Schedule

10:00am - 12:00pm
Pre-conference Registration
12:00pm - 6:30pm

Neurodynamics for cervicogenic headache, thoracic outlet and the thoracic spine - SOLD OUT

Michael Shacklock Lab Session
Speakers

Michael Shacklock

Description

Join us for a 6-hour, pre-conference hands-on session focusing on neurodynamics of the trunk and thorax with world-renowned neurodynamics pioneer Michael Shacklock. This session will feature both didactic and hands-on lab sessions focusing on the movement of the nervous system in the trunk and thorax. This session will focus on neurodynamic mobilizations, differential diagnosis and clinical reasoning of neurodynamic disorders, differentiate between musculoskeletal and neurodynamic components and making a neurodynamic diagnosis. Tests and treatments will demonstrate technique progressions from low to high functional levels, how to create, select and perform the best techniques for your patients, manual precision of neurodynamic technique and how to detect contraindications for neurodynamic treatment. Mounting evidence supports the use of neurodynamics in various traditional orthopedic-based disorders such as low back pain, whiplash associated disorders, neck pain, post-surgery, radiculopathy and more. This lab intensive class will discuss the most commonly used neurodynamic tests and treatments for the trunk and thorax, ensuring skillful handling, sound clinical reasoning and neuroscience knowledge. The course will systematically demonstrate all neurodynamic tests including passive neck flexion, slump, sympathetic slump, slump longsit, etc. The course will discuss research related to each test, various passive and active treatment options, and treating tissues around the nervous system, home exercises, neuroscience education with neurodynamics and more.

Science of Neurodynamics - SOLD OUT (2:30-6:30)

Michel Coppieters Lab Session
Speakers

Michel Coppieters

Description
7:00pm
PT Pub Night

Great Divide Brewing Company, 2201 Arapahoe St, Denver, CO 80205
Description

Join us for PT Pub Night at Great Divide Brewing Company. The MGJ Food Truck will be available at the PT Pub Night.

7:00am - 8:00am
CEU Sign In / "Full-Conference" Registration
8:00am - 12:30pm
Break from 10:00am - 10:30am

Desensitizing a Hypersensitive Nervous System w/ Graded Motor Imagery

Kory Zimney & Steve Schmidt Lab Session
Speakers

Kory Zimney

View Bio

Steve Schmidt

View Bio
Description

Due to its popularity at the 2017 ISPI conference we are repeating this course which will introduce attendees to the latest thoughts associated with neuroplasticity, immune responses and most importantly… clinical presentation. The brain (and nervous system) is plastic. Recent developments in the world of neuroscience have given hope to people suffering from persistent pain. It is now well established that a person’s body is represented in their brain and in persistent pain there are significant structural and functional changes in the brain. These changes perpetuate pain, disability and suffering considerably. Although most research has focused on conditions such as complex regional pain syndrome and phantom limb pain, emerging evidence supports the notion of altered brain maps in people with any/all persistent pain. This lab-intensive class will systematically teach attendees various clinical tests used to determine if these cortical changes have occurred in a patient with persistent pain, and to what extent. Treatment will cover the latest series of graded motor imagery techniques including laterality, sensory discrimination, motor imagery, graphesthesia, mirror therapy, etc. This session is a must for all healthcare providers who face a patient with such a sensitive nervous system, he/she are not able to move much, be touched or even think about movement due to pain.

Acute Cervical Radiculopathy: A Manual Therapy Approach to Assessment and Treatment

Paul Mintken, Julie Whitman, Tim Fearon Lab Session
Speakers

Paul Mintken

View Bio

Julie Whitman

View Bio

Tim Fearon

View Bio
Description

It is well documented that neuropathic pain may just be one of the most painful conditions patients may face and is often resistant to pharmacological interventions. One such challenging neuropathc condition is cervical radiculopathy. Cervical radiculopathy is very common in rehabilitation and poses a significant clinical challenge, especially when it’s progressive, associated with progressive neurological deficit. On the other end of the spectrum, acute cervical radiculopathy also poses a significant challenge for assessment and treatment. This 4h breakout session will delve into the examination and treatment of acute cervical radiculopathy. This session will provide background information on the prevalence and etiology of cervical radiculopathy in rehabilitation including dicogenic pain, facet joint injuries and degeneration, whiplash-associated disorders, foraminal stenosis, etc. This session will feature an extensive screening and clinical reasoning component to allow for the safe handling of acute cervical radiculopathy in terms of physical examination and treatment. Lab sessions will include screening tests of the various anatomical structures potentially implicated in cervical radiculopathy, neurodynamic tests, neurological screening and testing of a sensitized nervous system via allodynia and/or hyperalgesia. The treatments covered in the lab session will include pain neuroscience education, spinal manipulation and mobilization, neurodynamics, graded motor imagery and exercise as a means to calm the sensitized nervous system in cervical radiculopathy.

Acute Lumbar Radiculopathy: A Manual Therapy Approach to Assessment and Treatment

Jack Miller & Cheryl Sparks Lab Session
Speakers

Jack Miller

View Bio

Cheryl Sparks

View Bio
Description

Low back pain is the most common musculoskeletal condition encountered in medicine apart from the common cold. When low back pain is accompanied with radiculopathy the clinical challenge increases for the attending clinician. Progressive neurological deficit, non-responsive to conservative care is an indication for surgery, which implies a sense of urgency when treating patients with acute and sub-acute lumbar radiculopathy. Sensitization of the nerve root, however, causes significant handling challenges for both physical testing and treatment. This session, focusing on acute lumbar radiculopathy, aim to show safe, non-threatening and effective physical tests and treatments for patients suffering from acute lumbar radiculopathy. The didactic portion will briefly discuss acute lumbar radiculopathy’s etiology and clinical presentations, evidence-based strategies for management and differential diagnosis and clinical reasoning. Physical examination will include screening tests for the lumbo-pelvic region, neurodynamic tests and neurological screening. Treatments will include spinal manipulation, spinal mobilization, neurodynamics, education, exercise and more.

Neuropathy in Sports Medicine: Functional Dry Needling®

Edo Zylstra, Paul Killoren, Jeremy Snyder Lab Session
Speakers

Edo Zylstra

View Bio

Paul Killoren

View Bio

Jeremy Snyder

View Bio
Description

The various bodily systems are closely intertwined and deficits in one system lead to a cascade of events in neighboring tissues. One such clinical cascade is the interaction between the nervous system and muscles. A healthy nervous system, physically and emotionally, is needed for optimal motor control, muscle function, sports performance, etc. On the flipside, the health of the various “containers” nerves travel through, are needed for optimal and healthy nerve function. This interaction forms the base for this lab intensive session focusing on neuropathic pain, sports medicine and dry needling. This interactive lab session does not require you to have experience in performing dry needling but will utilize the participants as case examples to demonstrate the impact of neuropathic dysfunction in acute and chronic sports injuries. Dry needling has long been characterized by a treatment of myofascial pain and trigger points.  Many studies have been published indicating the uncertain positive effects of dry needling for management of myofascial pain and the presence of these trigger points, which has left us with a dilemma.  If the research doesn’t support the technique one way or the other, why are so many clinicians receiving training and practicing the technique while patients continue to request the intervention?   Could it be that we are actually impacting the nervous system rather than just the peripheral tissues targeted? This session will discuss the likely impact that Functional Dry Needling® has on the nervous system and how our assessment must not be limited to symptomatic tissues, referral patterns and palpation.  Lab sessions will include key assessment for successful implementation of FDN, with demonstration, for greatest success in producing clinical change.

Pain Neuroscience Education and Calming a Sensitive Nervous System - SOLD OUT

Jessie Podolak, Adriaan Louw, Eva Huysmans Lab Session
Speakers

Jessie Podolak

View Bio

Adriaan Louw

View Bio

Eva Huysmans

View Bio
Description

What is the “code” for patient education in physical therapy? How much do you get paid for that code? Patient education for too long has been seen as an adjunct to treatment, rather than a treatment in itself. Education IS therapy and emerging pain science research is showing that teaching patients about the biology and physiology of their pain result in significant benefit, including reduction is pain, dysfunction, fear-avoidance, pain catastrophization, physical movement impairments and healthcare utilization. Specific to neuropathic pain, it is imperative to realize that pain neuroscience education can be used as a powerful tool in calming the central and peripheral nervous system, thus allowing patients more readily to engage in physical treatments including exercise, manual therapy, neurodynamics, etc. Various studies have shown immediate desensitization of the nervous system following brief pain neuroscience education including improved neurodynamic movement, pressure pain thresholds, widespread brain activity on brain scans, etc. Additionally, when pain neuroscience education is combined with aerobic exercise, which additionally calms a sensitive nervous system, the calming effect is drastically increased. In this lab session, clinicians will be updated on the latest evidence regarding pain neuroscience education, with a special emphasis on desensitizing a sensitive nervous system. With interactive use of large-group, small-group, demonstrations, drawings and metaphors attendees of this breakout session will develop a step-by-step, immediately clinically applicable “how to” on teaching people about pain and calming down a hypervigilant nervous system.

Breathing, Neuropathic Pain and Calming a Nervous System - SOLD OUT

Tim Flynn & John Zapanta Lab Session
Speakers

Tim Flynn

View Bio

John Zapanta

View Bio
Description

It could be argued that “breathing” and “breathing exercises” are likely one of the first techniques a physical therapy student are taught in class, yet it is often “let go” in favor of trending and emerging treatments. In recent years, however, a growing body of literature has shown the powerful effect of breathing, proper breathing, on pain, dysfunction and overall well-being of patients. Specific to neuropathic pain, it is now well described that increased oxygen and blood flow around the nervous system is associated with a decrease in sensitization of the nervous system, while decreased blood flow and oxygen is associated with an increase in sensitization of the nervous system. This interactive hands-on lab session will integrate thoracic spine and ribcage manipulative strategies and specific breathing techniques with the goal of calming a sensitive nervous system. The course will start with specific breathing muscle strength and lung capacity testing.  This will be followed by a series of techniques designed to make change within session of these parameters.  Select manipulation thoracic and ribcage techniques will be practiced followed by a series of breathing strategies.  The breathing techniques will focus on decreasing pain related fear and anxiety.  Designing and implementing a home program for maintaining improvements in breathing will be discussed.  The participants will leave the session with tools to immediately put into clinical practice.

Neurodynamics for the Upper Extremity - SOLD OUT

Michel Coppieters Lab Session
Speakers

Michel Coppieters

Description

This 4h lab breakout session will cover recent developments in the classification and management of neck/shoulder/arm pain of neurodynamic origin. The session will combine research evidence, clinical reasoning skills and neural tissue evaluation including neurodynamic tests of the upper extremity. Management will focus on the passive and active mobilization of the nervous system in the upper extremity, including home exercises and patient education. This session will provide a brief overview of the current evidence and development of neurodynamic tests and interventions specific to the upper extremity, pertaining to the median, radial and ulnar nerve. This session will showcase how inflammation, neuroimmune responses, plasticity changes, allodynia and hyperalgesia manifest itself in various upper extremity disorders such as cervical radiculopathy, frozen shoulder; various shoulder pathologies, tennis elbow, golfers elbow, carpal tunnel syndrome and more. This lab-intensive class will feature the latest advancements in upper extremity neurodynamic testing and treatment, including different sequences of neurodynamic tests, sliders and tensioners, active quick-screen tests for the upper extremity, treating the neural container with/without neurodynamics, etc.

Neurodynamics for the Lower Extremity

Michael Shacklock Lab Session
Speakers

Michael Shacklock

Description

The nervous system is dynamic and its dynamic properties are imperative when discussing low back and lower extremity disorders. This breakout session will feature both didactic and hands-on lab sessions focusing on the movement of the nervous system in the lower extremity. This session will focus on neurodynamic mobilizations, differential diagnosis and clinical reasoning of neurodynamic disorders, differentiate between musculoskeletal and neurodynamic components and making a neurodynamic diagnosis. Tests and treatments will demonstrate technique progressions from low to high functional levels, how to create, select and perform the best techniques for your patients, manual precision of neurodynamic technique and how to detect contraindications for neurodynamic treatment. Mounting evidence supports the use of neurodynamics in various traditional orthopedic-based disorders such as low back pain, radiculopathy and more. This lab intensive class will discuss the most commonly used neurodynamic tests and treatments for the lower extremity, ensuring skillful handling, sound clinical reasoning and neuroscience knowledge. The course will include investigation of lumbar radiculopathy, plantar fasciitis, ankle sprains, Achilles tendinitis, knee pain, etc. The neurodynamic tests include straight leg raise with bias to peroneal, sural and tibial nerves; slump test, prone knee bend and sidelying slump tests, etc. The course will discuss research related to each test, various passive and active treatment options, and treating tissues around the nervous system, home exercises, neuroscience education with neurodynamics and more.

12:30pm - 2:00pm
Lunch
2:00pm - 6:30pm
Break from 4:00pm - 4:30pm

Desensitizing a Hypersensitive Nervous System w/ Graded Motor Imagery

Steve Schmidt & Kory Zimney Lab Session
Speakers

Steve Schmidt

View Bio

Kory Zimney

View Bio
Description

Due to its popularity at the 2017 ISPI conference we are repeating this course which will introduce attendees to the latest thoughts associated with neuroplasticity, immune responses and most importantly… clinical presentation. The brain (and nervous system) is plastic. Recent developments in the world of neuroscience have given hope to people suffering from persistent pain. It is now well established that a person’s body is represented in their brain and in persistent pain there are significant structural and functional changes in the brain. These changes perpetuate pain, disability and suffering considerably. Although most research has focused on conditions such as complex regional pain syndrome and phantom limb pain, emerging evidence supports the notion of altered brain maps in people with any/all persistent pain. This lab-intensive class will systematically teach attendees various clinical tests used to determine if these cortical changes have occurred in a patient with persistent pain, and to what extent. Treatment will cover the latest series of graded motor imagery techniques including laterality, sensory discrimination, motor imagery, graphesthesia, mirror therapy, etc. This session is a must for all healthcare providers who face a patient with such a sensitive nervous system, he/she are not able to move much, be touched or even think about movement due to pain.

Acute Cervical Radiculopathy: A Manual Therapy Approach to Assessment and Treatment

Paul Mintken & Tim Fearon Lab Session
Speakers

Paul Mintken

View Bio

Tim Fearon

View Bio
Description

It is well documented that neuropathic pain may just be one of the most painful conditions patients may face and is often resistant to pharmacological interventions. One such challenging neuropathc condition is cervical radiculopathy. Cervical radiculopathy is very common in rehabilitation and poses a significant clinical challenge, especially when it’s progressive, associated with progressive neurological deficit. On the other end of the spectrum, acute cervical radiculopathy also poses a significant challenge for assessment and treatment. This 4h breakout session will delve into the examination and treatment of acute cervical radiculopathy. This session will provide background information on the prevalence and etiology of cervical radiculopathy in rehabilitation including dicogenic pain, facet joint injuries and degeneration, whiplash-associated disorders, foraminal stenosis, etc. This session will feature an extensive screening and clinical reasoning component to allow for the safe handling of acute cervical radiculopathy in terms of physical examination and treatment. Lab sessions will include screening tests of the various anatomical structures potentially implicated in cervical radiculopathy, neurodynamic tests, neurological screening and testing of a sensitized nervous system via allodynia and/or hyperalgesia. The treatments covered in the lab session will include pain neuroscience education, spinal manipulation and mobilization, neurodynamics, graded motor imagery and exercise as a means to calm the sensitized nervous system in cervical radiculopathy.

Acute Lumbar Radiculopathy: A Manual Therapy Approach to Assessment and Treatment

Jack Miller & Cheryl Sparks Lab Session
Speakers

Jack Miller

View Bio

Cheryl Sparks

View Bio
Description

Low back pain is the most common musculoskeletal condition encountered in medicine apart from the common cold. When low back pain is accompanied with radiculopathy the clinical challenge increases for the attending clinician. Progressive neurological deficit, non-responsive to conservative care is an indication for surgery, which implies a sense of urgency when treating patients with acute and sub-acute lumbar radiculopathy. Sensitization of the nerve root, however, causes significant handling challenges for both physical testing and treatment. This session, focusing on acute lumbar radiculopathy, aim to show safe, non-threatening and effective physical tests and treatments for patients suffering from acute lumbar radiculopathy. The didactic portion will briefly discuss acute lumbar radiculopathy’s etiology and clinical presentations, evidence-based strategies for management and differential diagnosis and clinical reasoning. Physical examination will include screening tests for the lumbo-pelvic region, neurodynamic tests and neurological screening. Treatments will include spinal manipulation, spinal mobilization, neurodynamics, education, exercise and more.

Neuropathy in Sports Medicine: Functional Dry Needling® - SOLD OUT

Edo Zylstra, Paul Killoren, Jeremy Snyder Lab Session
Speakers

Edo Zylstra

View Bio

Paul Killoren

View Bio

Jeremy Snyder

View Bio
Description

The various bodily systems are closely intertwined and deficits in one system lead to a cascade of events in neighboring tissues. One such clinical cascade is the interaction between the nervous system and muscles. A healthy nervous system, physically and emotionally, is needed for optimal motor control, muscle function, sports performance, etc. On the flipside, the health of the various “containers” nerves travel through, are needed for optimal and healthy nerve function. This interaction forms the base for this lab intensive session focusing on neuropathic pain, sports medicine and dry needling. This interactive lab session does not require you to have experience in performing dry needling but will utilize the participants as case examples to demonstrate the impact of neuropathic dysfunction in acute and chronic sports injuries. Dry needling has long been characterized by a treatment of myofascial pain and trigger points.  Many studies have been published indicating the uncertain positive effects of dry needling for management of myofascial pain and the presence of these trigger points, which has left us with a dilemma.  If the research doesn’t support the technique one way or the other, why are so many clinicians receiving training and practicing the technique while patients continue to request the intervention?   Could it be that we are actually impacting the nervous system rather than just the peripheral tissues targeted? This session will discuss the likely impact that Functional Dry Needling® has on the nervous system and how our assessment must not be limited to symptomatic tissues, referral patterns and palpation.  Lab sessions will include key assessment for successful implementation of FDN, with demonstration, for greatest success in producing clinical change.

Pain Neuroscience Education and Calming a Sensitive Nervous System

Jessie Podolak, Adriaan Louw, Eva Huysmans Lab Session
Speakers

Jessie Podolak

View Bio

Adriaan Louw

View Bio

Eva Huysmans

View Bio
Description

What is the “code” for patient education in physical therapy? How much do you get paid for that code? Patient education for too long has been seen as an adjunct to treatment, rather than a treatment in itself. Education IS therapy and emerging pain science research is showing that teaching patients about the biology and physiology of their pain result in significant benefit, including reduction is pain, dysfunction, fear-avoidance, pain catastrophization, physical movement impairments and healthcare utilization. Specific to neuropathic pain, it is imperative to realize that pain neuroscience education can be used as a powerful tool in calming the central and peripheral nervous system, thus allowing patients more readily to engage in physical treatments including exercise, manual therapy, neurodynamics, etc. Various studies have shown immediate desensitization of the nervous system following brief pain neuroscience education including improved neurodynamic movement, pressure pain thresholds, widespread brain activity on brain scans, etc. Additionally, when pain neuroscience education is combined with aerobic exercise, which additionally calms a sensitive nervous system, the calming effect is drastically increased. In this lab session, clinicians will be updated on the latest evidence regarding pain neuroscience education, with a special emphasis on desensitizing a sensitive nervous system. With interactive use of large-group, small-group, demonstrations, drawings and metaphors attendees of this breakout session will develop a step-by-step, immediately clinically applicable “how to” on teaching people about pain and calming down a hypervigilant nervous system.

Breathing, Neuropathic Pain and Calming a Nervous System

Tim Flynn & John Zapanta Lab Session
Speakers

Tim Flynn

View Bio

John Zapanta

View Bio
Description

It could be argued that “breathing” and “breathing exercises” are likely one of the first techniques a physical therapy student are taught in class, yet it is often “let go” in favor of trending and emerging treatments. In recent years, however, a growing body of literature has shown the powerful effect of breathing, proper breathing, on pain, dysfunction and overall well-being of patients. Specific to neuropathic pain, it is now well described that increased oxygen and blood flow around the nervous system is associated with a decrease in sensitization of the nervous system, while decreased blood flow and oxygen is associated with an increase in sensitization of the nervous system. This interactive hands-on lab session will integrate thoracic spine and ribcage manipulative strategies and specific breathing techniques with the goal of calming a sensitive nervous system. The course will start with specific breathing muscle strength and lung capacity testing.  This will be followed by a series of techniques designed to make change within session of these parameters.  Select manipulation thoracic and ribcage techniques will be practiced followed by a series of breathing strategies.  The breathing techniques will focus on decreasing pain related fear and anxiety.  Designing and implementing a home program for maintaining improvements in breathing will be discussed.  The participants will leave the session with tools to immediately put into clinical practice.

Neurodynamics for the Upper Extremity - SOLD OUT

Michel Coppieters Lab Session
Speakers

Michel Coppieters

Description

This 4h lab breakout session will cover recent developments in the classification and management of neck/shoulder/arm pain of neurodynamic origin. The session will combine research evidence, clinical reasoning skills and neural tissue evaluation including neurodynamic tests of the upper extremity. Management will focus on the passive and active mobilization of the nervous system in the upper extremity, including home exercises and patient education. This session will provide a brief overview of the current evidence and development of neurodynamic tests and interventions specific to the upper extremity, pertaining to the median, radial and ulnar nerve. This session will showcase how inflammation, neuroimmune responses, plasticity changes, allodynia and hyperalgesia manifest itself in various upper extremity disorders such as cervical radiculopathy, frozen shoulder; various shoulder pathologies, tennis elbow, golfers elbow, carpal tunnel syndrome and more. This lab-intensive class will feature the latest advancements in upper extremity neurodynamic testing and treatment, including different sequences of neurodynamic tests, sliders and tensioners, active quick-screen tests for the upper extremity, treating the neural container with/without neurodynamics, etc.

Neurodynamics for the Lower Extremity

Michael Shacklock Lab Session
Speakers

Michael Shacklock

Description

The nervous system is dynamic and its dynamic properties are imperative when discussing low back and lower extremity disorders. This breakout session will feature both didactic and hands-on lab sessions focusing on the movement of the nervous system in the lower extremity. This session will focus on neurodynamic mobilizations, differential diagnosis and clinical reasoning of neurodynamic disorders, differentiate between musculoskeletal and neurodynamic components and making a neurodynamic diagnosis. Tests and treatments will demonstrate technique progressions from low to high functional levels, how to create, select and perform the best techniques for your patients, manual precision of neurodynamic technique and how to detect contraindications for neurodynamic treatment. Mounting evidence supports the use of neurodynamics in various traditional orthopedic-based disorders such as low back pain, radiculopathy and more. This lab intensive class will discuss the most commonly used neurodynamic tests and treatments for the lower extremity, ensuring skillful handling, sound clinical reasoning and neuroscience knowledge. The course will include investigation of lumbar radiculopathy, plantar fasciitis, ankle sprains, Achilles tendinitis, knee pain, etc. The neurodynamic tests include straight leg raise with bias to peroneal, sural and tibial nerves; slump test, prone knee bend and sidelying slump tests, etc. The course will discuss research related to each test, various passive and active treatment options, and treating tissues around the nervous system, home exercises, neuroscience education with neurodynamics and more.

8:00pm - 8:30pm

Introductory Keynote/ Welcome to Conference

Adriaan Louw, Edo Zylstra, Tim Flynn Lecture
Speakers

Adriaan Louw

View Bio

Edo Zylstra

View Bio

Tim Flynn

View Bio
Description
8:30pm - 10:00pm
Social
7:00am - 8:00am
CEU Sign In / "Saturday-Only" Registration
8:00am - 10:00am
Session 1 in Main Room

Patient: A patient story about their struggle with pain

Laura Pritchett 8:00am - 8:25am
Speakers

Laura Pritchett

Description

Keynote 1: Neuroimmune Responses and Neuropathic Pain

Michel Coppieters 8:25am - 9:15am
Speakers

Michel Coppieters

Description

Injection Therapy of Neuropathic pain

Venu Akuthota 9:15am - 9:45am
Speakers

Venu Akuthota

View Bio
Description

·         Rationale for injections for neuropathic pain

·         Indications for injections for neuropathic pain

·         Evidence for injection therapy for neuropathic pain

·         Clinical take home messages for clinicians pertaining to injection therapy for neuropathic pain

·         Physical therapy’s role related to injection therapy and neuropathic pain

Panel Q & A

9:45am - 10:00am
Description
10:00am - 10:30am
Morning Break
10:30am - 12:30am
Session 2 in Main Room

Keynote 2: Classification and Identification of Pain Mechanisms

Steve Schmidt 10:30am - 11:20am
Speakers

Steve Schmidt

View Bio
Description

Surgery for Neuropathic Pain

Bradley Duhon 11:20am - 11:50am
Speakers

Bradley Duhon

Description
  • Rationale for surgery for neuropathic pain
  • Indications for surgery for neuropathic pain
  • Evidence for surgery for neuropathic pain
  • Clinical take home messages for clinicians pertaining to surgery for neuropathic pain
  • Physical therapy’s role related to surgery and neuropathic pain

A Dry Needling Approach to Cervical Radiculopathy

Edo Zylstra 11:50am - 12:15pm
Speakers

Edo Zylstra

View Bio
Description

Panel Q & A

12:15pm - 12:30pm
Description
12:30pm - 2:00pm
Personal Lunch
2:00pm - 4:00pm
Session 3 in Main Room

Keynote 3: Neurodynamics

Michael Shacklock 2:00pm - 2:50pm
Speakers

Michael Shacklock

Description

Perioperative Pain Neuroscience Education

Eva Huysmans 2:50pm - 3:20pm
Speakers

Eva Huysmans

View Bio
Description

Integrating Shoulder Girdle Treatment in Cervical Radiculopathy

Paul Mintken 3:20pm - 3:45pm
Speakers

Paul Mintken

View Bio
Description

Panel Q & A

Eva Huysmans, Michael Shacklock, Paul Mintken 3:45pm - 4:00pm
Speakers

Eva Huysmans

View Bio

Michael Shacklock

Paul Mintken

View Bio
Description
4:00pm - 4:30pm
Break
4:30pm - 6:30pm
Session 4 in Main Room

Exercise for Neuropathic Pain

Jessie Podolak & Adriaan Louw 4:30pm - 4:55pm
Speakers

Jessie Podolak

View Bio

Adriaan Louw

View Bio
Description

Manipulative Therapy Approach to Cervical Radiculopathy

Tim Flynn 4:55pm - 5:20pm
Speakers

Tim Flynn

View Bio
Description

A Phamacological Approach to Neuropathic Pain

Jason Friedrich 5:20pm - 5:50pm
Speakers

Jason Friedrich

Description

·         Current best-evidence related to a pharmacological approach to neuropathic pain

·         General overview of the different classifications of medications used for neuropathic pain

·         Clinical take home messages for clinicians pertaining to a pharmacological approach for neuropathic pain

Panel Q & A

Tim Flynn, Jessie Podolak, Jason Friedrich 5:50pm - 6:00pm
Speakers

Tim Flynn

View Bio

Jessie Podolak

View Bio

Jason Friedrich

Description
6:00pm - 6:30pm

Keynote Panel Q&A

Michael Shacklock, Michel Coppieters, Steve Schmidt
Speakers

Michael Shacklock

Michel Coppieters

Steve Schmidt

View Bio
Description
7:00am-8:00am
CEU Sign In
8:00am - 12:30pm
Break from 10:00am - 10:30am

Desensitizing a Hypersensitive Nervous System w/ Graded Motor Imagery - SOLD OUT

Steve Schmidt & Kory Zimney Lab Session
Speakers

Steve Schmidt

View Bio

Kory Zimney

View Bio
Description

Due to its popularity at the 2017 ISPI conference we are repeating this course which will introduce attendees to the latest thoughts associated with neuroplasticity, immune responses and most importantly… clinical presentation. The brain (and nervous system) is plastic. Recent developments in the world of neuroscience have given hope to people suffering from persistent pain. It is now well established that a person’s body is represented in their brain and in persistent pain there are significant structural and functional changes in the brain. These changes perpetuate pain, disability and suffering considerably. Although most research has focused on conditions such as complex regional pain syndrome and phantom limb pain, emerging evidence supports the notion of altered brain maps in people with any/all persistent pain. This lab-intensive class will systematically teach attendees various clinical tests used to determine if these cortical changes have occurred in a patient with persistent pain, and to what extent. Treatment will cover the latest series of graded motor imagery techniques including laterality, sensory discrimination, motor imagery, graphesthesia, mirror therapy, etc. This session is a must for all healthcare providers who face a patient with such a sensitive nervous system, he/she are not able to move much, be touched or even think about movement due to pain.

Acute Cervical Radiculopathy: A Manual Therapy Approach to Assessment and Treatment

Paul Mintken & Tim Fearon Lab Session
Speakers

Paul Mintken

View Bio

Tim Fearon

View Bio
Description

It is well documented that neuropathic pain may just be one of the most painful conditions patients may face and is often resistant to pharmacological interventions. One such challenging neuropathc condition is cervical radiculopathy. Cervical radiculopathy is very common in rehabilitation and poses a significant clinical challenge, especially when it’s progressive, associated with progressive neurological deficit. On the other end of the spectrum, acute cervical radiculopathy also poses a significant challenge for assessment and treatment. This 4h breakout session will delve into the examination and treatment of acute cervical radiculopathy. This session will provide background information on the prevalence and etiology of cervical radiculopathy in rehabilitation including dicogenic pain, facet joint injuries and degeneration, whiplash-associated disorders, foraminal stenosis, etc. This session will feature an extensive screening and clinical reasoning component to allow for the safe handling of acute cervical radiculopathy in terms of physical examination and treatment. Lab sessions will include screening tests of the various anatomical structures potentially implicated in cervical radiculopathy, neurodynamic tests, neurological screening and testing of a sensitized nervous system via allodynia and/or hyperalgesia. The treatments covered in the lab session will include pain neuroscience education, spinal manipulation and mobilization, neurodynamics, graded motor imagery and exercise as a means to calm the sensitized nervous system in cervical radiculopathy.

Acute Lumbar Radiculopathy: A Manual Therapy Approach to Assessment and Treatment

Jack Miller & Cheryl Sparks Lab Session
Speakers

Jack Miller

View Bio

Cheryl Sparks

View Bio
Description

Low back pain is the most common musculoskeletal condition encountered in medicine apart from the common cold. When low back pain is accompanied with radiculopathy the clinical challenge increases for the attending clinician. Progressive neurological deficit, non-responsive to conservative care is an indication for surgery, which implies a sense of urgency when treating patients with acute and sub-acute lumbar radiculopathy. Sensitization of the nerve root, however, causes significant handling challenges for both physical testing and treatment. This session, focusing on acute lumbar radiculopathy, aim to show safe, non-threatening and effective physical tests and treatments for patients suffering from acute lumbar radiculopathy. The didactic portion will briefly discuss acute lumbar radiculopathy’s etiology and clinical presentations, evidence-based strategies for management and differential diagnosis and clinical reasoning. Physical examination will include screening tests for the lumbo-pelvic region, neurodynamic tests and neurological screening. Treatments will include spinal manipulation, spinal mobilization, neurodynamics, education, exercise and more.

Neuropathy in Sports Medicine: Functional Dry Needling®

Edo Zylstra, Paul Killoren, Jeremy Snyder Lab Session
Speakers

Edo Zylstra

View Bio

Paul Killoren

View Bio

Jeremy Snyder

View Bio
Description

The various bodily systems are closely intertwined and deficits in one system lead to a cascade of events in neighboring tissues. One such clinical cascade is the interaction between the nervous system and muscles. A healthy nervous system, physically and emotionally, is needed for optimal motor control, muscle function, sports performance, etc. On the flipside, the health of the various “containers” nerves travel through, are needed for optimal and healthy nerve function. This interaction forms the base for this lab intensive session focusing on neuropathic pain, sports medicine and dry needling. This interactive lab session does not require you to have experience in performing dry needling but will utilize the participants as case examples to demonstrate the impact of neuropathic dysfunction in acute and chronic sports injuries. Dry needling has long been characterized by a treatment of myofascial pain and trigger points.  Many studies have been published indicating the uncertain positive effects of dry needling for management of myofascial pain and the presence of these trigger points, which has left us with a dilemma.  If the research doesn’t support the technique one way or the other, why are so many clinicians receiving training and practicing the technique while patients continue to request the intervention?   Could it be that we are actually impacting the nervous system rather than just the peripheral tissues targeted? This session will discuss the likely impact that Functional Dry Needling® has on the nervous system and how our assessment must not be limited to symptomatic tissues, referral patterns and palpation.  Lab sessions will include key assessment for successful implementation of FDN, with demonstration, for greatest success in producing clinical change.

Pain Neuroscience Education and Calming a Sensitive Nervous System

Jessie Podolak, Adriaan Louw, Eva Huysmans Lab Session
Speakers

Jessie Podolak

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Adriaan Louw

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Eva Huysmans

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Description

What is the “code” for patient education in physical therapy? How much do you get paid for that code? Patient education for too long has been seen as an adjunct to treatment, rather than a treatment in itself. Education IS therapy and emerging pain science research is showing that teaching patients about the biology and physiology of their pain result in significant benefit, including reduction is pain, dysfunction, fear-avoidance, pain catastrophization, physical movement impairments and healthcare utilization. Specific to neuropathic pain, it is imperative to realize that pain neuroscience education can be used as a powerful tool in calming the central and peripheral nervous system, thus allowing patients more readily to engage in physical treatments including exercise, manual therapy, neurodynamics, etc. Various studies have shown immediate desensitization of the nervous system following brief pain neuroscience education including improved neurodynamic movement, pressure pain thresholds, widespread brain activity on brain scans, etc. Additionally, when pain neuroscience education is combined with aerobic exercise, which additionally calms a sensitive nervous system, the calming effect is drastically increased. In this lab session, clinicians will be updated on the latest evidence regarding pain neuroscience education, with a special emphasis on desensitizing a sensitive nervous system. With interactive use of large-group, small-group, demonstrations, drawings and metaphors attendees of this breakout session will develop a step-by-step, immediately clinically applicable “how to” on teaching people about pain and calming down a hypervigilant nervous system.

Breathing, Neuropathic Pain and Calming a Nervous System

Tim Flynn & John Zapanta Lab Session
Speakers

Tim Flynn

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John Zapanta

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Description

It could be argued that “breathing” and “breathing exercises” are likely one of the first techniques a physical therapy student are taught in class, yet it is often “let go” in favor of trending and emerging treatments. In recent years, however, a growing body of literature has shown the powerful effect of breathing, proper breathing, on pain, dysfunction and overall well-being of patients. Specific to neuropathic pain, it is now well described that increased oxygen and blood flow around the nervous system is associated with a decrease in sensitization of the nervous system, while decreased blood flow and oxygen is associated with an increase in sensitization of the nervous system. This interactive hands-on lab session will integrate thoracic spine and ribcage manipulative strategies and specific breathing techniques with the goal of calming a sensitive nervous system. The course will start with specific breathing muscle strength and lung capacity testing.  This will be followed by a series of techniques designed to make change within session of these parameters.  Select manipulation thoracic and ribcage techniques will be practiced followed by a series of breathing strategies.  The breathing techniques will focus on decreasing pain related fear and anxiety.  Designing and implementing a home program for maintaining improvements in breathing will be discussed.  The participants will leave the session with tools to immediately put into clinical practice.

Neurodynamics for the Upper Extremity - SOLD OUT

Michel Coppieters Lab Session
Speakers

Michel Coppieters

Description

This 4h lab breakout session will cover recent developments in the classification and management of neck/shoulder/arm pain of neurodynamic origin. The session will combine research evidence, clinical reasoning skills and neural tissue evaluation including neurodynamic tests of the upper extremity. Management will focus on the passive and active mobilization of the nervous system in the upper extremity, including home exercises and patient education. This session will provide a brief overview of the current evidence and development of neurodynamic tests and interventions specific to the upper extremity, pertaining to the median, radial and ulnar nerve. This session will showcase how inflammation, neuroimmune responses, plasticity changes, allodynia and hyperalgesia manifest itself in various upper extremity disorders such as cervical radiculopathy, frozen shoulder; various shoulder pathologies, tennis elbow, golfers elbow, carpal tunnel syndrome and more. This lab-intensive class will feature the latest advancements in upper extremity neurodynamic testing and treatment, including different sequences of neurodynamic tests, sliders and tensioners, active quick-screen tests for the upper extremity, treating the neural container with/without neurodynamics, etc.

Neurodynamics for the Lower Extremity

Michael Shacklock Lab Session
Speakers

Michael Shacklock

Description

The nervous system is dynamic and its dynamic properties are imperative when discussing low back and lower extremity disorders. This breakout session will feature both didactic and hands-on lab sessions focusing on the movement of the nervous system in the lower extremity. This session will focus on neurodynamic mobilizations, differential diagnosis and clinical reasoning of neurodynamic disorders, differentiate between musculoskeletal and neurodynamic components and making a neurodynamic diagnosis. Tests and treatments will demonstrate technique progressions from low to high functional levels, how to create, select and perform the best techniques for your patients, manual precision of neurodynamic technique and how to detect contraindications for neurodynamic treatment. Mounting evidence supports the use of neurodynamics in various traditional orthopedic-based disorders such as low back pain, radiculopathy and more. This lab intensive class will discuss the most commonly used neurodynamic tests and treatments for the lower extremity, ensuring skillful handling, sound clinical reasoning and neuroscience knowledge. The course will include investigation of lumbar radiculopathy, plantar fasciitis, ankle sprains, Achilles tendinitis, knee pain, etc. The neurodynamic tests include straight leg raise with bias to peroneal, sural and tibial nerves; slump test, prone knee bend and sidelying slump tests, etc. The course will discuss research related to each test, various passive and active treatment options, and treating tissues around the nervous system, home exercises, neuroscience education with neurodynamics and more.

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