3M: Differential Diagnosis for Mechanical Hip, Low Back and Pelvic Girdle Pain

3M: Differential Diagnosis for Mechanical Hip, Low Back and Pelvic Girdle Pain

CA$249.00

This course includes

5:02:38 of Course Material (View)
Patient Exercises (View)
Templates (View)
Lifetime access after purchase

The instructors

Carolyn Vandyken (View bio)

When taking a biopsychosocial approach, confidently saying to your patient that their pain is related to mechanical factors can be a real challenge.  Do you have a systematic way to rule in and rule out mechanical hip pain, low back pain and pelvic girdle pain?

This course helps clinicians to consolidate their understanding of mechanical pain.  Is the pain back dominant, or leg dominant? Do you use repeated movements or sustained postures with your patient? How quickly should you expect your patient's symptoms to change?  How do you communicate mechanical patterns of pain to your patients?  These questions and more will be addressed in this course so that you can confidently look at the tissue-based drivers of low back pain, hip pain and pelvic girdle pain.

Objectives:

Upon completion of this course, the participant will understand:

  1. How to rule in/rule out mechanical hip and low back pain
  2. How to demonstrate to your colleagues/referral sources that pelvic health is the missing link to every orthopaedic practice 
  3. How to build confidence in predicting treatment outcomes in mechanical pain
  4. How to build strong self-efficacy in your patients when treating the mechanical component of low back pain and pelvic girdle pain
  5. The importance of using a bio-psycho-social approach to every person you treat with low back pain and pelvic girdle pain

About The Instructor

Carolyn Vandyken, BHSc (PT) 

Carolyn is a Pelvic Health Physiotherapist who graduated from McMaster University in 1986 with a Bachelor’s Degree in Physiotherapy. She has spoken at over 50 conferences and grand round presentations throughout Canada and the United States. Carolyn co-authored the first book on patient-centred pain biology education for pelvic pain, Why Pelvic Pain Hurts, and also co-authored three peer-reviewed framework articles with Sandra Hilton on the assessment and treatment of persistent pelvic pain.

She co-owns a Canadian-based teaching company, Pelvic Health Solutions, and teaches internationally on the physiotherapy for pelvic floor problems. She also manages her own practice in Huntsville, Ontario.

What 3M Students Have Said:

"I found the 3M course quite helpful from a review standpoint for the mechanical assessment but more importantly, I feel better able to discern LBP or hip pain from a true PF dysfunction. And the module on SIJ “dysfunction” was also quite helpful as this is something that I have struggled with – clients with positive SIJ pain provocation tests but then what? 

Another thing I found especially helpful was how you pointed out that we need to be careful not to pathologize the PF. I think this is something I would have tended to do in my pain clients (either pelvic pain or hip or LBP) now that I have this knowledge however I need to step back and approach the PF like any other muscle group that might be a contributing factor to LBP or hip pain.

I think that is the most important thing I took from that course and I am trying to keep it in mind with all of my clients – not just the pelvic clients. I have been making a concerted effort in the past year to improve clients’ self-efficacy and I believe this plays into that."

-Nicole Pasut, PT, MPT, BHK

The instructors
Carolyn Vandyken
BHSc. PT, Cred MDT, CCMA

Carolyn is a Pelvic Health Physiotherapist who graduated from McMaster University in 1986 with a Bachelor’s Degree in Physiotherapy. She has spoken at over 50 conferences and grand round presentations throughout Canada and the United States. Carolyn co-authored the first book on patient-centred pain biology education for pelvic pain, Why Pelvic Pain Hurts, and also co-authored three peer-reviewed framework articles with Sandra Hilton on the assessment and treatment of persistent pelvic pain.

She co-owns a Canadian-based teaching company, Pelvic Health Solutions, and teaches internationally on the physiotherapy for pelvic floor problems. She also manages her own practice in Huntsville, Ontario.

Course Primer

Welcome to this course!

What is Pain?

Nociceptors not Pain Sensors

Reconceptualizing Pain

What is Your Space of Possibility?

Developing a Therapeutic Alliance

Course Primer Feedback

Mechanical Pain

Interventions for Mechanical LBP

The Role of Posture in LBP

Low Back Pain and the Pelvic Floor

Letting Go of Your Bias'

Directional Preference Matters

Self Efficacy

History Taking: Listen, Listen, Listen

Mechanical Pain Feedback

Movement Patterns

Leg Dominant vs. Back Dominant Pain

Repeated Test Movements

Leg Dominant Pain

Positions for Leg Dominant Pain

Treating Back Dominant Pain

Positions for Mechanical Back Dominant Pain - Sagittal Plane

Positions for Mechanical Back Dominant Pain - Non Sagittal Pain

Movement Patterns Feedback

Patient Interview

History/Questionnaires - Part 1

History/Questionnaires - Part 2

History/Questionnaires - Part 3

Physical Assessment

Patient Interview Feedback

Types of Dysfunction and Stages of Treatment

Stages of Treatment

Biopsychosocial Framework for LBP

Types of Dysfunction and Stages of Treatment Feedback

Lecture Wrap Up

SI Joint Dysfunction and Pelvic Girdle Pain

Classification System for LBP / PGP

Mechanical Pain Should Make Sense

Lecture Wrap Up Feedback

Step Standing Rotation to Open Up the Right Side

Step Standing Rotation to Close Down the Right Side

Step Standing Rotation to Open Up the Left Side

Step Standing Rotation to Close Down the Left Side

Lumbar Rotation

Easy Strengthening: Core and Pelvic Floor

Extension in Standing

Flexibility Routine for Mechanical Low Back Pain

Short Term Bending

4 Point Extension

Sustained Side Lying Rotation

Seated Forward Bending

Side Glide in Standing

Repeated Flexion in Standing

Z-Lying

Mechanical Pain - Flexion Rotation to Left

Mechanical Pain - Flexion Rotation to Right

Mechanical Pain - Flexion Responder

Flexibility Routine for Mechanical Low Back Pain

Pattern 4 Leg Dominant/Worse with Extension

Pattern 3 Leg Dominant/Worse

Pattern 2 Back Dominant/Worse with Extension

Pattern 1 Back Dominant/Worse with Flexion

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