IMT-5: Advanced IMT: Complex Lumbopelvic Spine Conditions & Radiculopathies

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:

  1. Full lower quadrant examination with differential diagnosis of l-spine vs. hip vs. SIJ vs. neural container involvement.
  2. A literature review of treatment of complex spine conditions, lateral shifts and radiculopathies.
  3. Defining the neural container and common pattern presentations and movement compensations seen.
  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. Correctly demonstration manual intervention for the correction of the lateral shift in standing and recumbent postures with and without strap.
  2. Correct demonstration of using lumbopelvic harness integration for discogenic and spondylytic radiculopathy with and without lateral shift.
  3. Correctly define the neural container and its components.
  4. Correctly identify the components of a relevant vs. non-relevant shift.
  5. Correctly demonstrate neuromuscular re-education with use of PNF and other facilitatory interventions of the lumbopelvic and hip region with and without mobilization strap.
  6. In a given patient presentation, be able to defend placement of patient within a treatment based classification system and initial intervention selection.

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.

*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)