Jason Handschumacher – Treating the Lumbopelvic Complex: Innovative Solutions without Opioids

Outline

LUMBOPELVIC ANATOMY AND STABILITY CONCEPTS

• Interrelation of the lumbar spine, pelvis, and hips
• Form closure, force closure, and Tensegrity stability concepts
• Spinal engine/ myofascial slings

CLINICAL EXAMINATION – CREATING THE ULTIMATE LIST

• Step-by-step measurement and documentation
• Incorporating imaging studies: when they matter and when they don’t
• Normal values and when they matter
• Interpreting clusters of signs and symptoms
• Dynamic motion and stability testing
• Assess and interpret neural mobility testing
• Differentiating lumbar, pelvic, and hip symptoms
• Using current Clinical Practice Guidelines

BEST INTERVENTIONS FROM EXAMINATION

• Know which findings contribute to symptoms
• Is the issue mobility, stability, both, or something else?
• How manual therapy can improve muscular activity and enhance exercises
• Train dynamic movements, not just muscles
• IASTM, dry needing, and taping – when they help and when they don’t
• Improve carryover after discharge

INCORPORATING PAIN SCIENCE EDUCATION

• Simplify neuroscience into understandable terms
• Pain is normal, chronic pain is not
• “Hurt vs. harm” and graded exposure to activity concepts
• Empower people over pain
• Use of video and printed materials specific to patients

PUTTING IT ALL TOGETHER – LAB PRACTICE AND DEMO

• Reliable measurements with simple equipment
• Manual therapy for even novice clinicians
• When and when not to progress exercises
• Video and live demonstrations