Approach to chronic low back and leg pain
Are you frustrated by the low back and leg pain patients who seem to get worse with treatment? Is there something else you can do? The answer is most definitely yes!
The aim of this workshop is to:
* present some background hypotheses as to why certain individuals with chronic low back and leg pain do not respond to treatment,
* develop skills in static and dynamic lower extremity, pelvic and lumbar spine biomechanical and gait assessment.
* give the physiotherapist some strategies to identify these individuals so they can implement more appropriate treatment techniques
* demonstrate how to unload chronic low back and leg symptoms, to minimise/eliminate symptoms therapist
* use surface EMG for neuro-muscular re-education for specific training of the stabilising muscles
* provide simple strategies a therapist can give to a patient to empower the patient to self manage.
The aim of this workshop is to:
* present some background hypotheses as to why certain individuals with chronic low back and leg pain do not respond to treatment,
* develop skills in static and dynamic lower extremity, pelvic and lumbar spine biomechanical and gait assessment.
* give the physiotherapist some strategies to identify these individuals so they can implement more appropriate treatment techniques
* demonstrate how to unload chronic low back and leg symptoms, to minimise/eliminate symptoms therapist
* use surface EMG for neuro-muscular re-education for specific training of the stabilising muscles
* provide simple strategies a therapist can give to a patient to empower the patient to self manage.
Learning outcomes
- Be able to identify different static positions that patients may present with
- Based on the static position of an individual, be able to determine how that individual will move, particularly walk
- Be able to determine the effect of the static and dynamic positioning on various lumbar structures
- Be able to evaluate the anterior hip structures, the thoracic spine and other soft tissues to determine their contribution to the overall movement and/or stability of the lumbar spine
- Be able to unload painful low back and leg structures
- Be able to mobilise structures that may be restricting even loading through the patient's body when they move
- Be able to give the patient strategies to stabilise structures that may be moving excessively
- Be able to provide the patient with an understanding about their back pain
- Be able to provide the patient with a simple yet effective home management program
Prerequisites
- This course is only available to qualified and AHPRA registered physiotherapists.
- Attendees must know the effect of psychosocial influences on pain, how to identify the psychosocial aspects and how to do a standard lumbar spine examination
Presenters
Jenny McConnell
Jenny McConnell, AM, FACP, BAppSci(Phty), Grad Dip Man Ther, M Biomed Eng is a specialist musculoskeletal physiotherapist working in private practice in Sydney. Jenny has been involved in research into patellofemoral, lower limb, shoulder and lumbar spine problems. She has published widely in these areas, has been an invited speaker at over 100 conferences both nationally and internationally and conducted numerous workshops on the management of chronic musculoskeletal problems - patellofemoral, shoulder and spine. Jenny is on the editorial boards of Clinical Journal of Sports Medicine, British Journal of Sports Medicine, The Knee, Manual Therapy and Physical Medicine and Rehabilitation. In 2006 Jenny was awarded the prestigious F.E. Johnson Memorial Fellowship by the NSW Sporting Injuries Committee for outstanding achievement by an established researcher in the field of science and medicine in sport. In 2009 Jenny was awarded a member of the Order of Australia honour for service to physiotherapy as a practitioner and researcher, particularly through the development of innovative musculoskeletal pain management techniques and treatment.
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