BY SPINE PT UNIVERSITY
The 4-Step Complete Sciatica Blueprint You WISH they Taught You in PT School
This step-by-step online course course teaches you an entire sciatica evaluation & treatment strategy you’ll use to get consistent results, build buy-in, and grow your referrals… without overthinking it.
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Modules
8
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Sessions
44
About This Product:
In the middle of an acute sciatica eval, I froze and wanted to puke 🤢
I felt lost & confused trying to help a VERY anxious patient 😫 who could NOT get comfortable or sit because of raging sciatica.
How was this happening? How did I not know what to do? 🤔
I had taken several of the best con ed courses that our profession had to offer AND I had just got back from a 9 month Neuro residency with a focus on pain science 🧠
I couldn’t stand the feeling of not knowing what to do or where to start when a patient was in agony 😫 right in front of me.
I thought to myself 💭
“REALLY!? After all that education, thousands of dollars on con ed courses, and a 9 month residency working 40 hours/week for $9/hour…
and now you’re cognitively frozen in the middle of an eval!? Maybe you’re not cut out to be a PT who helps people with back pain?” 😰
I couldn’t tolerate that negative self talk anymore.
So finally, the immigrant entrepreneurial voice inside me said:
“There has to be a better way” 💪🏽
So I enrolled in a 2 year Orthopedic Fellowship⚕️ with my mentor Martin Langaas PT, FAAOMPT to study & practice Freddy M Kaltenborn's approach to orthopedic physical therapy 🦴
Through this 2 year training, Martin taught me frameworks & checklists to keep me calm & organized through these, sometimes, very stressful acute back pain evals with patients who could barely move.
I went from feeling anxious & confused to confident & excited for these evals because I had finally found a way to balance my pain neuroscience education (PNE) 🧠 and functional biomechanics 🦴 without overthinking it AND while empowering patients with an “ah-ha moment”!
The transformation was incredible! 🤯
Since my time with Martin 8 years ago I’ve been documenting ✍🏽 what has worked and what hasn’t worked for my patients.
I’ve been able to successfully apply this model to both in-person patients & consulting a few patients virtually 💻
I’ve been able to successfully apply this model to both in-person patients & consulting a few patients virtually 💻
I’ve been able to successfully apply these frameworks over the phone 📱 to a couple patients who called me unable to get off their living room floor, about to call an ambulance 🚑 because of their excruciating low back pain.
If it weren’t for these frameworks these people would’ve ended up in a hospital 🏥, being prescribed an unnecessary amount of opioids 💊
If it weren’t for these frameworks these people would’ve ended up in a hospital 🏥, being prescribed an unnecessary amount of opioids 💊
I’ve had the privilege to teach this to other extremely talented physical therapists both live AND virtually with amazing feedback that surprised me! 😯
How is this possible? 🤔
I promise this isn't just a sales pitch.... there are zero "quick fix" gimmicks or BS 💩 here 🙏🏽
I promise this isn't just a sales pitch.... there are zero "quick fix" gimmicks or BS 💩 here 🙏🏽
Unlike most back pain courses that claim to have "the answer" with fancy manual techniques or "the three exercises you're not doing for back pain”….
This course is focused on identifying communicating and minimizing specific triggers in the patient's specific environment and day-to-day life.
Think of this course as “fertilizing the soil” for a healing environment ❤️🩹 before you drop exercise or manual therapy “seeds” 🌱
Think of this course as “fertilizing the soil” for a healing environment ❤️🩹 before you drop exercise or manual therapy “seeds” 🌱
This is what I was missing before my fellowship.
I had the pain science education 🧠, a lot of awesome exercise progressions, regression, and manual techniques…
but I was mistakenly dropping all of these powerful “seeds" before I “fertilized the soil” by setting up an appropriate healing environment to empower my patients to kick start their own recovery, take accountability for their plan of care, and their life!
I was mistakenly trying to be "their clinical hero & take their wheel" 🚗 rather than their guide 🧭 in the passenger seat make suggestions & recommendations.
I had the pain science education 🧠, a lot of awesome exercise progressions, regression, and manual techniques…
but I was mistakenly dropping all of these powerful “seeds" before I “fertilized the soil” by setting up an appropriate healing environment to empower my patients to kick start their own recovery, take accountability for their plan of care, and their life!
I was mistakenly trying to be "their clinical hero & take their wheel" 🚗 rather than their guide 🧭 in the passenger seat make suggestions & recommendations.
I created this course so you don't have to make the same mistakes that I made over the years.
While making this course I kept thinking to myself:
“How can I create a course that I wish I had 8 years ago when I was anxious, confused and questioning my ability to effectively evaluate acute low back pain?” 🤔
“How can I create a course that I wish I had 8 years ago when I was anxious, confused and questioning my ability to effectively evaluate acute low back pain?” 🤔
I've been refining this content for the last 8 years, obsessively documenting ✍🏽what works and what doesn't for both my patients and other therapists’ patients so that it doesn’t have to take you as long as it took me to feel confident that you’re bringing your patients REAL value in these evals.
If you’re an orthopedic physical therapists struggling to find a way to balance pain science & functional biomechanics (without getting lost in social media drama) into acute back pain evals to empower your patients, feel confident in the eval, documenting the eval, and communicating your POC...
I made this course is for you!
I can’t wait to see you on the inside 🤓
COURSE OVERVIEW & What'll get out of this course:
Module 1: Pattern Recognition & Divergent Thinking 🧠
Learn how to get out of your own way & stop swinging to the extreme ends of the “rehab pendulum” from “Biomechanics is everything” to “Neuro & pain science is THE WAY” without bashing other thought leaders & rehab systems. Build a basic clinical “re-thinking” habit & learn the value of tackling clinical problems from various perspectives so you can stop overthinking everything and help your patients.
Module 2: The 4 Neuro-Orthopedic Sensitivities ⚕️
Gain more clarity by learning The 4 Neuropedics' Sensitivities Framework to categorize & sub-categorize patients into the 2 major diagnostic & treatment categories: Flexion & Extension Sensitive Low Back Pain. Mez takes you step-by-step through the exact checklist he uses with his back pain evals with various clinical examples from previous patients. By the end of this module you'll know exactly how to use this checklist with your patients, how to concisely document your findings in less time with zero fluff so you can confidently communicate to both your patients and your colleagues for optimal continuity of care.
Module 3: The Subjective Patient Interview 🗣
Help your patients feel heard & understood by learning how to integrate thoughtful behavior change questions & basic interviewing strategies to develop your patients' confidence & trust in you before you even start the physical exam.
Module 4: The Physical Exam ⚕️
Learn how to confidently and efficiently find your own flow through the physical exam without getting overwhelmed by your patients' emotions using four simple steps.
Module 5 (Part 1 & 2): Patient Self-Care Education and Communication
Give the patient an “ah-ha” moment and get them to buy-into your plan of care by seamlessly putting it all together to help them understand how to kick start their recovery and re-take control of their situation right away.
For Physical Therapists interested in using this program toward your professional CEUs:
RHE is a registered CE approval agency of the PT Board of California, a rule-approved CE provider of the PT Board of Florida (#50-32784), a licensed CE sponsor of physical therapy continuing education by the Illinois Department of Financial & Professional Regulation (IDFPR #216.000360), an approved continuing competence provider by the APTA North Carolina (#22-0729-033), an approved CE provider of the PT Board of New Mexico, and an approved CE provider of the PT Board of Oklahoma (#BAP202310010) and recognized by the New York State Education Department's State Board for Physical Therapy as an approved sponsor of PT/PTA continuing education.
In addition to the aforementioned jurisdictions, courses approved by other state boards & APTA chapters will be accepted for licensure credit in all the jurisdictions listed on this webpage, pursuant to regulation: www.redefinehealthed.com/ceuinfo. If you have a specific question about CE credit for this course in your state, please direct your inquiry including the course title in which you are interested, to [email protected].
DISCLOSURE SECTION:
This training is intended as continuing education for licensed Physical Therapists & medical professionals only. It does not substitute for medical advice, diagnosis, &/or treatment. Please consult your medical professional before making changes to your diet, exercise routine, medical regimen, lifestyle, and/or mental health care.
Program Details
Module 1: Pattern Recognition & Divergent Thinking
1.1 The Pain Science - Biomechanics Continuum: Where do you stand?
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1.2 Divergent vs Convergent Thinking
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1.3 Pattern Recognition: The "Magic Sauce"
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1.4 The Lumbar Vertebra, Discs & Peripheral Sensitization
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1.5 The Dorsal Root Ganglion ("The Mini Brain") & Peripheral Sensitization
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1.6 Sensory Receptors, The Action Potential Threshold & Peripheral Sensitization
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Module 2: The Four Neuro-Orthopedic Sensitivities Framework
2.1 A Versatile Checklist for Clarity
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2.2 Confidently Identify The Flexion & Load Sensitive Pattern with The Checklist
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2.3 Differentiating Like an Expert: What's the Primary Trigger, Position or Load Sensitivity?
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2.4 "The Dance" Between Load & Neurodynamic Sensitivity: Don't Overthink it
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2.5 Sensitivity Pattern 2: "The Load & Neurodynamic Dance"
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2.6 The Load & Neurodynamic "Dance Battle" Continues
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2.7 Neurodynamic Sensitivity "Hides" behind Extension Sensitivity
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Module 3: The Subjective Patient Interview
3.1 The Secret of Powerful Subjective Interviews: Say Less & Ask Thoughtful Questions
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3.2 The Powerful Subjective Interview: Digging for the Root Cause through Questions
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3.3 Revealing Triggers & Alleviating Factors: Interviewing Strategies for "The Poor Historian"
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3.4 Are They Stressed or Poorly Recovered? Recovery, Sleep, & Mattress Questions
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3.5 Are They Ready for Change?: Behavior Change Readiness Questions
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Module 4: The Physical Exam
4.1 What's the Relationship between Positional & Load Sensitivity? (Part 1)
Available Now
4.2 What's the Relationship Between Positional & Load Sensitivity? (Part 2)
Available Now
4.3 The Slump Test: The Basics
Available Now
4.4 The Passive SLR: The Basics
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4.5 "Physical Exam Flow" + The Neuro Screen: A Helpful Framework
Available Now
4.6 What cluster of findings makes you consider referring out for imaging?
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4.7 Differentiating Sciatic Irritability vs Tight Hamstrings while getting buy-in from "The Skeptic"
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Module 5: Patient Self-Care Education and Communication
5.1 Empower your patient with an "ah-ha moment" when educating about triggers without fear mongering
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5.2 Pain Neuroscience Education (PNE) disguised as Tissue Capacity vs. Applied Load Model
Available Now
5.3a A Teaching Strategy for Lumbo-pelvic Awareness: A Continuum
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5.3b Technique Demonstration for Lumbo-pelvic Awareness: "Redrawing their Homunculus"
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Module 5 Continued: Patient Self-Care Education and Communication
5.4a: The Yin-Yang of Abdominal Bracing: Fine Tuning Intra-Abdominal Pressure
Available Now
5.4b: The Yin-Yang of Abdominal Bracing & IAP: Technique Demonstration
Available Now
5.5a Pelvic + Intra-abdominal pressure awareness: Functional Integration
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5.5b (Pelvic + IAP) Functional Integration Demonstration
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5.6 Load Management Strategies for Load Sensitive Spines
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5.7 Car & Office Ergonomic Considerations
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5.8 Nerve Root & DRG Unloading Strategies
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5.9 Mattress Considerations for Optimal Sleep & Recovery
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5.10 The Synergy of Medical & Functional Management: Communicating Process
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5.11 Final Thoughts, Thank You, & Staying Connected
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Bonus
Traffic Lighting Pain & Setting Expectations
Available Now
Case Study Coaching: 66 year old male with Lumbar Radiculopathy
Available Now
Case Study Coaching: Acute Lumbar Herniation & Radiculopathy
Available Now
LIVE Patient Eval: Low Back Pain & Sciatica
Available Now
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Dr. Ramez Antoun PT, DPT, OMT
Physical Therapist specializing in orthopedics & sports medicine with a passion for strength & conditioning to help athletes & active adults overcome pain holding them back from performance gains.
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With a passion for staying curious, continuing education, and teaching, Ramez has founded a Physical Therapy Consulting business called Neuropedics.
The business serves & educates other Physical Therapists and acts as their second opinion on complex clinical cases to offer an alternative perspective to help their patients overcome orthopedic & functional plateaus. Neuropedics has served as a consultant to a Major League Baseball organization, a private hospital, and various elite athletes ranging from martial artists, runners, weightlifters, and powerlifters.
After receiving his Doctorate in Physical Therapy, he traveled to the west coast to complete a 9 month post Graduate Residency in Neurological Physical Therapy at Kaiser Foundation Rehabilitation Center in Vallejo, CA to study Proprioceptive Neuromuscular Facilitation (PNF). After returning back to the east coast, Ramez then completed a 2-year Post Graduate fellowship program at The Institute of Orthopedic Manual Therapy (IOMT) where he underwent extensive orthopedic training in the evaluation and treatment of complex musculoskeletal injuries & orthopedic chronic pain.
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Disclosure: Individual’s experience may not represent the typical participant. Your background, education, experience, and work ethic may differ. This is used as an example and not a guarantee of success. Your results may vary.