IMT-4: Advanced IMT: Complex Cervicothoracic Spine Conditions & Radiculopathies

This course will provide comprehensive assessment and treatment strategies for patients that present with complex cervical and cervicothoracic spine conditions. Class format is 80% lab with rich hands-on learning that is immersed in case presentation format designed to break down how to effectively and efficiently assess and treat complex spinal conditions.

The clinical reasoning model that is embedded in this class will clearly present how to differentiate:

  • Cervical radiculopathies from shoulder dysfunction,
  • Cervical disc derangements with cervical lateral shift and common radiculopathies,
  • Cervical high-low syndrome and the underlying positional component/muscle imbalance that drives cervical radiculopathy,
  • Differentiating chronic radiculopathic presentations from peripheral dysfunction,
  • Cervicothoracic dysfunction and cervicogenic dizziness,
  • Management of the patient with chronic radiculopathy and shoulder dysfunction – how to know when to treat the shoulder in the presence of radiculopathy.

Online Evidence-Based Modules Include:

  1. Full upper quadrant examination with differential diagnosis of cervical spine vs. shoulder vs. neural container involvement.
  2. A literature review of treatment of complex spine conditions, lateral shifts, and radiculopathies.
  3. Defining the neural container with common pattern presentations and movement compensations seen in the upper quadrant.
  4. Case Presentation with Differential Diagnosis & Treatment #1
  5. Case Presentation with Differential Diagnosis & Treatment#2
  6. Case Presentation with Differential Diagnosis & Treatment#3

*Online modules include built-in assessments.  Participants must pass with a score of 75% or better to qualify for certification.*

A 100+ page manual with all lectures and detailed technique descriptions will be provided at the course to participants.

This course is currently being evaluated by the ProCert approval process for continuing education credit.

This course will set you apart from your competition. It is designed with the private practice practitioner in mind. Become the go-to provider in your community that everyone is talking about when it comes to back pain, cervicogenic headaches, and MSK conditions.


By the end of this course participants will be able to:

  1. TBD

Primary Course Developer/Instructor:  

  • Dr. Sarah Hanna, PT, DPT, FAAOMPT

Primary Course Instructors:  

  • Dr. Sean Flannagan, PT, DPT

PREREQUISITES: Licensed PT, MD, DO or NMD or a student enrolled in a PT, MD, DO or NMD program. Please bring proof of licensure or student ID to class.
*Recommended participants complete IMT-1 and IMT-2 prior to this course, otherwise, participants with extensive manual therapy training will be required to complete an abbreviated online to create a common language and foundations to build upon.

*All MD, DO and NMD students are eligible to attend. PT students must be in their 2nd or 3rd year of study or attend with a Professor, CI, or PT mentor.

*To qualify for the Clinical instructor rate you must be APTA Credentialed and provide the name of the school you primarily mentor for.

*To qualify for new graduate rate, you must have graduated within the last 24 months of the date of the course.

Internationally, the following practitioners may attend our courses:

  • Physiotherapists / Student Physiotherapists
  • Osteopaths / Student Osteopaths
  • Sports & Remedial Massage Therapists
  • Sports Therapists / Student Sports Therapists


$525.00 for US Based Courses (Click here to see current discounts, offerings and to register) (New Grad Discount: $325; Student Discount: $175)

$455.00 (£350.00) for UK Based Courses (Click here to see current discounts, offerings and to register)
Next UK Course: May 2018


  • Class Schedule:

    • 8 – 5 each day  (NOTE:  UK courses run from 9 am – 5 pm)
    • Registration:  7:30 – 8:00 Day #1  (NOTE:  UK course registration starts at 8:30 Day #1)