September 25-27, 2026 at Europahaus Vienna

I would like to draw your attention to a seminar that I find extremely exciting for anyone who has anything at all to do with pain patients.

NeuroSPINE in Vienna - Dr. Adel Rayess and Florian Schöning

I have seen these two therapists work - quite amazing. I learned the method myself in two "Level 1" seminars, and that alone has already brought considerable improvements in my practice for pain patients - and not just for low back pain.

Adel - Master of Osteopathy

I cannot perform osteopathic "manipulations", and yet by now, using Adel's approach, I can improve almost every case of low back pain within minutes to such an extent that all of us are surprised. Quite often these patients have already had extensive osteopathic treatment before.

Florian - an innovative cross-disciplinary thinker

And Florian's NeurNJect technique is almost impossible to explain - nearly magical. I can only point to the "miracle" of Dr. Simon Yu's wife: after eight years of suffering, completely free of pain after a single session - and she still is!

https://ganzemedizin.at/en/neurospine-fantastic-treatment-results/

What is this course about?

It is about Dr. Adel Rayess from Beirut and Florian Schöning from Germany, and about combining two treatment approaches that at first seem rather different:

• Finding and treating the Primary Lesion according to Rayess
• Targeted perineural treatment of irritated nerves using the NeurNJect technique further developed by Florian Schöning

The interesting part is actually not so much the treatment itself. Adel always says: "For treatment, just use whatever you already know how to do."

The interesting part is the diagnostics.

Dr. Adel Rayess and the search for the actual cause

The pain is rarely located where the problem originally started

Of course, this is not an entirely new observation.

Every osteopath, manual medicine physician and probably every experienced pain therapist knows patients who have been treated for years exactly where it hurts - and yet the problem keeps coming back.

Rayess therefore systematically searches for a Primary Lesion, meaning the original mechanical dysfunction from which an entire chain of secondary changes may have developed.

And this may be located far away from where the patient experiences symptoms today.

• An old accident.
• A sports injury.
• A whiplash injury.
• An old restriction in the pelvis, spine or an extremity.
• Rayess describes a palpable Primary Fixation: a region whose three-dimensional mobility differs markedly from the surrounding tissues.

And this is where things become really interesting.

Adel keeps saying: The treatment is easy. The difficult art is finding the correct lesion.

After 28 years of clinical work, he often needs only a few minutes for this examination. Honestly, watching what he does sometimes feels like magic.

Where did this idea come from?

As a student, Adel worked in pathology and in the morgue, which gave him an unusually intensive exposure to anatomy and fascia.

During dissections, he noticed that fascia did not behave the same way everywhere. Again and again, he encountered clearly defined regions with distinctly altered tissue firmness.

Over many years, this observation developed into his concept of the Primary Fixation.

The clinical examination technique he developed from this is extremely interesting - and, most importantly, you can watch the documented patient cases yourself and decide whether this is something you would like to learn.

The videos are breathtaking

A whole series of treatments has now been documented on the website. And these are not carefully selected cases of somebody with a little bit of low back pain.

Here on the old website, around 20 video cases from the boys are presented:

https://primary-lesion.com/testimonial-video-cases/

On the new website, the videos are somewhat hidden - you have to scroll quite far down:

https://www.neurospinemed.com/en/seminare/2026-09-wien-level-1

Among the cases you can see

• a 21-year-old patient with severe ataxia, practically unable to walk for approximately six months despite unremarkable MRI examinations
• a patient with fibromyalgia who had been dependent on a wheelchair for three years and in whom even light pressure during examination caused massive pain
• patients with severe dystonia
• a Parkinson's patient with pronounced spastic dystonia
• a patient with peroneal nerve palsy / foot drop
• a patient with balance problems persisting for three years
• a patient with severe spinal dystonia and impaired breathing while walking
• a patient who had been wheelchair-dependent since spinal surgery in adolescence and suffered from chronic back pain
• a professional athlete with leg dystonia following an old back injury

In addition, there are Florian Schöning's cases involving perineural treatment, for example tremor, impingement, neuropathic complaints and neurological functional disorders.

In one documented tremor case, the tremor changes markedly within approximately ten minutes after treatment of the brain region, brachial plexus, radial nerve and ulnar nerve.

Of course, such videos are case reports and not randomized clinical trials.

But especially as a practitioner, I still find them extremely valuable.

• You can look at the patient before and after treatment.
• You can ask yourself whether the effect you are seeing fits at all with your previous understanding of the disorder.
• And above all, you can ask the question: What are these guys doing differently?

Florian Schöning and NeurNJect

I already knew Florian from the fields of neuromodulation and functional neurology.

His NeurNJect technique is a further development of perineural infiltration.

Instead of simply injecting "somewhere around the painful area", the first step is a neuroanatomical search:

• Where does the irritated nerve run?
• Where are the relevant entrapment sites?
• Which Valleix points react?

Which peripheral nerves might be involved in maintaining the pain pattern or functional disorder?

The treatment uses a very fine subcutaneous injection technique. You could also regard it as a further development of MESOTHERAPY.

I find the combination particularly interesting:

Dr. Adel Rayess searches for the primary mechanical dysfunction. Florian Schöning adds the neural level.

This turns two methods into a combined diagnostic and therapeutic concept.

What do doctors who have already attended the course say?

For me, this is just as important as the patient videos.

By now, a number of very experienced colleagues have completed the training.

And their feedback is remarkable.

Dr. Simon Yu from St. Louis describes the combination of osteopathy and perineural dextrose infiltration as excellent training with impressive results.

• Dr. Iris Prethaler, a general practitioner from Kitzbühel, describes the method as unusual and convincing and came away from the course convinced that she could immediately incorporate it into her practice.
• ENT specialist Dr. Sieghard Glanzer was particularly impressed by how simple tools can be used in everyday clinical practice.
• Dr. Atel Hemat, an internist from Cologne, describes the combination of Primary Lesion and NeurNJect as offering a new perspective.
• Dr. Peter Brunner, whom many colleagues know from Functional Muscle Diagnostics, has also begun integrating the concept of the Primary Lesion into his own FMD diagnostics.
• And my colleague Dr. Runa Rahman-Oshiga, who works intensively with neuromodulation, describes the course as an expansion of her existing therapeutic toolbox.

These are not beginners being shown some new little trick.

These are colleagues with their own diagnostic and therapeutic systems, some of them developed over decades - and yet they apparently take something from these three days that they can use in their everyday clinical work.

What will you actually learn in Vienna?

This seminar is not a weekend of lectures.

A substantial part of the three days consists of hands-on work.

Day 1 with Dr. Adel Rayess

• Biomechanics of lesion chains
• The fascial system
• Systematic search for the Primary Lesion
• Palpation diagnostics
• Examination through clothing
• Live demonstrations
• Examining each other and hands-on practice

Day 2 with Dr. Adel Rayess

• Three-dimensional correction techniques
• Spine
• Pelvis
• Extremities
• Differentiating between Primary Lesion and secondary compensation
• Real patient cases
• Supervised treatment

Day 3 with Florian Schöning

• Neuroanatomy for perineural infiltration
• Valleix points
• Dextrose D5W
• Fine subcutaneous injection technique
• Neuropathic pain syndromes
• Integration of Primary Lesion and NeurNJect into everyday clinical practice

Why I recommend this seminar

I have attended medical conferences and training courses for many years.

Much of it is interesting.

Some of it actually changes the way you practice medicine.

And only very rarely do you see something and think:

I need to know how to do this myself.

That was my reaction to Adel Rayess and Florian Schöning.

Not because I believe that suddenly every chronic disorder can be explained by some hidden mechanical restriction.

And certainly not because a spectacular video already constitutes scientific proof of efficacy.

But because what is being demonstrated here is something that sometimes gets a little lost in our increasingly imaging-, laboratory- and technology-oriented medicine:

examining the patient carefully.

• With your hands.
• With anatomy.
• With functional thinking.
• And with the question:

Where did this problem actually begin?

If this approach can produce changes in at least some chronic pain and neurological patients like those shown in the documented cases, then I at least want to understand how this diagnostic system works.

That is exactly why I recommend this training to every doctor and physiotherapist working in this field.

NeuroSPINE Level 1 Vienna

September 25-27, 2026

Location

Europahaus Vienna

Duration

Friday 09:00 to Sunday 17:00

Program

• 2 days of Primary Lesion diagnostics and treatment with Dr. Adel Rayess
• 1 day of NeurNJect and perineural infiltration with Florian Schöning
• Strong hands-on focus
• Live cases
• Small group
• Maximum of 20 participants

If you are interested, I would suggest that you first watch the patient cases and read the feedback from the doctors who have already attended.

After that, you will probably know pretty quickly whether this is something you want to learn.

Registration https://www.neurospinemed.com/de