ASSESSMENT AND INTERVENTION FOR THE PAINFUL LUMBAR DISC
Instructor: Phillip Snell, DC Credit hours: 8.0 Price: $399 USD Format: Adobe PDF download, Online audio-visual delivery
“Dr. Snell’s course should be mandatory for every physical medicine practitioner that comes across low back pain. It is the quintessential course for not just treating the symptoms, but uprooting the cause of the problem and empowering the patient to recognize, understand and implement techniques to help them get out of pain, back into activity and become more robust so as to help prevent recurrent episodes.”-Chase Waldrup, DC-Seattle, WA
“This course will 100% help you more effectively diagnose, educate and, most importantly, empower patients with debilitating low back pain to take back control of their lives and learn that there are other options out there besides surgery.”-Andrew Caroon, DC- Vancouver, BC
Pragmatic suggestions for...explanations of...and engagement with the evidence on pain science. Beyond academic notions, learn how to make this evidence work for both doctor and patient.
How to solve the riddle of the asymptomatic, yet "pathological" disc on imaging. Learn when imaging can be useful and when it may contribute to poor prognosis.
Why ordering of the exercise Rx matters and how to keep the patient engaged and excited about progress. Learn to choose the right exercise, at the right time, in the right patient.
FOLLOW THE MONEY: Epidemiology and Public Healthcare Costs in Low Back Pain
Download Course Notes-Clinical Companion to FixYourOwnBack
Lesson 1: The Numbers (20:30)
Lesson 2: Pain Science Primer (20:06)
Quiz- Lesson 2
ISSUES IN TISSUES: Causes of Structural Injury in the Lumbar Spine
Lesson 3: Imaging and Injury Mechanisms for the Lumbar Disc (21:43)
Lesson 4: Factors Associated With Painful Discs (20:22)
Lesson 5: A Deeper Look at PsychoSocial Aspects of Low Back Pain (16:42)
THE DANCE: Structure and Function in Low Back Pain
Lesson 6: Myofascial Adaptations to Functional Demand (23:31)
Lesson 7: Cutaneous Neuro and a "Unified Field Theory" of Low Back Pain (17:18)
A NEUROCENTRIC LENS: Seeing Low Back Pain in a Different Light
Lesson 8: History and Initial Physical Exam (25:20)
Lesson 14: Interpretation of Exam and Review of Findings (18:16)
Quiz: Lesson 14
HOW TO MOVE AWAY FROM PAIN: According to FixYourOwnBack Method
Lesson 15: Reprogramming the Faulty Movement With the Hip Hinge (26:49)
Lesson 16: End of Visit 1 (21:19)
Lesson 17: Building Endurance of Spinal Stabilizers (20:43)
Quiz: Lesson 17
Lesson 18: Video Review of McGill's Big 3 (11:50)
Quiz: Lesson 18
Lesson 19: Establishing Mobility in the Hips and T-spine (24:10)
Quiz: Lesson 19
Lesson 20: Mastering Rotary Stability (17:56)
Quiz: Lesson 20
Lesson 21: Building Strength in the Spine (36:53)
Quiz: Lesson 21
Lesson 22: Careful Addition of Power to the Rehabbed Disc (21:00)
Quiz: Lesson 22
Lesson 23: BONUS! Powerlifter Chris Duffin on Powerlifting While Avoiding Disc Injury (28:09)
Quiz: Lesson 23
$200 Off of the Normal Weekend, In-Person Course!
“I took this course over 3 years ago. It is still the blueprint for treating patients with low back pain of a discogenic origin. It has greatly formed my clinical thought process with this specific population. I’m confident treating the condition/presentation that I otherwise would have referred out.”-Porter Brown, DC-Thunder Bay, ON
The multifactorial nature of chronic lower back pain requires a multi-faceted approach to assessment and treatment. In this course, Dr. Phillip Snell takes the registrant through a deep-dive of the current evidence on imaging, pain science, manual therapy, epigenetic factors and exercise science in an effort to develop an evidence-informed, effective process to address discogenic low back pain.
Upon completion, the registrant would be able to:
1. Appreciate major movement patterns contributing to ongoing peripheral nociception and the development of chronic pain, central sensitization and fear avoidant behavior
2. Recognize key elements of effective exercise interventions in managing lumbar disc injury
3. Recognizing the continuum of flexion related structural injury in the lumbar spine
4. Differentiate discriminating factors between the injured disc vs. other commonly presenting back injuries
5. Demonstrate ability to troubleshoot mixed presentations of flexion intolerance and extension intolerance
6. Develop effective treatment plans incorporating specific exercise interventions to manage pain associated with lumbar disc injury
7. Understand key elements of hip dissociation using Prague School and University of Waterloo derived principles
8. Demonstrate ability to integrate Joint by Joint Approach to improve mobility in the hip and T-sp to reduce load on the injured lumbar disc
9. Understand key safe ways to build strength in the recovering flexion-injured spine
10. Understand how to build agility in the injured spine to avoid re-injury with rapid movements
CE CREDITS: How do I obtain chiropractic CE credits?
ProChiroOnlineCE offers PACE accreditation for chiropractors in most US states and Canadian provinces. YOU ARE RESPONSIBLE FOR FINDING OUT IF YOUR STATE ACCEPTS PACE ACCREDITATION! A list of states and provinces that accept PACE accreditation is available at this link: https://pacex.fclb.org/pages/RegulatoryBoards.php.
Please note that many states and provinces DO NOT require accreditation through a 3rd party, such as PACE. If you don't require 3rd party accreditation, please do not request it.
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Other healthcare professionals are welcome to take coursework on our site, but no accredited CE is provided.
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On request, we will provide you with a digital certificate of completion for your course after you have completed all proficiency tests with an 80% passing grade. If your state or province requires third party accreditation, we will provide PACE accreditation if you contact us within 14 days of completion of your course. Contact us at email@example.com.
A list of states and provinces that accept PACE accreditation is viewable at https://pacex.fclb.org/pages/RegulatoryBoards.php.
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ELIGIBILITY: Who is this course for?
This course is for licensed chiropractic physicians (DCs) and offers CEUs to doctors in most states and provinces. While other licensed healthcare professionals (PT, LAc, MD, DO, ND, ATC, LMT, personal trainers) will find this material helpful in care of their patients and clients, those professionals should contact their state organizations to determine eligibility of this material for CEUs.
Phillip Snell, DC
Dr. Phillip Snell is a chiropractic physician with clinical practice in Portland, OR, USA. As adjunct faculty at University of Western States, he has taken part in the largest federally funded (NIH) research grants in the history of the chiropractic profession. Additionally, Dr. Snell is the creator and content manager of 5 online websites which leverage technology to help clinicians and members of the general public improve understanding of application of exercise in neuromusculoskeletal injury and pain.
Dr. Snell is the creator and curator of ProChiropracticOnlineCE.com, a resource for chiropractic physicians to obtain accredited continuing education via video delivery of online lectures.
FixYourOwnBack.com is a self-guided online tool for those suffering from lumbar disc herniation. Subscribers receive education and exercise recommendation to help them reduce risk of injury and improve long term healing of lumbar disc herniation.
DermalTractionMethod is a neurocentric manual therapy technique developed by Dr. Snell and Dr. Justin Dean. The method focuses on easy to learn and easy to teach manual techniques to assess and correct mechanical interface dysfunction of the superficial cutaneous neurology.
NeuroCentricApproach.com is the first comprehensive physical medicine and rehabilitation method combining unique assessment, manual therapy and exercise interventions. With Dr. Justin Dean, Dr. Snell offers coursework in this innovative approach to an old problem...chronic pain.
Dr. Snell also lectures internationally at professional conventions and in-person continuing education presentations on exercise interventions, manual therapy and integrated pain science in the treatment of chronic pain and neuromusculoskeletal injury.