"Chronic Pain and The Complex Musculoskeletal Patient " Dr. D. Musnick
Sept. 27-28, 2008
Hilton Garden Inn
Missoula MT back to top
Objectives:
- Learn the latest neurophysiology of pain processing and pain sensitization
- Understand the important of pain sensitization and determine appropriate interventions for their patients
- Understand factors contributing to chronic pain
- Understand how attitude and hope can be used to improve PT outcomes
- Understand the effects of Fibromyalgia on pain and the therapy process
- Understand the effects of fatigue on pain
- Identify key symptoms and signs of the Benign Hypermobile Joint Syndrome(BHJS)
- Learn key patterns of ligament referred pain from the spine and the extremities
- Understand the pathology of Tendinitis and have treatment options for chronic Tendinosis
- Assess for sleep posture dysfunction and have a number of nonpharmacological interventions to improve sleep
- Understand the role of protein in musculoskeletal healing
- Gain an understanding of Osteoarthritis and Cartilage support acute and chronic
- Understand how to protect cartilage after acute injury
- Understand the role of key nutrient deficiencies such as B12 and Vit D in balance and strength problems
- Understand the effect of hormone dysfunction especially Menopause and Andropause on musculoskeletal problems
- Identify patients with Osteoporosis and design a program to improve bone density and balance
- Understand the effect of obesity on the musculoskeletal system and identify weight management strategies back to top
Topics:
- Factors That Lead to Chronic Pain or Poor Healing
- Review of Pain Neurophysiology and Anatomy
- Pain Sensitization: Physiology and Interventions: From the receptor, the cord and the brain
- Neuropathic Pain: diagnosis, causes and implications for treatment(including peripheral nerve, plexus and radiculopathy )
- Fibromyalgia: Posttraumatic and Preexisting and its effect on Musculoskeletal Healing
- Tendinopathy and Chronic Tendinitis: Pathophysiology and Treatment Strategies for treatment of Chronic Tendinitis
- The use of topical gels for inflammation, neuropathic pain and pain management: practical applications
- Sleep Dysfunction and its influence on pain and musculoskeletal healing( Phases of sleep, function of sleep, Insomnia and sleep maintenance problems, Practical suggestions(non pharmacological) for sleep improvement including sleep posture
- Fatigue: causes and effects on the musculoskeletal patient
- Stress Management: Types of stress and influence on the musculoskeletal system
- Practical Stress Management Techniques
- Hormonal Issues in Musculoskeletal Care
- Obesity and Weight Management Strategies
- Dietary Analysis and suggestions for an anti-inflammatory and pain management Diet
- Protein needs of healing and athletes: sources and recommendations
- Cartilage Injury and Cartilage Protection
- Nutritional Support for Osteoarthritis and Acute Injury
- The Benign Hypermobility Syndrome and Regional Hypermobility(ligament pain referral patterns and laxity in the SI, Lumbar Spine, neck, hip and Shoulder) including a discussion of diagnosis by history and physical exam and treatment
- Scar Tissue Dysfunction, Testing and Treatment (The theories of how scars cause pain, muscle spasm and muscle weakness and recruitment dysfunction as well as joint dysfunction)
- How to take a scar history
- Testing scars on physical exam
- Treating scars with soft tissue technique and low level laser
- Attitudes, Hope and Attitude Mobilization techniques
- Memory and Cognitive Problems and Patterns of Learning
- Depression, Anxiety and Mood and the musculoskeletal patient
The Instructor: back to top
David Musnick MD is board certified in Internal Medicine and Sports Medicine. He maintains a practice of Orthopedic Medicine, Functional Medicine and Pain Management in Bellevue, WA.. He has completed level 3 Physical therapy training from NAIOMT and is a physician examiner for NAIOMT. He is on the faculty of Orthopedics and Sports Medicine and Rehabilitation at the University of Washington Medical School. He is the author of Conditioning for Outdoor Fitness: Functional Exercise and Nutrition for Every Body second edition 2004 as well as numerous chapters in Physical Therapy and Medical Texts. He teaches physicians and physical therapists from grand rounds to 3 day seminars on topics in Orthopedics, Physical Therapy, Nutrition and Pain Management. He is a dynamic and a motivational speaker. back to top
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