*There are both virtual and in person options for this course.

This two-day course focuses information critical to the assessment and treatment of patients dominated by Nociceptive Pain Mechanisms involving the peripheral nerve.  The Peripheral Neurogenic Pain Mechanism (PNPM) requires specific neurodynamic mechanical exercise prescriptions as well as pain neuro-immune science education about peripheral nerves and the pain alarm system. Outlining Chapter Five and Six of “A World of Hurt: A Guide to Classifying Pain,” pain clinicians will learn how to assess and classify neurogenic nociceptive pain mechanisms as either “trapped,” “tight,” or “sensitive” utilizing neurodynamic evaluation testing and clinical reasoning.  This course assists identifying neural entrapments, dysfunctions and/or the beginning signs of central sensitivity in both the upper, lower body and spine. This pain neuro-immune science course provides interventions in patient education for neurogenic conditions and specific prescriptive neurodynamic exercises for each neurogenic mechanical problem.  This course includes active manual therapy workshops for common cervical, thoracic, and lumbar spine directional preference and upper and lower body neural soft tissue entrapment site treatments. In addition, a workshop dedicated to both active neurodynamic exercise progression and passive neurodynamic testing and mobilization. Video, paper cases and live patient demonstrations (when available) will aid application to each clinician’s practice by understanding the importance of the specific “words” and “moves” necessary to reverse neurogenic mechanical nociceptive pain mechanisms.

Approved for 14 CEU’s for PT and OT in the state or Oregon.

**We will assist you in submitting for any profession in any state.

Learning Objectives:

At the end of this course participants will be able to:

1. Differentiate subjective and objective characteristics for peripheral neurogenic and central sensitivity.

2. Differentiate subjective and objective characteristics for mechanical syndromes of the nervous system involving neural entrapments, neural dysfunction and central sensitivity.

3. Prescribe patient education and exercise interventions for mechanical syndromes related to neural entrapments, neural dysfunction in spine, upper and lower extremities.

4. Perform passive repeated movement neurodynamic evaluation and treatment for common upper and lower extremity peripheral nerves.

Agenda:  All course times are Pacific Standard Time.

Saturday May 16, 2026

7:30-8:00 Registration

8:00 Course Introduction – [WoH: Forward xi]

8:15 Lecture: Pain Mechanism Classification System (PMCS) – Definitions, Research, & Clinical

Practice Considerations [WoH: pg 19-23; 26-31; 35-38; 41-50; 52-55]

9:15 Interactive Workshop: Discussion how pain mechanism classification fits into your clinical practice? Role play foundational Pain Science Education topics.

9:45 Break

10:00 Lecture: Nerve Pain & Central Sensitization Subjective & Objective Characteristics

[WoH: pg 106-115;119-122; 150-157; 188-194; 198-203]

11:00 Interactive Workshop: Paper Cases Classification Exercise

12:00 Lunch (on your own)

1:00 Lecture: Neurodynamic Examination: Considerations & Clinical Patterns

[WoH: pg 122-134; 102 – 103]

1:30 Interactive Workshop: Neurodynamic Tests: Lower, Upper and Spine [WoH: pg 158-166]

2:45 Break

3:00 Case Study: Video or Live Demonstration: PNPM

4:15 Debrief Day 1: Question / Answers – Open discussion

4:30 Adjourn

Sunday May 17, 2026

8:00 Interactive Workshop: Intervention: Trapped Nerve Spine – Directional Preference & Centralization Exercise

9:45 Break

10:00 Interactive Workshop: Intervention: Trapped Nerve Upper and Lower Body Entrapment Sites – Manual Therapy and Prescriptive Exercise [WoH: pg 130, 132-133]

12:00 Lunch (on your own)

1:00 Lecture: Peripheral Neurogenic & Central Sensitization Intervention [WoH: pg 134-144; 185]

1:45 Interactive Workshop: Intervention: Neurodynamic Progressive Exercise

3:00 Break

3:15 Interactive Workshop: Intervention Pain Science Education [WoH: pg 206-208, 210-213 214-

215, 218]

4:00 Summary of Pain Mechanisms – Working Lamp Analogy: “5 Steps to a Pain Free Life”

4:15 Debrief Day 2: Question / Answers – Open discussion

4:30 Adjourn