Mark Laslett – Back Pain 301 – Mechanical Discogenic Pain

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 standardized 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.

Lesson Curriculum

1. Welcome to the course!

2. Chapter 1: The Concept

   • Welcome & 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

3. 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

4. Chapter 3: Treatment of Mechanical Discogenic Pain

   • Treatment Principles

   • Recovery of Function & Prophylaxis

   • Quiz 4: Treatment principles, recovery of function and prophylaxis

5. 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

6. Chapter 5: Case Studies: The Anterior Derangements

   • Preamble for the Anterior Derangements

   • Persistent Anterior Derangement 1 | Ian

   • Acute Anterior Derangement 2 (Unnamed)

   • Two cases of Anterior Derangement courtesy David Poulter 1992

7. Next Steps…

   • Record of Reading

   • Before you go…