The Physiological Impact of Chronic Pain

Learn more about this OT PT ATC Online Course

 

Why Take This Course?

Over 100 million Americans currently complain of chronic pain. When pain becomes chronic there are common changes that occur within the body. The physiological impact pain has on the nervous system and the brain will result in a multiple system stress response. Do you understand how this can impact your patients functional activities and quality of life?

This class focuses on the physiological effects of pain, the implications it has on the whole body and how a therapist can reverse the chronic pain cycle. Evidence based material and research is presented throughout the course to provide you with an understanding of how the medical community is contributing to the research to develop better treatment approaches for chronic pain patients. Techniques to incorporate the nervous system., mind and physical body will enable the clinician to provide a comprehensive whole body approach to achieving positive results.

The course begins with a thorough overview of the definition of pain/chronic pain and on how the brain processes neurophysiological pain. In depth lecture and material will provide the information necessary to understand how to develop an appropriate patient assessment plan utilizing evidence based pain assessment tools. In addition to providing information to assist with the understanding of the resources available for therapeutic treatment options.

The instructor will discuss the importance of incorporating manual, cognitive and movement skills into a successful chronic pain program. The techniques to manipulate the neurologic response, decrease the perception of pain, change tissue tone, prepare the tissue for movement and improve normal movement patterns will include: dermatome stroking, mechanoreceptor stimulation/inhibition, postural muscle bending, myofascial release, rhythmic traction, rhythmic stabilization and acupressure .

Inhibition techniques, trigger point and soft tissue work will provide the clinician with hand on skills to positively affect the sympathetic nervous system. Mind/body visualization exercises will give the clinician more tools to assist the patient with decreasing the firing of the nervous system. Manual skills taught in this class are all followed up with functional training activities to assist p the patient in maintaining their positive gains made with their manual therapy sessions.

Techniques for behavioral and cognitive therapy to train healthy neuroplasticity will include: Controlled breathing, progressive muscle relaxation, mindful visualization, body imprinting add body scan relaxation.

In conclusion in conclusion therapeutic sensory stimulation exercises such as exertion reduced exercises, to include standing, chair mat activities in addition to modified Yoga and Tai Chi for the chronic pain patient will effectively move the patient to ownership of progress and a more healthier functional state.

Buy Now, Instant Access

$ 175.00 USD

CE Hours: 10.0 hrs Delivered: Online

Instant Online Access, Color 102 Page PDF Manual for Download, 365 days of access, Mobile Ready

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Highlights of this Online Continuing Education Course

PT OT Online continuing education course objectives

Course Objectives

At the conclusion of this course participants will be able to
  • Discuss the definition of chronic pain and how it affects the nervous system and the brain.
  • Identify the types of pain and the importance of understanding which phase your patient is in.
  • Identify the current research on chronic pain and determine the most effective studies that can positively impact your treatment approach.
  • Discuss the physiological impact pain has on the nervous system and the brain and the resulting multiple-system stress response.
  • Define the nociceptive process.
  • Discuss the sympathetic nervous system response to pain.
  • Identify specific disorders that can happen with each system of the body when chronic pain is left untreated.
  • Identify the neurological and structural changes when chronic pain exists within the body.
  • Utilize the appropriate evidence-based pain assessment tools.
  • Utilize a multifaceted integrative approach to treating chronic pain patients.
  • Identify the available evidence-based therapeutic treatment options available.
  • Utilize manual, cognitive and movement skills in your treatment approach.
  • Identify optimal regions within a muscle to apply specific manual therapy techniques for beneficial results.
  • Discuss the anatomy of specific muscles and the nervous system and know how to apply manual techniques to these anatomical structures to decrease chronic pain.
  • Perform the following techniques: dermatome stroking, mechanoreceptor stimulation/inhibition, postural muscle bending, myofascial release, rhythmic traction, rhythmic stabilization and acupressure.
  • Perform inhibition techniques, trigger point and soft tissue work.
  • Perform and teach your patient how to do mind/body visualization exercises, controlled breathing, progressive muscle relaxation, mindful visualization, body imprinting and body scan relaxation.
  • Teach your patient how to perform exertion reduced exercises to promote functional movement patterns while avoiding nervous system strain.
  • Teach your patient to take control of their progress while performing sensory stimulation exercises.
  • Modify Yoga and Tai Chi techniques for the chronic pain patient.
  • Develop an integrative approach that incorporates the whole body to effectively treating the chronic pain patient and achieve positive functional results and decreased pain.

Learn from the Expert - Jennifer Goff, MSPT, NCS, CLT, CVT

Learn from the Expert
  • Certified Neuro Specialist
  • Educator’s approach to chronic pain
  • Combining different philosophies of thought when it comes to chronic pain

Chronic Pain, the Sympathetic Nervous System and Pain Pathways

Introduction to Chronic Pain
  • Advancements in our understanding of what happens physiologically with chronic pain
  • Sympathetic nervous system and chronic pain
  • Assessment tools for pain
  • Nociceptive, neuropathic and psychogenic pain
  • How to teach a patient to modulate their pain
  • What happens in the body when pain perception continues for more than six months?

Manual Therapy Overview

Manual Therapy Overview
  • Treatment at the injury site, new injury or old injury?
  • Therapeutic treatments to treat chronic pain, which incorporates neurological, physical, and psychological factors
  • The different approaches for acute pain vs chronic pain
  • Methods to decrease chronic pain
  • Acupressure
  • Myofascial release
  • Rhythmic traction and rotation
  • Muscle bending
  • Mechanoreceptor inhibition
  • Manual skills, setting goals
  • Importance of functional training after manual therapy

Manual Therapy to Decrease the Firing of Sympathetic Nervous System

Manual Therapy to Decrease the Firing of Sympathetic Nervous System
  • Specific manual therapy techniques to decrease the firing of the sympathetic nervous system
  • Techniques to decrease tone
  • SNS stroking
  • Muscle bending

Manual Therapy Using the Peripheral Nervous System

Manual Therapy Using the Peripheral Nervous System
  • Using the PNS to calm down the CNS
  • Specific manual therapy techniques
  • Myofascial release techniques

Manual Therapy: Head, Cervical Region

Manual Therapy: Head, Cervical Region
  • Manual therapy for the sternocleidomastoid
  • Manual therapy for the frontalis, temporalis, trapezius and levator
  • Head and neck pain
  • Trigger point techniques
  • Myofascial techniques
  • Muscle bending techniques
  • Rhythmic traction/li>

Manual Therapy: Cervical-Thoracic, Upper Body and Shoulder Regions

Manual Therapy: Cervical-Thoracic, Upper Body and Shoulder Regions
  • Symptoms associated with specific muscle imbalance
  • Manual therapy for scalenes
  • Manual therapy for the anterior, middle and posterior deltoid
  • Manual therapy for the pectoralis major and minor
  • Manual therapy for the supraspinatus and infraspinatus
  • Rhythmic breathing coordinated with manual therapy
  • Trigger point and acupressure points

Manual Therapy: Thoracolumbar Region

Manual Therapy: Thoracolumbar Region
  • Manual techniques for the thoracolumbar fascia
  • Manual techniques for the latissimus

Manual Therapy: Rhomboids, Subscapularis, Serratus

Manual Therapy: Rhomboids, Subscapularis, Serratus
  • Specific techniques demonstrated
  • Technique to determine if source of pain is rhomboids or another contributing factor
  • COPD and serratus

Manual Therapy: Hip Region and Alternate Lumbar Spine Technique

Manual Therapy: Hip Region and Alternate Lumbar Spine Technique
  • Manual therapy for the gluteal musculature
  • Manual therapy for the piriformis
  • Manual therapy for the tensor Fascia latae
  • Manual therapy for the Iliopsoas
  • Manual therapy for the adductors
  • Alternate positions to treat the lumbar Spine region

Manual Therapy: Joint Receptors and Acupressure

Manual Therapy: Joint Receptors and Acupressure
  • Manual therapy techniques to stimulate the joint receptors
  • Integrative techniques Utilizing acupressure
  • Functional tests to establish a baseline and documented improvements

Behavior Cognitive Training

Behavior Cognitive Training
  • Cognitive skills
  • Neuroplastic training
  • Breathing training
  • Relaxation techniques
  • Progressive muscle relaxation
  • Mindfulness-based relaxation
  • Mind-body connection
  • Body scan relaxation

Exertion Reduced Exercise

Exertion Reduced Exercise
  • Techniques to train the nervous system to move through healthy patterns
  • Transitional tools and exercises
  • Neuromuscular reeducation

Course Test - Evaluate your knowledge

Evaluate your understanding of the online continuing education course material
  • Use the Healthclick proprietary online education system which provides the online student with:
    • Worldwide access to high definition video, anatomical animations and images, and written information
    • The highest quality film in the industry, you can see the difference!
    • Stop and resume within a course, the Healthclick system will optimize your course based on your device, connection and remembers where you left off.
    • Real-time course updates. We are always adding to each courses, updating content, adding animations, these are not static courses!
  • Evaluate your knowledge with the course test on any device.
  • Print your state course certificate for CE credit.
  • Take the online test as many times as need in order to achieve a 70 % or greater score.