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The Lumbar Spine



NEW - Treating Low Back Pain - Bridging the Gap between Manual Therapy and Exercise

NEW - Treating Low Back Pain - Bridging the Gap between Manual Therapy and Exercise

Testimonials:  

Excellent value for my practice.  Jo-ane Paulsen, Physiotherapist, George

Excellent value for my practice.  Dwayne Phillips, Physiotherapist, Cape Town 

Excellent value for my practice.  Heather Auditore, Physiotherapist, Groot Jongensfontein

Good value for my practice.  Ashwin Jacobs, State Employed Physiotherapist, Port Elizabeth 

Good value for my practice.  Anri Matthee, Community Service Physiotherapist, Vredenburg 

Excellent value for my practice.   Rushay Arendse, State Employed Physiotherapist, Uitenhage 

Excellent value for my practice.  Amore Barry, Physiotherapist, Calitzdorp 

Good value for my practice.  Patrizia Van Zyl, Physiotherapist, Ashton 

Excellent value for my practice.  Carin McDonald, Physiotherapist, George 

Good value for my practice.  Kerry-Leigh Fargher, Biokineticist, Grahamstown 

Good value for my practice.  Nicola Brown, Physiotherapist, Grahamstown


As therapists, we often recommend exercise to reduce patients’ low-back pain, as well as increase their active range of motion and muscle strength. However, physical therapists face a challenge when recommending exercise to reduce low-back pain because the pain itself often inhibits the patient’s ability to exercise or perform activities of daily living. This situation becomes even more challenging if the prescribed exercise progam aggravates the individual’s low-back pain.   

This article discusses a method which provides for the effective treatment of low back pain by allowing patients to exercise pain free earlier in the rehabilitation process.  The method comprises a unique approach utilizing the following four components simultaneously from the onset of treatment: isometric muscle contraction (IMC); assisted active oscillatory mobilization; end-of-range passive stretch; and mindfulness.

3

CEUs

400.00

NEW - Treating Low Back Pain – Movement Therapy Approach

NEW - Treating Low Back Pain – Movement Therapy Approach

Testimonials: 

Excellent value for my practice.  Lorianne Evans, Physiotherapist, Johannesburg 

Good value for my practice.  Kerry-Leigh Fargher, Biokineticist, Grahamstown


As therapists, we often recommend exercise to reduce patients’ low-back pain, as well as increase their active range of motion and muscle strength. However, physical therapists face a challenge when recommending exercise to reduce low-back pain because the pain itself often inhibits the patient’s ability to exercise or perform activities of daily living. This situation becomes even more challenging if the prescribed exercise progam aggravates the individual’s low-back pain.  

This article discusses a method which provides for the effective treatment of low back pain by allowing patients to exercise pain free earlier in the rehabilitation process.  The method comprises a unique approach utilizing the following four components simultaneously from the onset of treatment: isometric muscle contraction (IMC); assisted active oscillatory movement; end-of-range passive stretch; and mindfulness.

3

CEUs

400.00

NEW - Prevention and Treatment of Low Back Pain:  Evidence, Challenges and Promising Directions - Part 1

NEW - Prevention and Treatment of Low Back Pain: Evidence, Challenges and Promising Directions - Part 1

Many clinical practice guidelines recommend similar approaches for the assessment and management of low back pain. Recommendations include use of a biopsychosocial framework to guide management with initial nonpharmacological treatment, including education that supports self-management and resumption of normal activities and exercise, and psychological programmes for those with persistent symptoms. 

However, globally, gaps between evidence and practice exist, with limited use of recommended first-line treatments and inappropriately high use of imaging, rest, opioids, spinal injections, and surgery. The advances with the greatest potential are arguably those that align practice with the evidence, reduce the focus on spinal abnormalities, and ensure promotion of activity and function, including work participation. 

We have identified effective, promising, or emerging solutions that could offer new directions.

3

CEUs

400.00

NEW - Prevention and Treatment of Low Back Pain:  Evidence, Challenges and Promising Directions - Part 2

NEW - Prevention and Treatment of Low Back Pain: Evidence, Challenges and Promising Directions - Part 2

Many clinical practice guidelines recommend similar approaches for the assessment and management of low back pain. Recommendations include use of a biopsychosocial framework to guide management with initial nonpharmacological treatment, including education that supports self-management and resumption of normal activities and exercise, and psychological programmes for those with persistent symptoms. 

However, globally, gaps between evidence and practice exist, with limited use of recommended first-line treatments and inappropriately high use of imaging, rest, opioids, spinal injections, and surgery. The advances with the greatest potential are arguably those that align practice with the evidence, reduce the focus on spinal abnormalities, and ensure promotion of activity and function, including work participation. 

We have identified effective, promising, or emerging solutions that could offer new directions.

3

CEUs

400.00

NEW - Prevention and Treatment of Low Back Pain:  Evidence, Challenges and Promising Directions - Part 3

NEW - Prevention and Treatment of Low Back Pain: Evidence, Challenges and Promising Directions - Part 3

Many clinical practice guidelines recommend similar approaches for the assessment and management of low back pain. Recommendations include use of a biopsychosocial framework to guide management with initial nonpharmacological treatment, including education that supports self-management and resumption of normal activities and exercise, and psychological programmes for those with persistent symptoms. 

However, globally, gaps between evidence and practice exist, with limited use of recommended first-line treatments and inappropriately high use of imaging, rest, opioids, spinal injections, and surgery. The advances with the greatest potential are arguably those that align practice with the evidence, reduce the focus on spinal abnormalities, and ensure promotion of activity and function, including work participation. 

We have identified effective, promising, or emerging solutions that could offer new directions.

3

CEUs

400.00

0.00

NEW - All you ever wanted to know about back pain

NEW - All you ever wanted to know about back pain

Testimonials:

"This article has changed the way which I see low back pain as a therapist, it has given more insight into how to approach low back pain.  Also enlightened the things to take into consideration as one begin with subjective assessment and also how to explain or make a patient to understand low back pain."  Lisa Shongwe, Physiotherapist, Nelspruit 

"I realized that some of the advice we give our patients often put them more into a psychological fear of pain."  Dwayne Phillips, Physiotherapist, Cape Town

Excellent value for my practice.  Johanna Pretorius, Physiotherapist, George

Excellent value for my practice.  Carina van der Watt, Physiotherapist, Mosselbay 

Excellent value for my practice.  Heather Auditore, Physiotherapist, Groot Jongensfontein 

Excellent value for my practice.  Carin McDonald, Physiotherapist, George

Excellent value for my practice.  Amy Smythe, Physiotherapist, Ladysmith 

Excellent value for my practice.  Gareth Oliver, Physiotherapist, Benoni 

Excellent value for my practice.  Lenaka Simon Kekana, Physiotherapist, Pretoria

Good value for my practice.  Thea Smith, Physiotherapist, Oudtshoorn 

Good value for my practice.  Lizette lutz, Physiotherapist, Swellendam 

Good value for my practice.  Jo-ane Paulsen, Physiotherapist, George 

Good value for my practice.  Wilma Stevens, Physiotherapist, Oudtshoorn 

Good value for my practice.  Noelle van Schalkwyk, Physiotherapist, Hartenbos 

Good value for my practice.  Amore Barry, Physiotherapist, Calitzdorp


Both misunderstood and mismanaged, low back pain is a huge source of suffering for many people worldwide. Here’s the up-to-date knowledge on the condition and some advice on the steps people can take to help themselves. Low back pain is common and recurrent, but rarely serious.

3

CEUs

400.00

Treating Low Back Pain  - A Multimodal Treatment Approach

Treating Low Back Pain - A Multimodal Treatment Approach

We all know that exercise is good for us. As therapists, we often use exercise to reduce patients’ acute and chronic pain.

But what if your patients can’t exercise or function because pain inhibits their movement? How often do your patients just want to give up on their exercise programme because of this? And how frustrating is it for you not to be able to use your skills as a physiotherapist to the fullest extent possible?

This online course describes a multi-modal treatment approach: an evidence-based approach for managing neuromusculoskeletal disorders with special reference to low back pain sufferers. The approach utilizes therapeutic pain science education, manual therapy (including dynamic oscillatory physiological movements), passive accessory mobilization, and exercise therapy. This online course draws on a powerful combination of clinical expertise and unique techniques which provide effective treatment for back pain.

Testimonial:

Good value for my practice.  Khumbuza Reagan Cele, Physiotherapist, Stellenbosch

3

CEUs

400.00

Management of Mechanical Low Back Pain. A Comprehensive Approach: Part 1

Management of Mechanical Low Back Pain. A Comprehensive Approach: Part 1

Here’s a method that’s been proved to assist millions of people worldwide to reduce and eliminate musculoskeletal disorders - empowering patients to take control of their own symptoms and management, getting them pain free as quickly and cost effectively as possible.

It can also establish a patient’s directional preference and determine movements likely to help abolish the pain and restore function.

This three-part course, which must be taken together, is a must for any professional who treats back and neck pain.

Testimonial:

Good value for my practice.  Khumbuza Reagan Cele, Physiotherapist, Stellenbosch

3

CEUs

400.00

Management of Mechanical Low Back Pain. A Comprehensive Approach: Part 2

Management of Mechanical Low Back Pain. A Comprehensive Approach: Part 2

Here’s a method that’s been proved to assist millions of people worldwide to reduce and eliminate musculoskeletal disorders - empowering patients to take control of their own symptoms and management, getting them pain free as quickly and cost effectively as possible.

It can also establish a patient’s directional preference and determine movements likely to help abolish the pain and restore function.

This three-part course, which must be taken together, is a must for any professional who treats back and neck pain.

Testimonial:

Good value for my practice.  Khumbuza Reagan Cele, Physiotherapist, Stellenbosch

3

CEUs

400.00

Management of Mechanical Low Back Pain. A Comprehensive Approach: Part 3

Management of Mechanical Low Back Pain. A Comprehensive Approach: Part 3

Here’s a method that’s been proved to assist millions of people worldwide to reduce and eliminate musculoskeletal disorders - empowering patients to take control of their own symptoms and management, getting them pain free as quickly and cost effectively as possible.

It can also establish a patient’s directional preference and determine movements likely to help abolish the pain and restore function.

This three-part course, which must be taken together, is a must for any professional who treats back and neck pain.

Testimonial:

Good value for my practice.  Khumbuza Reagan Cele, Physiotherapist, Stellenbosch

3

CEUs

400.00

Physical Examination of the Lumbar Spine - Part 1

Physical Examination of the Lumbar Spine - Part 1

Testimonials:

Good value for my practice.  Amy Smythe, Physiotherapist, Ladysmith 

Good value for my practice.  Kristen Meagan Nicholson, Physiotherapist, Johannesburg


Because low back pain can involve a multitude of factors, how you examine your LBP patients is critical. 

In part 1 of this course, we look at the factors that warrant consideration for their possible presence and role in a patient’s low back disorder.We also pay attention to non-musculoskeletal pathology, mechanical factors, ageing and degeneration, structural anomalies and muscle dysfunction. 

Part 2 covers the objective examination of the lumbar spine and includes observation, interpretation and analysis of active movements, neurological testing, tension tests, manual segmental examination, muscular examination and the interpretation of the conclusion of the examination.


3

CEUs

400.00

Physical Examination of the Lumbar Spine - Part 2

Physical Examination of the Lumbar Spine - Part 2

Because low back pain can involve a multitude of factors, how you examine your LBP patients is critical.

In part 1 of this course, we look at the factors that warrant consideration for their possible presence and role in a patient’s low back disorder.We also pay attention to non-musculoskeletal pathology, mechanical factors, ageing and degeneration, structural anomalies and muscle dysfunction.

Part 2 covers the objective examination of the lumbar spine and includes observation, interpretation and analysis of active movements, neurological testing, tension tests, manual segmental examination, muscular examination and the interpretation of the conclusion of the examination.

3

CEUs

400.00

Proprioceptive Neuromuscular Facilitation for Vertebral Conditions - Part 1

Proprioceptive Neuromuscular Facilitation for Vertebral Conditions - Part 1

What role does the muscular system play in the control of activity throughout the body? What are the several causes for abnormal afferent input from the spine? What is the theory behind PNF?

Part 1 of this course provides the theoretical background to PNF. When discussing the use of PNF techniques for the treatment of patients with vertebral disorders, it is wise to consider the abnormal. Part 1 of this course will provide you with everything you need to know about PNF, including muscle physiology and function; neurophysiology and neuropathology of the neuromusculoskeletal system; and the effect of pain on muscle activity. It also provides a review of PNF techniques and their applications.

Part 2 helps you put what you have learned in part one into practice. It is fully illustrated with most of the PNF techniques for the cervical, thoracic and lumbar spine as well as peripheral joints. All figures contain detailed explanations for the use of each technique. It also covers the effect pain has on muscle activity and how PNF techniques address this problem.

3

CEUs

Proprioceptive Neuromuscular Facilitation for Vertebral Conditions - Part 2

Proprioceptive Neuromuscular Facilitation for Vertebral Conditions - Part 2

What role does the muscular system play in the control of activity throughout the body? What are the several causes for abnormal afferent input from the spine? What is the theory behind PNF?

Part 1 of this course provides the theoretical background to PNF. When discussing the use of PNF techniques for the treatment of patients with vertebral disorders, it is wise to consider the abnormal. Part 1 of this course will provide you with everything you need to know about PNF, including muscle physiology and function; neurophysiology and neuropathology of the neuromusculoskeletal system; and the effect of pain on muscle activity. It also provides a review of PNF techniques and their applications.

Part 2 helps you put what you have learned in part one into practice. It is fully illustrated with most of the PNF techniques for the cervical, thoracic and lumbar spine as well as peripheral joints. All figures contain detailed explanations for the use of each technique. It also covers the effect pain has on muscle activity and how PNF techniques address this problem.

3

CEUs

The Sacro-Iliac Joint - Part 1

The Sacro-Iliac Joint - Part 1

Testimonials:

Excellent value for my practice.  Candice Hall, Biokineticist, Cape Town

Good value for my practice.  Nadia Ferreira, Physiotherapist, Mtunzini


We all know that physical factors impact joint motion. But what factors influence the actual mechanics of the joint? Are they purely “mechanical”, or could something else be at play?

This course briefly outlines the assessment findings and the principles for management of the various factors that impact function of the SIJ. It also provides a comprehensive methodology for the effective management of pelvic pain and dysfunction.



3

CEUs

400.00

The Sacro-Iliac Joint - Part 2

The Sacro-Iliac Joint - Part 2

We all know that physical factors impact joint motion. But what factors influence the actual mechanics of the joint? Are they purely “mechanical”, or could something else be at play?


This course briefly outlines the assessment findings and the principles for management of the various factors that impact function of the SIJ. It also provides a comprehensive methodology for the effective management of pelvic pain and dysfunction

3

CEUs

400.00

Low Back Related-Leg Pain

Low Back Related-Leg Pain

Low back pain and leg pain, like love and marriage, usually go together like a horse and carriage. The key for the practitioner is to differentiate between the two in order to make an appropriate diagnosis and identify the underlying pathology.


This course introduces a systematic approach to assist with the diagnosis and classification of LBP patients in order to provide a more effective, appropriate treatment.

3

CEUs

400.00

Taping for Pain Relief of Spinal Conditions

Taping for Pain Relief of Spinal Conditions

Low back pain can be difficult to treat. Management of chronic low back pain and leg pain requires a multifactorial approach. This course will not only help you to identify the underlying causative factors of LBP, but will also provide you with techniques that will enable you to assist patients to increase their active control of the passively unstable and associated areas in a way that will minimise symptom reoccurrences. Add an important modality to your tool box.

Testimonial:

Good value for my practice.  Khumbuza Reagan Cele, Physiotherapist, Stellenbosch

3

CEUs

400.00