When low back pain persists even with treatment, we need to expand our assessment and treatment strategies. For assessment, this includes broadening our focus to various structural and neurologic patterns arising from joints, viscera and myofascia, both local and remote. Manual practitioners fluid in differential assessment often have better outcomes with complex clients and work more efficiently.
For treatment, we expand our options to include joint and muscle myofasical release, and work through the various levels and various degree's of specificity.>
Some of these low back pain pathways we'll identify and treat include:
- Patterns originating and descending from ribs, thorax and neck
- Patterns arising from the pelvic ring: Ilia, sacrum, pubis
- Lumbar spine contributions
- Referred pain from anterior structures, including viscera
- Contributions from respiratory and nervous system imbalances
In this course therapists will learn assessment and treatment strategies to treat these five major patterns causing persistent low back pain, differentiating between neurological, myofascially mediated and mechanoreceptor contributions. You'll learn the symptoms that most correlate with various sources of pain and you'll learn to track ascending and descending chains separately and in confluence. History, dynamic palpation, and a multitude of treatment techniques are used to construct and execute specifically targeted and effective treatment plans for low back pain.