Unwinding Bone

A Complete Guide to Biodynamic Skeletal Therapy for Myofascial and Manual Therapists

By: Scott Sternthal

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eText | 15 October 2025 | Edition Number 1

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Discover biodynamic skeletal therapy (BST) with guidance direct from its creator.

Unwinding Bone is a comprehensive, practical resource on biodynamic skeletal therapy (BST)—a gentle, non-manipulative approach that engages with bone as dynamic, responsive tissue. Rather than focusing on the movement of bones, BST emphasizes the movements within them, helping practitioners identify and treat bones that have lost their natural elasticity and vitality and preparing the skeletal system for further manual treatment.

Author Scott Sternthal, DO, the developer of BST, breaks down complex concepts into clear, practical information in this hands-on guide for physiotherapists, manual therapists, osteopaths, chiropractors, and bodywork professionals.

The first half outlines the theoretical foundations of BST, reviewing skeletal anatomy and composition, including bone development, remodeling, and mechanical behavior. Explore the continuity between bone and fascia—the osseofascial continuum—as well as the key concepts of texture, drive, and rhythm, including biotensegrity and fulcrum-lever systems.

The second half moves into the practical application of BST. Sternthal provides step-by-step procedures for finding and treating osseofascial compactions in nearly every bone throughout the body. More than 500 photos bring the techniques to life, making this an unparalleled resource for both new and experienced practitioners.

Unwinding Bone is your hands-on guide to understanding and treating the quality and texture of bone tissue.