This course will provide comprehensive assessment and treatment strategies for patients that present with complex lumbar and lumbopelvic spine condition. The course is rich in clinical reasoning and is delivered in a case-presentation format that is 80% lab to facilitate hands-on learning that is guaranteed to break down how to effectively and efficiently assess and treat these complex conditions.
The clinical reasoning model that is embedded in this class will delineate how to differentiate:
- Lumbar spine from hip pathologies and how to striate effective treatment in patients that are presenting with radiculopathy that is driven by hip dysfunction vs. lumbar dysfunction;
- Lumbar disc derangements with and without lateral shift deformity;
- Relevant versus irrelevant shift and when to treat a lateral shift deformity in patients presenting with chronic spondylytic radiculopathy;
- Spondylytic radiculopathy with an underlying adverse neural tension component;
- Stenotic lumbar spine pathologies with bilateral lower extremity neurogenic pain.
Other key topics will address a comprehensive understanding of the neural container including concepts such as the longitudinal neural axis, the transverse neural axis, and their implications on adverse neural tension. Understanding, appreciating, respecting, and treating these variables often is an essential component that will result in significant improvement in complex patient outcomes.
Online Evidence-Based Modules Include:
- Full lower quadrant examination with differential diagnosis of l-spine vs. hip vs. SIJ vs. neural container involvement.
- A literature review of treatment of complex spine conditions, lateral shifts and radiculopathies.
- Defining the neural container and common pattern presentations and movement compensations seen.
- Case Presentation with Differential Diagnosis & Treatment #1
- Case Presentation with Differential Diagnosis & Treatment#2
- 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.