Course Outline

Students who participate on this course either go on to practising exclusively as clinical hirudotherapists, or they are existing massage or physical therapists wishing to expand the range of treatment modalities offered by their practice or clinic.

The Professional Certificate in Clinical Hirudotherapy – Synosteology Specialisation, covers all the fundamentals of hirudotherapy practice, before concentrating on the treatment of conditions of the joints.  This will include a range of arthritis conditions including gout and TMJ pain, as well as some specific sports injuries.

Those who successfully complete the course, may choose to embark on other continuing professional education (CPE) courses, that include hirudotherapy applications in neurology, ophthalmology, dentistry, and cardiology.

Course participants become student members of the European Institute of Hirudotherapy, and upon successful completion of the course are eligible for full membership.

All the institute’s programmes are delivered by way of blended learning; a combination of online delivery and traditional classroom based practical sessions.  Full tutor support is provided for the online components.


Module 1: Anatomy & Physiology
Anatomy & Physiology
  • Introduction to tissue types
  • Musculoskeletal System
  • Circulatory & Lymphatic System
  • Digestive System
  • Respiratory System
  • Nervous System
  • Endocrine System
  • Integumentary System
  • Reproductive System
  • Urinary System
Module 2: Foundations in Hirudotherapy
Foundations in Hirudotherapy
  • History of leech therapy
  • Biology of leeches
  • Biochemistry of leech saliva
  • Bacterial flora of medicinal leeches
  • Indications for hirudotherapy
  • Contraindications
Module 3: Ethics & Professional Conduct
Ethics & Professional Conduct
  • Skin preparation
  • Leech application
  • Safety and adverse effects
  • Health history
  • Medical records & data protection
  • Management of bio-hazard material
Module 4: Clinical Applications
Clinical Applications

Hirudotherapy applications in the adjunctive treatment of:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Gout
  • TMJ pain
  • Ankylosing spondylitis
  • Fibromyalgia
  • Achilles tendonopathies
  • Epicondylitis
  • Patellar tendonitis
  • Shoulder tendonopathies
Module 5: Practice Management
Practice Management
  • Principles of marketing
  • Social media policy
  • Client Relationship Management
  • Information Management
  • Bookkeeping and Accounting

To enroll on the course

Before enrolling on the Professional Certificate in Clinical Hirudotherapy – Synosteology Specialisation course, please be certain to read the refund policy and terms & conditions.