Rehab Seminars LLC

Course # 4 Management Of Low back pain Simplified for Rehab Professionals.

Presented by
Raghu Chovvath DPT OCS FAAOMPT Cert.DN

 (An experienced International Speaker and Clinician in Manual Therapy)

Course description :

The prevalence of low back pain is considered an epidemic with prevalence1 of first-ever episode of low back pain range between 6.3% and 15.3% while estimates of the one year incidence for any episode of low back pain range between 1.5% and 36%. Estimates of chronic low back pain has increased according to a survey as indicated in the same reference as above from 3.9% in 1992 to 10.2% in 2006 in a survey of North carolinian residence in a study. This epidemic is also creating another monster in the form of opiod overuse and addiction with one study finding that opioid use for back and neck pain increased from 19 to 29% from 1999 to 2010 2.. The same study indicates efficacy of this nor long term benefits from this is low with fear of risking addiction. The CDC 3 guidelines also indicates this as the last resort and encourage physical and other means of care for this population. Recent studies by Frogner BK 4 et al. has shown “that seeing a PT First for a LBP episode significantly lowered the probability of having an opioid prescription, advanced imaging service, and ED visits compared to patients that did not.” With these evolving findings reinforcing the importance of PT in this debilitating and routine life bothering condition it will be the competence of the provider who makes this initial contact. This course is aimed at that clinician who wants to be confident and provide evidence based management in the shortest time frame as the payor resources are diminishing. The participant will be able to understand the nuances of the biopsychosocial elements of this complex disorder and be able to navigate the ever increasing tools available in physical therapy. The course taught by an advanced clinician who has spent over 25 years in the out patient setting mostly devoting time to the spinal pain in both chronic and acute symptoms.The main outcome from this course will be ability of the clinician to be able to identify and rule out red flags, categorize patient fast, treatment based. They will also be able to tackle the psychosocial elements of this complex disorder with simple tools for assessment and management.Leaving this course they will be able to apply this knowledge immediately and competently. They will have hands on components with demonstrations and ability to practice the techniques taught.

Learning Objectives

Upon successful completion of this course, Participants should be able to:
-Understand the Prevalence of Low back pain and the impact on daily life.
-Understand the role of the integrated anatomy of this region.
The Biopsychosocial nature of this problem.
-Able to recognize the possible red flags and refer quickly and appropriately in a first contact situation.

-Will have tools to identify and understand Yellow flags.
-Treatment based classification for assessment and treatment of this problem.
-Will understand the nuances of treating with yellow flags.
-Will be able to address the very irritable patient with proper advice, modality and exercise.
-Progress rehab and be able to apply manual therapy in a structured manner In the most evidence based approach.
 -Create and apply exercise prescription for all stages of rehab in an evidence based manner.
-Reintegrate function appropriately
-Restore normal function at earliest.
-Advice and set up home program.
-Advice and initiate lifelong exercise program for the patient.


Day 1
7.30  a.m.
8.00 a.m.
Evidence for Physical therapy in  Low back pain/ prevalence.
8.30 a.m.
Anatomy of the Thoraco-lumbo-pelvic hip region.
9.30 a.m.
Normal Mobility and muscular interaction /anatomy trains.
10.00 a.m.
10.15 a.m.
Identifying  Red flags  and yellow flags (psychosocial issues ) around Low back problems.
10.45 a.m.
Initial Assessment and treatment based classification.

11.45 a.m.
Imaging pros and con affecting management.
12.00 noon
LUNCH ( on your own )
1.00 p.m
Centralization/ Traction/Modalities.
2.30 p.m.
Manual Therapy aimed to neural/soft tissue/joints.
3.30 p.m
3.45 p.m.
Demonstration and practice of Manual therapy
5.30 p.m.
Day 2
7.30  a.m.
Exercise prescription for Mobility, Movement control, prevention and wellness.
9.00 a.m.
Demonstration and practice.
10.30 a.m.
10.45. a.m.
Case examples/ how to understand present classification to traditional pathoanatomic diagnoses.
11.45 a.m.
LUNCH ( on your own)
12.30 p.m.
Surgical mangement
1.30  p.m.
Principles of management post op
2.00 p.m.
Questions and answers
2.30 p.m.






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