This two-day live in person course introduces information critical to the assessment and treatment of patients with acute, sub-acute and chronic persistent pain. Translating pain mechanism research into clinical practice this webinar teaches pain clinicians when to use, how to classify and treat pain as it relates to the peripheral and central nervous system. A Pain Mechanism Classification System (PMCS) will be outlined and guide selection of patient education and active care interventions for each pain mechanism. The PMCS assessment will be demonstrated through video and paper case studies to aid application to pain clinicians’ practice. This webinar highlights a subgrouping framework, PMCS, which addresses the pain continuum from acute, subacute and chronic stages covering chemical, structural, mechanical, cognitive, emotional, social, psychological and cortical mechanisms. This webinar integrates pain science research into a biopsychosocial dynamic approach with breakout sessions of practical application for patient education and active care interventions. Promoting a common language between pain clinicians of all disciplines and patients. Included in this webinar, breakout sessions of active peripheral nervous system neurodynamic evaluation and treatment and central nervous system sensorimotor evaluation. The PMCS patient education and active care interventions support all patient ages and musculoskeletal to neurological diagnoses suffering from pain.

Course Objectives: At the conclusion of this course, participants should be able to:

1. Differentiate subjective and objective clinical characteristics in nociceptive, peripheral neurogenic, central sensitization, affective and motor/autonomic pain mechanisms.

2. Apply Pain Mechanism and Mechanical Diagnosis and Treatment classification principles to neurological patient population.

3. Classify dominant pain mechanism and prescribe patient education and active care intervention to musculoskeletal and neurological patients.

4. Objectively score patient related outcome measures using validated outcome tools.

5. Effectively communicate pain science education with individual treatment and within group model.

6. Effectively evaluate and treat Peripheral Nervous System, Neurodynamic, and Central Nervous System Sensorimotor Dysfunctions.

Course Agenda

Day 1, Saturday August 16th: (7.0 CEUs)

7:45 Sign In

8:00 Course Introduction – Musculoskeletal Pain Lessons – [WoH: Forward xi]

8:15 Lecture: Risk Assessment for Musculoskeletal Pain – Referral System

8:45 Lecture: Pain Mechanism Classification System (PMCS) – Definitions and Research [WoH: pg 21-23;28-31]

9:45 Break

10:00 Lecture: Peripheral Nervous System (PNS) Pain Mechanisms Subjective, Objective Characteristics [WoH: pg 102-103]

10:30 Lecture: PNS Patient Education and Active Care Intervention [WoH: pg 77-79,104]

11:15 Lecture: Peripheral Neurogenic Pain Mechanism (PNPM) Subjective & Objective Neurodynamic Evaluation [WoH: pg 102-103, 150-157]

12:00 Lunch

1:00 Workshop: Neurodynamic Evaluation Upper and Lower Limb Active Tests [WoH: pg 158-166]

2:00 Lecture: PNPM Intervention [WoH: 104, 135-144]

2:30 Break

2:45 Workshop: PNS Paper Cases Classification Exercise

3:15 Case Study: Video or Live Patient Demonstration: PNPM

4:15 Questions

Day 2, Sunday August 17th: (7.0 CEUs)

8:00 Lecture: Central Sensitization, Affective, Motor Autonomic Pain Mechanisms Subjective & Objective Characteristics – Patient Education and Active Care Interventions [WoH: pg 222-223; 202-203; 260; 327-328]

9:15 Interactive Workshop: CNS Paper Case Classification Exercise

9:45 Break

10:00 Words Workshop: Central Sensitization and Affective Pain Mechanisms CBT Pain Science Education and Active Care Intervention and Video patient Cases [WoH: pg 204-209, 216-218, 236, 261-263, 272-280, 281, 316, 335-343]; introduce the Yellow Flag Risk Form [WoH: pg 258]; Patient Education handouts [WoH pg ix, 39-40, 82-83, 206-215, 264-265, 269-271, 276-277, 337-338]; Psychometric Test – FABQ [WoH: pg 198-199], PASS [WoH: pg 257], PHQ-9 [WoH: pg 257]

11:30 Lecture: Documentation and Goal Setting

12:00 Lunch

1:00 Interactive CBT Workshop: Role-Playing clinicians and patient pain science topics; Explaining CNS Mechanisms, Traffic light Guide to Movement Safe Pain, Pain Journal, Batteries Exercise

2:00 Break

2:15 Interactive Demonstration: Motor/Autonomic pain Mechanism Left/Right Discrimination Evaluation, Demonstration and Video patient Case [WoH pg 328-335]

3:45 Summary of Pain Mehanisms – “Lamp Analogy – 5 Steps to a Pain Free Life”

4:15 Debrief Day 2: Questions & Answers

4:30 Adjourn