In this course, Jack Stagge will present concepts - pioneered by Bob Elvey - of differential diagnosis and treatment of patients with lower quarter pain and dysfunction that can often be unrecognized as having a neuropathic causation. Failed Decompression Surgeries, Chronic Hamstring Tears, Trochanteric Bursitis, Chronic Heel Pain, Chronic Plantar Fasciitis, and even Specific Joint Inflammations, often times have a non-diagnosed neurogenic component and thereby fail treatment. Negative MRI's, Negative EMG's, and non-specific testing can often lead the therapist to incorrect assessments of these patients. In this lower extremity course, Bob Elvey's pioneering work in neuropathic syndromes including the development of the Modified Slump Test and the Lower Limb Tension Tests will be illustrated. Beyond these tests - and crucial to correct diagnosis - Bob's four other well documented criteria for the assessment of these syndromes will be emphasized and clearly demonstrated. Well researched pathophysiological concepts such as Antidromic Pain, Neurogenic Rheumatica, Pseudoneuromas, Central Sensitization, and others will be discussed. Specific treatment of these syndromes by orthopedic, sports, and industrial therapists will be explained and demonstrated for immediate application. Case presentations and demonstrations will be used to further allow the participant to successfully apply this material into their daily practice.
"I have the utmost respect and confidence in Jack Stagge's abilities to teach what I have spent most of my professional career developing. Jack and I will continue to research, teach, and report our findings as they develop. This is a great opportunity for all who are interested in this topic to attend a worthwhile workshop."
Robert L. Elvey, PT, GDMT
"I have found both of these courses to have provided me with a better understanding of the importance of neural structure assessment as part of a comprehensive orthopedic evaluation. Assessment and treatment techniques were well supported by extensive research and pathophysiological data."
Mike Rogers, PT, MOMT, OCS, FAAOMPT
Past President of the American Academy of Orthopedic Manual Physical Therapy
Meet Your Instructor
Jack Stagge, PT, OCS, FAAOMPT
Jack Stagge received his bachelor’s degree in Physical Therapy from CSU Fresno in 1978 and a specialty certification in Adult Neurology from U.S.C. in 1979. His postgraduate training includes extensive manual therapy course work in Norwegian, Australian, McKenzie and Cyriax protocols. He was chosen as a subject matter expert by the American Physical Therapy Board…
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Chapters & Learning Objectives
Understand the subjective complaints and objective findings of patients with neuropathic pain and learn about the important aspects to remember during the physical examination of these patients.
2. Neuropathology, Neurojargon & Peripheral Afferent Sensitization
Gain an understanding of the neurological basis and mechanisms of pain, the different categories of neuropathic pain, and afferent sensitization in the human brain.
Learn about the subjective and objective evaluation of neuropathic pain of the lower extremities. Become familiar with the various pain scales and the areas that should be examined when evaluating neuropathic pain.
4. Neuro Palpation, Tender Points, Signs of Local Dysfunction, & Arriving at Diagnosis
Review the anatomy of nerve trunks of the lower extremities, their distributions and how they translate to clinical signs and symptoms. The common denominators of neuropathic pain will also be summarized to help the online learner remember what to look for in diagnosing neuropathic pain.
5. Concepts of Treatment Techniques, Home Programs and Treatment Sequencing
Understand the basic concepts of compressive and inflammatory neuropathies and gain familiarity with the sequence of treatment protocol by physical therapists.
6. Postulations for Treatment Effects
Learn about the mechanical and physiological effects of treatment protocols on injured nerves. Gain an understanding of the concept of neurophysiological modulation and have an overview of the general indications and contraindications to the treatment protocol.
7. Patient Treatment Study, Real Patient Presentation, & Conclusion
Understand how the techniques taught in the course are easily applicable to their clinical practice, and see how the course concepts come together though a real patient case study presentation.