Mark Laslett – Back Pain 301: Mechanical Discogenic Pain
This course covers basic pathoanatomy of the anterior column and the theory, evidence assessment and management of mechanical discogenic pain.
Why is Mechanical Discogenic Pain Important?
This is the most common back pain presentation seen by most clinicians. People may present with acute or persistent low back pain, with or without referred lower limb pain and demonstrate rapidly reversible symptoms with a mechanical approach to treatment.
This course covers the basic patho-anatomy of the anterior column and mechanical discogenic pain and teaches you how to identify those patients who are likely to do well with a mechanical approach to treatment.
You will be shown how to assess and treat this patient group and how to guide them to functional recovery.
What You Will Learn:
In this course, you will learn:
- the theoretical and pathoanatomical foundation of the concept of mechanical discogenic pain.
- how the concept of the dynamic disc model relates to clinical presentations, including acute pain-related deformities such as the acute lateral shift.
- a theoretical basis for the phenomena of centralisation and directional preference
- how to perform and interpret a standardised repeated-movements assessment, adapted from the McKenzie (MDT) method to identify those likely to respond to this approach,
- how to treat this subgroup of patients during a painful episode, and guide them through rehabilitation to functional recovery.
Case Studies:
The course includes a number of videos of live patient cases demonstrating how the diagnosis of mechanical discogenic pain is made and how it is treated, including examples of the centralisation and directional preference phenomena. You will also work through other case study examples for the different sub-categories of mechanical discogenic pain.
You will be able to download the patient cases and other clinical forms to use as a resource in your clinic.
Study Time: 20 hours (not including readings)
Lesson curriculum
Welcome to the course!
Welcome
- Where did you hear about this course?
Chapter 1. The Concept
- Welcome and Introduction
- Manual
- General References for Mechanical Discogenic Pain
- The Concept of Mechanical Discogenic Pain
- Quiz 1: The concept of mechanical discogenic pain
- The Dynamic Disc Model Hypothesis
- Quiz 2: The Dynamic Disc Model
Chapter 2: Connecting Theory and Clinic
- Confirmed persistent lumbar discogenic pain cases
- References for acute deformities & treatment
- The Acquired Pain-Related Deformities
- Quiz 3: The Acquired Pain-Related Deformities
Chapter 3. Treatment of Mechanical Discogenic Pain
- Treatment Principles
- Recovery of Function & Prophylaxis
- Quiz 4: Treatment principles, recovery of function and prophylaxis
Chapter 4 | Case Studies: The Posterior Derangements
- Preamble for the Posterior Derangements
- Persistent Posterior Derangements 1 & 3 | Louie
- Louie Posterior Derangement 1 and 3 Reports
- Acute, Severe Posterior Derangement 4 | Lawrence 2008
- Episode of highly recurrent Posterior Derangement 4 | Sara
- Acute Posterior Derangement 4 | Ruth
Chapter 5 | Case Studies :The Anterior Derangements
- Preamble for the Anterior Derangements
- Persistent Anterior Derangement 1 | Ian
- Acute Anterior Derangement 2. Un-named
- Two cases of Anterior Derangement courtesy David Poulter 1992
Next Steps…
Record of Reading
Before you go…
About Dr Mark Laslett
PhD, NZRPS, FNZCP, Dip.MT, Dip.MOT
Physiotherapy Specialist Musculoskeletal
Mark has over 50 years of clinical experience in musculoskeletal practice. He completed his PhD in “Diagnostic accuracy of the clinical examination compared to available reference standards in chronic low back pain patients” at the University of Linköping, Sweden in 2001 and in 2014 he became the first Specialist Physiotherapist registered in New Zealand.
His academic and research interest is in the theory and practice of diagnostics, has over 40 publications, contributed chapters to two multi-author books and published his own text Mechanical Diagnosis and Therapy: The Upper Limb in 1996.
He became a Fellow of the New Zealand College of Physiotherapy in 2007, was made an honorary Life Member of Physiotherapy New Zealand in September 2014, and of the New Zealand Manipulative Physiotherapists Association in 2015.
He continues to practice as a consultant clinician in Christchurch, NZ and remains active in clinical research.
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