Registration Fee

Tuition: $450

Early bird promo
$425 by February 28, 2019

Peripheral Neurogenic Pain Neural Entrapment to Neural Dysfunction Exercise Prescription

Course Overview

2 day course on assessment and treatment of patients dominated by Nocioceptive Pain Mechanisms involving the peripheral nerve.This course assists in identifying neural entrapments and dysfunctions, and/or the beginning signs of central sensitivity in all parts of the body. Interventions that will be covered are patient education, exercise prescription/progression, and active manual therapy for neurogenic mechanical problems. Also, video, paper cases and live patient demonstrations (when available) to enrich class participants experience by understanding the importance of the specific “words” and “moves” necessary to reverse neurogenic mechanical nociceptive pain mechanisms. This course follows the textbook “A World of Hurt: A Guide to Classifying Pain”.

What you will take away from this course:

  • Differentiate subjective and objective clinical characteristics in peripheral neurogenic and central sensitivity pain mechanisms.
  • Differentiate mechanical syndromes related to neural entrapments, neural dysfunction and central sensitivity.
  • Patient education and exercise prescription for mechanical syndromes related to neural entrapments, neural dysfunction in the spine, upper and lower extremities.
  • Classify the dominant pain mechanism and prescribe patient education and active care intervention to paper, video and live patient demonstrations.
  • Manual therapy techniques for entrapment sites.
  • World of Hurt Textbook will be available for purchase at the course at a significant discount.

There’s more about A World of Hurt on Facebook.

Course is for the following:

Physical and Occupational Therapists, Chiropractors, Osteopaths, Physical Therapist Assistants, Occupational Therapy Assistants, Medical Doctors, Psychologists, Athletic Trainers, Massage Therapists, Personal Trainers/Movement Professionals and any other practitioners who are involved in treating musculoskeletal pain.

Course outline

8:00 am Registration / Continental Breakfast
8:15 Course Introduction - Musculoskeletal Pain Lessons - [WoH: Forward xi]
8:30 Lecture: Risk Assessment for Musculoskeletal Pain – Referral System
9:00 Lecture: Pain Mechanism Classification System (PMCS) – Definitions and Research [WoH: pg 21-23; 28-31]
9:45 BREAK
10:00 Lecture: Introduce Yellow Flag Risk Form and Current Research - [WoH: pg 258]
10:30 Lecture Nerve Pain Objective Evaluation [WoH: pg 119-122; 150-157]
10:30 Lecture Neurodynamic Examination: Considerations & Clinical Reasoning [WoH: pg 122-134; 102 - 103]
12:00 LUNCH
1:00 Workshop: Patient Neuro-immune Science Education, Neurodynamic Tests: Lower, Upper and Spine [WoH: pg 158-166]
3:15 BREAK
3:30 Case Study or Live Patient Demonstration: Neural Entrapment
4:30 Case Study or Live Patient Demonstration: Neural Dysfunction
7:30 am Continental Breakfast
8:00 Workshop: Trapped Nerve Spine - Directional Preference & Centralization Exercise
10:00 BREAK
10:15 Workshop: Trapped Nerve Upper and Lower Body Entrapment Sites - Manual Therapy and Prescriptive Exercise [WoH: pg 130, 132-133]
12:00 LUNCH
1:00 Lecture: Peripheral Neurogenic Pain Management & Intervention [WoH: pg 134-144; 185]
1:45 Lecture: Peripheral Neurogenic Pain Connection to Central Sensitization [WoH: pg 113-115; 188-194; 198-203]
2:15 BREAK
2:30 Case Study Workshop: Central Sensitization – Patient Neuro Immune Science Education [WoH: pg 206-208, 210-213 214-215]
3:30 Summary of Pain Mechanisms – Working Lamp Analogy: “5 Steps to a Pain Free Life”
4:15 Questions / Answers

Course Instructors

Annie O’Connor, MSPT, OCS, Cert. MDT is Chief Clinical Officer at the Shirley Ryan Ability Lab formerly known as the Rehabilitation Institute of Chicago. Annie has co-authored 2018, Pain Mechanism Classification Chapter, Rehabilitation of The Spine: A Patient Center Approach 3e, Liebenson C (ed). Wolters Kluwer Philadelphia publisher. She has co-authored 2017, Therapeutic Exercise Chapter, Orthopedic Knowledge Update Spine 5, American Academy for Orthopedic Surgeons publisher. This chapter specifically is dedicated to helping Medical Doctors understand pain mechanism classification and the importance in therapeutic exercise selection. She has co-authored 2015 book “A World of Hurt: A Guide to Classifying Pain” and September 2016 Journal Article in JMMT “Validation of a pain mechanism classification system (PMCS) in physical therapy practice”. Both publications offer a research supported “paradigm shift” in managing Musculoskeletal Pain promoting effective and efficient outcomes with significant cost savings. She is an Orthopedic Clinical Specialist (OCS) of the American Physical Therapy Association and has a Certification in Mechanical Diagnosis and Therapy in the McKenzie Method (Cert. MDT). She lectures nationally and internationally on musculoskeletal pain mechanism classification and intervention, neurodynamic evaluation and treatment, mechanical diagnosis and therapy of spine and extremities, kinetic chain evaluation, functional manual therapy and exercise prescription. She was instrumental in establishing the Pain Mechanism Classification System approach for musculoskeletal pain and neurological spasticity at the Shirley Ryan Ability Lab formerly known as the Rehabilitation Institute of Chicago. She is a member of American Physical Therapy Association in the orthopedic section and canine special interest group, the North American Spine Society (NASS), and McKenzie Institute. She continues to treat orthopedic, neurological patients, and canines with pain to achieve the best life possible.

Melissa Watson, MSPT, Cert. MDT received her Master’s in Physical Therapy and her Bachelor’s in Exercise Physiology from Ohio University. Melissa practices at the Shirley Ryan Ability Lab formerly known as the Rehabilitation Institute of Chicago Burr Ridge Outpatient Center with 16 years of clinical experience in neurological rehabilitation. Melissa has been helping to lead RIC’s Clinical Ladder Program where she mentors other clinicians on their professional and clinical development. She is a certified clinical instructor and consistently mentors clinicians and students in clinical practice. She is practicing clinically in the Day Rehabilitation setting with an interest in musculoskeletal pain and applying both pain classification and MDT principles within the neurological population for spasticity. She is currently leading a Day Rehab Pain Group Committee where she is mentoring other Day Rehab clinicians on running pain groups that are focusing on pain education and active care treatment for patients with centrally dominated pain throughout 6 sites of care and facilitating a standard for education through Inpatient clinicians. She certified in Mechanical Diagnosis and Treatment – McKenzie Method. She has been and instructor of the Pain Mechanism Classification System outlined in the book “A World of Hurt: A Guide to Classifying Pain” and uses both sub grouping methods exclusively in her neurological clinical practice to guide patient education and exercise prescription to facilitate functional return.