Learn to integrate the current evidence and cutting edge functional rehab exercise methods in management of lumbar disc injury.

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Managing a lumbar disc injury in the clinic requires an understanding of the mechanics of flexion intolerance. It also necessitates an understanding of the current pain neuroscience and literature on graded exposure for pain related fear. This requires an approach that incorporates a functional toolbox with behavioral twists, not just a structurally oriented viewpoint. Participants in this event will learn structural and functional assessment techniques to find the complaining disc before it produces neurological symptoms. Treatment strategies utilizing movement re-patterning exercises will help you teach patients to help themselves. Special attention will be paid to common exercises to avoid in the gym and rehab environment which frequently result in re-injury.

Clinicians often have the mistaken impression that lumbar disc injury is relatively uncommon and primarily diagnosed using expensive imaging and neurological testing. However, joint injection studies suggest that when back pain becomes severe enough and chronic enough to require clinical attention, as much as 50% of that pain may be attributable to the lumbar disc alone. Can you see it when it’s in front of you? Leave your contact information below and we’ll let you know when that educational opportunity is available. If you’re interested in hosting an event near you, contact Dr. Snell directly at [email protected]

Learning Objectives:

  • Recognize the effectiveness of exercise interventions in managing this serious and common type of spine presentation
  • Recognizing the continuum of flexion related structural injury
  • Differentiating the injured disc vs. other commonly presenting back injuries
  • Developing familiarity with specific exercise interventions to manage pain
  • Train hip dissociation by improving spine stabilization using Prague School and U of Waterloo derived principles
  • Integrate Joint by Joint Approach to spare the spine by improving mobility in the hip and T-sp.
  • Safe ways to build strength in the recovering flexion-injured spine
  • How to build agility in the injured spine to avoid re-injury with rapid movements
  • When to add power exercise into the rehab programs
  • Sport specific considerations in rehab of the flexion-intolerant back
  • Histochemical associations between painful vs. non-painful herniated discs