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Case Study Integration: Lumbar- Facet Pain

Spine
Clinical Reasoning
8 hrs
Case Study Integration: Lumbar- Facet Pain course thumbnail

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Instructors

Valerie Phelps, course instructor

Valerie Phelps

PT ScD OCS FAAOMPT

Graduated with a degree in physical therapy from the University of Minnesota in 1981. She was certified by the International Academy of Orthopedic Medicine, IAOM, in orthopedic manual therapy in 1989, and became an international instructor for the IAOM in 1994. Dr. Phelps became a Board-Certified Orthopedic Specialist, OCS, through the American Board of Physical Therapy Specialties in 2003. She is a Fellow with the American Academy of Orthopedic Manual Physical Therapists, FAAOMPT since 2004. She graduated with a terminal professional degree, a Doctor of Science, ScD, in Physical Therapy from Texas Tech University, Lubbock TX, in December 2011. Along with being the founder and current senior faculty of the IAOM-US, (www.iaom-us.com) she has lectured throughout the United States and Europe. Dr. Phelps has co-authored several books, book chapters, and numerous peer review journal articles. She is the founder of, and currently practices at, Advanced Physical Therapy (www.aptak.com) in Anchorage.

Haley Main, course instructor

Haley Main

DPT OCS COMT GTS

Haley earned her Bachelor of Natural and Applied Sciences while excelling as an Academic All-American Cross-Country Athlete. She went on to get her Doctor of Physical Therapy at Harding University in Searcy, AR. Haley certified in Orthopedic Manual Therapist in the spine and extremities through the IAOM-US and is a Graston Technique Specialist (GTS). She has been faculty with the IAOM-US since 2018 and has been instrumental in developing online lectures for the IAOM NEXT series as well as teaching IAOM-US Hybrid courses throughout the United States. She is a full-time clinician and Director of Clinical Education at Searcy Physical Therapy in Arkansas.

Jean-Michel Brismée, course instructor

Jean-Michel Brismée

PT ScD OCS FAAOMPT

Jean-Michel graduated in 1985 from the Catholic University of Louvain, Belgium. In 2000 Jean-Michel completed his IAOM-US certification in Diagnostics and Orthopaedic Manual Therapy. He completed a MS in Sports Medicine – Exercise Physiology from Texas Tech University. In 2003, Jean-Michel completed his ScD in Physical Therapy from TTUHSC. He is a Professor of the Doctor of Science (ScD) Program in Physical Therapy at TTUHSC. He is the director of the IAOM-US Fellowship Program, Editor-in-Chief of the Journal of Manual and Manipulative Therapy, and practices at University Medical Center in an outpatient orthopedic clinic in Lubbock, Texas. He is full time faculty in the Doctor of Science in Rehabilitation Sciences program at Texas Tech University in Lubbock Texas. Dr. Brismée has authored and co-authored research articles, book chapters, numerous international conference platform and poster presentations.

Description

0.8 CEU/ 8 Contact Hours – Online Course This online self-paced course provides the learner with keys and steps to solve a complex patient case of recurrent lumbar discogenic pain with confounding factors of hip osteoarthritis, myofascial pain, and thoracolumbar stiffness. The case examines advanced concepts in anatomy and pathology specific to the case, clinical testing and differential diagnoses, and comprehensive treatment strategies. All aspects of a complete plan of care are presented by a panel of authorities in the profession, including soft tissue and joint mobilization, dry needling, and sensorimotor control. Special topics include 1) a multifocal approach to treatment and healing, 2) post-surgical management considerations, and 2) successful communication to build rapport and compliance. Target Group: PT, PTA, ATC Educational Level: Intermediate

Course outline PDF

Objectives

  • Analyze patient history, based on pathoanatomy and biomechanics of lumbar spine and sacroiliac joint, to formulate a working hypothesis of pathology prior to initiating the clinical examination.
  • Establish a sound clinical diagnosis for physical therapy by thorough interpretation of clinical examination findings.
  • Select specific clinical tests that are the most informative for diagnosis, causal factor, and perpetuator confirmation in a patient with recurrent lumbar spine pain.
  • Create a comprehensive plan of care that includes all of the following: soft tissue and joint specific manual therapy.
  • Prioritize selective functional testing that supports the specific exercise program prescribed for a patient with discogenic pain and segmental instability of the lumbar spine.
  • Examine a patient’s condition pre- and/or post-surgery for potential dysfunctions, weaknesses, and the debilitating ‘adjacent segment syndrome.’
  • Apply a multifocal approach to healing by recommending strategies for optimal sleep, hydration, nutrition, and creating a sense of well-being.

CEU Approval Notice: It is the learner's responsibility to confirm that this course meets the continuing education requirements of their state licensing board or professional association. Pre-approvals listed reflect the organizations that have reviewed and approved this activity; approval in your specific jurisdiction is not guaranteed.