Lumbar Nerve Manual Assessment and Treatment

Herman & Wallace Pelvic Rehabilitation Institute

Format(s):   Live Seminars
Discipline(s):   Physical Therapy / Occupational Therapy
Contact Hours:   21
Registration Fee:   $695.00

Objectives

Upon completion of this course, participants will be able to:
Describe symptoms (sensory vs motor) for each structure listed below
Identify the anatomy and pathway of each nerve
Perform neural tension test for differential diagnoses
Perform mobilization of nerve
Perform neural/fascial pathway to release surrounding peri-neural structures from common regions of entrapment
Perform local balancing/integration of nervous system
Perform neural gliding and sliding of nerve
Prescribe a home program to maintain neural treatment
These objectives will focus on the following nerve structures:
Lumbar spinal nerves
Ilioinguinal nerve
Iliohypogastric nerve
Genitofemoral nerve
Femoral nerve
Obturatur nerve

Target Audience

Confirmation Notes

Agenda

Day One
7:30 Registration 8:00 Introductions, Course Intro 8:30 Anatomy/Physiology of the nervous system and Lumbar Plexus Lecture 9:30 Neural Tension Testing 10:00 Break 10:15 Femoral Nerve Lecture 11:00 Femoral Nerve Lab Part One 12:00 Lunch 1:00 Femoral Nerve Lab Part Two 3:00 Break 3:15 Femoral Nerve Home Program 3:45 Regional Integration 5:00 Adjourn

Day Two
8:00 Review 8:45 Inguinal Nerve Lecture, Iliohypogastric 9:45 Iliohypogastric Nerve treatment Part One 10:15 Break 10:30 Iliohypogastric Nerve Treatment Part Two 11:30 Ilioinguinal Lecture 12:00 Lunch 1:00 Ilioinguinal Lab 12:45 Genitofemoral Nerve Lecture and Lab 1:45 Home Program Inguinal Nerves 2:15 Abdominal Wall Part one 3:00 Break 3:45 Abdominal Wall Part two 4:45 Regional Integration Techniques 5:15 Adjourn

Day Three
7:30 Review 8:00 Obturator Nerve Lecture 9:00 Obturator Lab Part One 10:15 Break 10:30 Obturator Lab Part Two 11:15 Obturator Home Program 11:45 Lunch 12:30 Lateral Femoral Cutaneous Nerve 2:00 Regional Integration 2:15 Break 2:30 Lateral Femoral Cutaneous Home Program 2:50 Neural Research and Management 3:50 Wrap up, Complete course/evals and certificates, Dismissal

Description

This three-day course for the experienced pelvic rehab therapist will address manual treatments and problem-solving assessments for the major contributory nerves from the lumbar plexus to the pelvis in an organized, systematic fashion. Clinical assessment and differential diagnosis will include history, symptoms, strength and sensation changes, and differential neural tension testing for each major peripheral nerve of the lumbar plexus. Students will practice interactively mapping the pathway of each nerve and neuro-fascial techniques to decompress the nerve along the path, including common sites of entrapment and impingement. Treatments will encompass manually releasing the specific fascial pathway of each nerve, treating the proximal spinal nerve for each peripheral nerve, and direct neural manipulation. Once the nerve path is addressed, neural mobilization with movement (gliding), manual regional integration with the nervous system, and home program to maintain neural strength and mobility will provided in easy to use handouts for your patients.
Neural structures addressed in this course include the lumbar plexus nerves (Iliohypogastric, Ilioinguinal, Genitofemoral, Lateral Femoral Cutaneous Nerve, Femoral Nerve and Obturator Nerve and Foramen), This course will be very lab heavy, around 65% of the course will be interactive, hands-on learning.
Nerves transmit pain messages. When nerves are compressed they can cause pain or weakness. Pelvic rehab is traditionally centered around muscles, but muscles are at the will of the innervating nerve. Frequently the nerve is overlooked as the source of pain or weakness. Unfortunately, the patients who receive diagnoses such as neuropathic pain or nerve entrapment are presented with few options. Pelvic neural pain can be mimic or be the actual cause of vulvodynia, labial pain, gluteal and low back pain, SI pain, lower abdominal and bladder pain, pubic symphysis pain, groin pain, IT band pain, as well as many other syndromes and weakness, such as weakness in the transverse abdominus.