ABSTRACT The COVID-19 epidemic of the past two years challenged manual therapists and movement educators around the world in ways that few could have previously imagined. While COVID-19 severely limited the conventional practice of structural integration (SI), it provided a unique opportunity for innovation in the online space. Applying a biopsychosocial model of engagement and integrating Rolf Movement®, Rolfing® SI philosophy, and Somatic Experiencing®, the author Kevin McCarthy illustrates the possibilities of working outside the limitations of a touch-based model. Discussing the legal, ethical, and practical approaches involved in making a transition to an online medium, McCarthy uses a case study to illustrate methods and approaches that translate effectively to both online and in-person offerings. Drawing heavily on his expertise in trauma work, pain science, and client education, McCarthy demonstrates how manual therapists may adapt to the limitations of a pandemicchallenged practice, and offers options for bringing manual therapy into the digital era.