on treatment or you work in a virtual capacity, you will learn how to screen and guide patients through self-assessment protocols.
Format: In Person, Immersive Training
Cost: $2,000
Instructor: Dr. Neel Bulchandani
Skill Level: Advanced (ideal for clinicians already using cranial and/or manual therapy approaches)
Sample Schedule:
8:30–9:00: Check-in & palpation warm-ups
9:00–12:30: Lecture + guided labs (assessment to intervention)
12:30–1:30: Lunch
1:30–4:30: Case-driven labs + instructor demos
4:30–5:00: Q&A and integration assignments
Procedural instruction on delivering pre- and post-operative adjunctive care for tongue tie (and lip and cheek tie) surgical release, from implementing Floor 4 to integrating the full FMDI protocol.
Specific application pathways for individuals undergoing palatal expansion procedures and for those preparing for maxillofacial surgeries.
What You Will Gain
Precision Diagnostics: Move away from general screens and toward specific, high-level tests to find the primary restriction faster.
The Deeper 16: A granular map of the fascial and neurological intersections of the human body.
Advanced Treatment Arc: Systems for managing long-term, complex patient care from initial assessment to total homeostasis.