Treatment Strategies for Complex Back and Neck Pain

About the Course:
Clinical outcomes for patients with chronic back and neck pain has historically been poor. Why? Patients with chronic back or neck pain need more than hands-on treatment and exercises. Pain is complex and a systematic approach is necessary to evaluate the type of pain most dominant in a patient’s clinical presentation. The subjective interview should review potential red and yellow flags. The objective evaluation should prioritize what areas need to be addressed first. Patients need and want knowledge; thus, patient education is paramount. This course expounds on pain assessment, pain neuroscience education, as well as pain treatment and approach.

Course Objectives:
  1. Recognize the prevalence/incidence of cervical and lumbar pain and how this influences clinical practice.
  2. Select the most common forms of self-report patient outcomes measures used for complex back and neck patient.
  3. Identify the most prevalent red flags during the spine examination, in addition knowing what yellow flags to consider.
  4. Identify the most diagnostic cervical-oriented special tests and lumbar-oriented special tests.
  5. Recognize the proposed benefit to classifying low back and neck conditions by similarity.
  6. Recognize the effectiveness of each technique for treatment within the classifications.
  7. Recognize the value and benefits of Pain Science Education.
  8. Identify the 4 R’s of pain Science Education.
  9. Select the most appropriate patients for cervical manipulation based on Clinic Prediction Rule.
  10. Select the most dominant pain mechanism for their patients.
  11. Recognize the benefit of using the BPS model.
About the Instructor:
Pieter L. de Smidt, PT, DPT, MDT, MTC, has over 30 years of experience as a Physical Therapist. He has achieved certifications in McKenzie Mechanical Diagnosis and Therapy, Manual Therapy, and Sports Therapy. With his Post- Professional Doctorate in PT he specialized in management of musculoskeletal injuries of the spine & extremities. He passionate about combining hands-on treatment with pain science education. Pieter L. de Smidt practices in his own clinic, “Reset-Wellness Physical Therapy & Medical Fitness”, in Houston, TX. He uses an evidence-based, integrated approach of manual therapy & exercise. The main focus for his practice is to bridge the gap between rehab and fitness by improving patient’s lifestyle choices through education and to incorporate strength & conditioning principles into physical therapy treatments. Dr. Middleton earned his Doctor of Physical Therapy degree from the University of St Augustine for Health Sciences with an emphasis in manual physical therapy. He also holds a Master of Science in Exercise Science & Health Promotion from California University of Pennsylvania and a Bachelor of Science in Athletic Training from Southern Illinois University. In addition to his academic degrees, he holds additional certifications from the National Academy of Sports Medicine, the National Strength & Conditioning Association, the International Kinesio Taping Association, and Graston Technique. Steve Middleton is certified in Fascial Movement Taping (FMT) and has become a foremost authority in the field integrating a variety of manual therapy techniques.

Resolution of Conflict of Interest

Colibri Healthcare, LLC implemented mechanisms prior to the planning and implementation of the continuing education activity, to identify and resolve conflicts of interest for all individuals in a position to control content of the course activity.

Sponsorship/Commercial Support and Non-Endorsement
It is the policy of Colibri Healthcare, LLC not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.

The information provided in this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

©2022: All Rights Reserved. Materials may not be reproduced without the expressed written permission or consent of Colibri Healthcare, LLC. The materials presented in this course are meant to provide the consumer with general information on the topics covered. The information provided was prepared by professionals with practical knowledge of the areas covered. It is not meant to provide medical, legal, or professional advice. Colibri Healthcare, LLC recommends that you consult a medical, legal, or professional services expert licensed in your state. Colibri Healthcare, LLC has made all reasonable efforts to ensure that all content provided in this course is accurate and up to date at the time of printing but does not represent or warrant that it will apply to your situation nor circumstances and assumes no liability from reliance on these materials. Quotes are collected from customer feedback surveys. The models are intended to be representative and not actual customers.