
Whether you are just beginning to explore the connection between the mouth and the body or you are looking to master complex clinical cases, the Floor 4 Curriculum provides the roadmap.
Developed by Dr. Neel Bulchandani, this two-tier training system bridges the gap between airway health, myofunctional therapy, and whole-body fascial integration. Dr. Neel is unveiling the Functional Mandibular Diaphragmatic Integration (FMDI) system for the first time.
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: Functional Mandibular Diaphragmatic Integration (FMDI).
- Functional anatomy and biomechanics of the mandibular diaphragm and “Floor 4” relationships
- High-fidelity palpation: differentiating intrinsic/extrinsic tongue tension, suprahyoid/infrahyoid balance, and anterior cervical staging
- Assessment of oral-facial diaphragm, hyoid mechanics, and their influence on cranial base and airway
- Clinical sequencing: when and how to address FOM/“Floor 4” to unlock downstream adaptations
- Hands-on labs and clinical pattern recognition
- The FMDI model: linking mandibular diaphragm, cranial base dynamics, visceral axes, and plantar mechanics into one coherent system
- Priority mapping: identifying primary drivers vs. compensations across mandibular, cranio-visceral, and plantar chains
- MDCVPI diagnostics: stepwise assessment, flags, and decision-making flow
- Intervention hierarchy: precise manual inputs, dosage, and order of operations for durable change
- Case integration: TMJ dysfunction, chronic neck/shoulder, headaches, airway/sleep-disordered breathing patterns, dental-occlusal implications, pelvic and foot-driven compensations
- Documentation and outcome tracking to support interdisciplinary collaboration
Procedural Instruction: Surgical Release Adjunctive Care (Tongue, Lip, Cheek Tie)
- Pre-operative preparation using Floor 4 to optimize tissue readiness, neuromotor priming, and diaphragmatic balance
- Immediate post-operative adjunctive care: edema modulation, pain-sensitive dosing, and safe re-introduction of FOM inputs
- Progressive care timeline: week-by-week MDCVPI-informed progression from local to systems-level integration
- Adverse response recognition and remediation strategies; scope and referral guidelines
- Communication protocols with surgical, dental, lactation, SLP, and airway teams
Applications for Palatal Expansion and Maxillofacial Surgery
- MDCVPI sequencing to support expansion phases: anchorage, adaptation windows, and neuromyofascial integration
- Managing cranial base strain patterns and mandibular-hyoid coordination during expansion
- Pre-surgical preparation for maxillofacial cases: optimizing diaphragmatic stacking and global postural relationships
The training simplifies the 70 critical areas of the airway map into four foundational floor areas that impact the entire body:
The Head: Addressing cranial tension and oral-facial posture.
The Throat: Focusing on airway space and the oral diaphragm.
The Sides: Balancing the lateral fascial chains and shoulders.
The Feet: Correcting downstream issues like arch height and stability that originate in the mouth.
This workshop is built for an interdisciplinary healer capacity, including:
Myofunctional Therapists (RDHs and SLPs)
Physical & Occupational Therapists (PTs and OTs)
Chiropractors & Osteopaths (DCs and DOs)
Bodyworkers: Massage therapists, Rolfers, and structural integrationists
Specialized Practitioners: Craniosacral therapists, and visceral workers
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
Location: Santa Barbara, CA - specific location TBD
Cost: $1,000
Instructor: Dr. Neel Bulchandani
Skill Level: Intermediate to 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
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
Location: Santa Barbara, CA - specific location TBD
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