Mark Laslett – Back Pain 301 – Mechanical Discogenic Pain

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Mark Laslett – Back Pain 301 – Mechanical Discogenic Pain
Back Pain 301│Mechanical Discogenic Pain

This course covers basic pathoanatomy of the anterior column and the theory, evidence assessment and management of mechanical discogenic pain.
Why is Mechanical Discogenic Pain Important?
This is the most common back pain presentation seen by most clinicians. People may present with acute or persistent low back pain, with or without referred lower limb pain and demonstrate rapidly reversible symptoms with a mechanical approach to treatment.

This course covers the basic patho-anatomy of the anterior column and mechanical discogenic pain and teaches you how to identify those patients who are likely to do well with a mechanical approach to treatment. You will be shown how to assess and treat this patient group and how to guide them to functional recovery.
What You Will Learn:
In this course, you will learn:

the theoretical and pathoanatomical foundation of the concept of mechanical discogenic pain.
how the concept of the dynamic disc model relates to clinical presentations, including acute pain-related deformities such as the acute lateral shift.
a theoretical basis for the phenomena of centralisation and directional preference
how to perform and interpret a standardised repeated-movements assessment, adapted from the McKenzie (MDT) method to identify those likely to respond to this approach,
how to treat this subgroup of patients during a painful episode, and guide them through rehabilitation to functional recovery.

Case Studies:

The course includes a number of videos of live patient cases demonstrating how the diagnosis of mechanical discogenic pain is made and how it is treated, including examples of the centralisation and directional preference phenomena. You will also work through other case study examples for the different sub-categories of mechanical discogenic pain.
You will be able to download the patient cases and other clinical forms to use as a resource in your clinic.
Study Time: 20 hours (not including readings)
Lesson curriculum
Welcome to the course!

Welcome
Where did you hear about this course?

Chapter 1. The Concept

Welcome and Introduction
Manual
General References for Mechanical Discogenic Pain
The Concept of Mechanical Discogenic Pain
Quiz 1: The concept of mechanical discogenic pain
The Dynamic Disc Model Hypothesis
Quiz 2: The Dynamic Disc Model

Chapter 2: Connecting Theory and Clinic

Confirmed persistent lumbar discogenic pain cases
References for acute deformities & treatment
The Acquired Pain-Related Deformities
Quiz 3: The Acquired Pain-Related Deformities

Chapter 3. Treatment of Mechanical Discogenic Pain

Treatment Principles
Recovery of Function & Prophylaxis
Quiz 4: Treatment principles, recovery of function and prophylaxis

Chapter 4 | Case Studies: The Posterior Derangements

Preamble for the Posterior Derangements
Persistent Posterior Derangements 1 & 3 | Louie
Louie Posterior Derangement 1 and 3 Reports
Acute, Severe Posterior Derangement 4 | Lawrence 2008
Episode of highly recurrent Posterior Derangement 4 | Sara
Acute Posterior Derangement 4 | Ruth

Chapter 5 | Case Studies :The Anterior Derangements

Preamble for the Anterior Derangements
Persistent Anterior Derangement 1 | Ian
Acute Anterior Derangement 2. Un-named
Two cases of Anterior Derangement courtesy David Poulter 1992

Next Steps…

Record of Reading
Before you go…

Instructor
Dr Mark Laslett
PhD, NZRPS, FNZCP, Dip.MT, Dip.MOT

Physiotherapy Specialist Musculoskeletal
Mark has over 50 years of clinical experience in musculoskeletal practice. He completed his PhD in “Diagnostic accuracy of the clinical examination compared to available reference standards in chronic low back pain patients” at the University of Linköping, Sweden in 2001 and in 2014 he became the first Specialist Physiotherapist registered in New Zealand.

His academic and research interest is in the theory and practice of diagnostics, has over 40 publications, contributed chapters to two multi-author books and published his own text Mechanical Diagnosis and Therapy: The Upper Limb in 1996.
He became a Fellow of the New Zealand College of Physiotherapy in 2007, was made an honorary Life Member of Physiotherapy New Zealand in September 2014, and of the New Zealand Manipulative Physiotherapists Association in 2015.
He continues to practice as a consultant clinician in Christchurch, NZ and remains active in clinical research.