Simplify the lumbopelvic complex by learning a step-by-step approach to finding the cause and specific interventions that attack the cause at its root.
Jason Handschumacher – Treating the Lumbopelvic Complex, Innovative Solutions without Opioids
Low back pain – these three words used to evoke a myriad of responses in how I treated my patients. Prescriptions have long been an answer for pain reduction but now we must question such methods. Is exercise purely the answer? Where does manual therapy fit into the exercise regimen? And what about other treatment methods – IATSM, dry needling, and taping?
Simplify the lumbopelvic complex by learning a step-by-step approach to finding the cause and specific interventions that attack the cause at its root. I will show you simple and effective manual therapy treatments including joint mobilization, soft tissue mobilization (both manual and instrument assisted), dry needling, and taping all geared to help your patients return to function and reduce pain. I’ll also share how to skillfully apply pain science education and how your specific language choices can help break through fears and misconceptions surrounding pain.
Review relevant anatomical structures and stability concepts
Discuss the efficient and reliable clinical examination and interpretation of findings to guide successful treatment
Demonstrate the proper measrement and documentation protocol for clinical examination of a patient presenting with lumbopelvic issues
Examine the current literature regarding lumbopelvic clinical examination findings, joint mobilization, non-surgical stabilization options, and exercise
Create a plan that implements pain science research and education for the patient in front of you
Demonstrate effective manual therapy and therapeutic exercise interventions to treat the lumbopelvic complex
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LUMBOPELVIC ANATOMY AND STABILITY CONCEPTS
Interrelation of the lumbar spine, pelvis, and hips
Form closure, force closure, and Tensegrity stability concepts
Spinal engine/ myofascial slings
CLINICAL EXAMINATION – CREATING THE ULTIMATE LIST
Step-by-step measurement and documentation
Incorporating imaging studies: when they matter and when they don’t
Normal values and when they matter
Interpreting clusters of signs and symptoms
Dynamic motion and stability testing
Assess and interpret neural mobility testing
Differentiating lumbar, pelvic, and hip symptoms
Using current Clinical Practice Guidelines
BEST INTERVENTIONS FROM EXAMINATION
Know which findings contribute to symptoms
Is the issue mobility, stability, both, or something else?
How manual therapy can improve muscular activity and enhance exercises
Train dynamic movements, not just muscles
IASTM, dry needing, and taping – when they help and when they don’t
Improve carryover after discharge
INCORPORATING PAIN SCIENCE EDUCATION
Simplify neuroscience into understandable terms
Pain is normal, chronic pain is not
“Hurt vs. harm” and graded exposure to activity concepts
Empower people over pain
Use of video and printed materials specific to patients
PUTTING IT ALL TOGETHER – LAB PRACTICE AND DEMO
Reliable measurements with simple equipment
Manual therapy for even novice clinicians
When and when not to progress exercises
Video and live demonstrations
