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FNOR MODULE 1: AN INTEGRATIVE, NEUROSCIENCE-BASED APPROACH TO LOWER BACK PAIN & DISORDERS OF THE LUMBOPELVIC HIP COMPLEX

 

WHAT OTHER PROFESSIONALS SAY ABOUT THIS COURSE:

"(This program) is probably the fastest way to become a "Go-To Expert" in lower back pain rehabilitation.  Since taking FNOR, I feel like there isn't a single low back pain case, no matter how severe, that I can't help.  In my practice, this course has paid me back so many times over!"  (T.B. 2017, FNOR Course Attendee)

"I have been treating Lower Back Pain (quite successfully) for years but my entire clinic changed after just one weekend!  I'm getting results like I've never seen before and even started getting referrals from surgeons who I never thought would ever send me anybody!"  (B.H. 2017, FNOR Course Attendee)

BACKGROUND:

“Lower Back Pain stands alone as the most problematic, costly and enigmatic musculoskeletal complaint. Statistics suggest that current approaches are not doing enough to solve the problem.”
While modern medicine (incl. physical therapy and CAM approaches) has made great strides in therapeutic- and surgical technique for pain, epidemiology has not seen a corresponding diminishment in the incidence of chronic, lower back pain, which stands stubbornly as a leading cause of disability. 
"Of the 80% of patients undergoing surgery who experience postoperative pain:
  • Fewer than half report adequate pain relief: of these, 88% report their pain is moderate, severe, or extreme;
  • 10-50% of patients with postsurgical pain develop chronic pain, depending on the type of surgery;
  • and for around 10% of these patients, this chronic postoperative pain is persistent and severe."
(Institute of Medicine, 2011)
"Failed back surgery syndrome incidences are growing and becoming commonplace, affecting around 10-40% of patients who have undergone lumbar spinal surgery."
(Thomson, S., & Jacques, L, 2009 & Weiner et al, 2006)

FNOR began as a project intended to find a better approach for dealing with failed back surgery syndrome (FBSS), while this project continues to evolve, we believe that the rational system developed in this environment is highly valuable for all back pain specialists as it addresses the often multi-factorial, complex and individualized nature of persistent lower back pain in an efficient and logical approach. 

COURSE DESCRIPTION:

This course delivers a highly efficient and practical framework serving as a novel approach to rehabilitation of disorders associated with lower back pain (incl. dysfunction of the lumbopelvic hip complex.)  

This is not a theoretical program: the intention of this program is to be hands-on and highly practical with an immediate, positive impact in the clinical practice of attendees.

The attendee will be taken through a fast-paced and application-rich system for managing a range of painful disorders of the lumbopelvic-hip-complex.

The FNOR Approach to Disorders of the LPHC:

  • Is Current & Highly Practical
  • Is Rational, Uncomplicated & Evidence-based
  • Is Integrative & Uniquely Systematic
  • Presents a Neuroscience-forward approach to management of lower back pain.
  • Results-centered, proven and applicable across the spectrum of lower back pain disorders.  

WHO IS THE PROGRAM INTENDED FOR?

(Licensed Professional (and current students) in the following professions are welcome to attend: DPT, PT, MD, DC, DO, RN, MSN)

This highly practical program was developed in a multi-center, high-volume, multi-practitioner, orthopedic, physical therapy environment. It was initially intended for physical therapists (physiotherapists) with the intention to improve outcomes in severe lower back pain and treatment-resistant, post-surgical spine pain presentations.

Since then, this program has been opened to rehabilitation and pain specialists from multiple fields including physiatrists & physicians (M.D. & D.O.), chiropractors (D.C.), nurses (RN & MSN) and supportive staff associated with each of these professions.

The program will likely be highly valuable for any rehabilitation specialist seeking to update their rehabilitation system as well as for recent grads seeking to learn a proven framework from which to launch their own successful rehabilitation program.   Practitioners proficient in many contemporary approaches to lower back pain will likely find the FNOR approach very flexible and compatible with their current clinical approach.  

THIS PROGRAM WILL MAKE YOU A BETTER LOWER BACK PAIN REHABILITATION SPECIALIST

Most attendees of this program report that it was the most valuable and practical learning experience of their careers in terms of equipping them to be "go to experts" in lower back pain in their communities.  Most report that their clinical practices changed profoundly following this program

In the Context of Treating Lower Back Pain, this program is intended to make you more: 

  • Efficient (Giving you a solid "place to start" and "path to follow" in every case).  The "FNOR Therapy Matrix" equips you with a simple, system for addressing every dimension of lower back seamlessly (incl. pain generators, pathophysiology, behavioral factors, pathomechanics, neurology and more).

  • Effective: You will notice that your clinical approach will drastically "speed up" (efficiency) and deliver more consistent results (effectiveness).  Put simply, you will learn to "fix" severe lower back pain better and faster.

  • Confident:  Demystify lower back pain and make even the most severe cases less intimidating.

  • "Well-rounded" (integrative) & Professional: Allowing you to interface easily with other professionals, approaches and philosophies. 

TOPICS COVERED IN THIS COURSE

  • Fundamentals of Lower Back Pain (LBP) for the Modern Rehabilitation Specialist (Overview).
  • Applying the FNOR matrix as an evidence-based framework for managing LBP rehabilitation (LAB with case presentations).
  • Diagnosing, Managing & Rehabilitating Provocative Movement in LBP.
  • The CNS and disorders of the LPHC (incl. Lower Back Pain)
    • FNOR is a pioneer program in the application of neurorehabilitative principles in the management of orthopedic conditions. 
    • Autonomic Dysregulation and Lower Back Pain.
    • The role of CNS dysfunction in abnormal Motor Patterns in LBP (a practical approach to harnessing neurology to mitigate pain and change abnormal motor patterns).
    • Cognitive and Behavioral Factors in Persistent Lower Back Pain from a solutions-based perspective (an application-rich intersection of behavioral medicine and neuroscience.)
  • Diagnosing and Rehabilitating Abnormal Gait Patterns (The "Silent Killer") in LBP.
    • FNOR is a pioneer program in the highly-valuable application of Gait Analysis in the management of lower back pain.
    • The application of video kinematics in assessment of Gait and abnormal biomechanics of the LPHC in LBP.  
  • Diagnosing and Treating Peripheral neurogenic inflammation in LBP (diagnosis and management (LAB).)
    • FNOR is a pioneer program in the highly valuable diagnoses and physical rehabilitative management of peripheral neurogenic inflammation in the lower back pain. 
  • Effects of LPHC dysfunction during gait (and correction strategies):
    1. Lumbar spine
    2. Sacroiliac joint
    3. Assessing Lumbar Spine and Pelvis during Gait (LAB).
    4. Common Abnormalities and their contribution to LBP (LAB).
    5. Diagnosing Abnormalities & Establishing Therapy Baseline (LAB)
  • Integrative Case Management: Balancing Patient Values & Choice with Level of Evidence and Best Practice.
  • The FNOR approach to common LPHC disorders, incl
    • Discogenic Pain
    • Radiculopathy 
    • Myofascial Pain Syndrome
    • "Facet Syndrome"
    • Post-Surgical Pain and Failed Back Surgery Syndrome (FBSS)
    • Sacroiliac Joint Dysfunction
    • Piriformis Syndrome
    • Intercostal Neuritis

QUESTIONS:

  • Is this a course in Spinal Manipulation?
    • No.  While a number of "manual techniques" will be presented, including some that might be regarded as "mobilization of tissues, nerves and joints", this is not a course in conventional, segmental, joint manipulation/adjusting.   Those with a background in spinal manipulation will find the FNOR-therapy-matrix as a useful foundation in the rational application of joint manipulation (i.e. knowing "when and where" to apply manipulation) but these techniques will not be demonstrated (it is our experience that most attendees are quite proficient with this therapeutic "tool").
  • Are you actually going to teach anything practical?
    • We are only going to teach practical material!  This course first presents a rationale and framework that provides the practitioner with a new and current approach to lower back pain rehabilitation (a simple, rational system ... not a flowchart.)  Theory and background material is only presented to present the underlying reasoning as to the technical approaches instructed. 
    • Most of our attendees report that they completely change (mostly structure and focus) their rehabilitative approach to lower back pain following this course. 
    • Lower Back Pain is multifactorial thus practical instruction will span multiple areas: incl. orthopedics, biomechanics, (adapted) neurorehab, behavioral approaches, pain science, "soft tissue" (this is why we expect that rehabilitation specialists from different backgrounds will easily grasp this approach). 
  • I've taken other Rehab Courses and even heard of some that sound like this... How is this course unique?... Why take an FNOR course?
    • The FNOR is a pioneer-program in integrative physical rehabilitation, particularly in the integration of neurorehabilitation and orthopedics, 10 years in the making!  While there are a number of excellent learning opportunities in the field of lower back pain rehab (and we owe much to the many pioneers of our time in the field), there are a number of differentiating factors that we believe bolsters the unique value of the FNOR program:
      • Experienced multi-disciplinary team (with an inter-disciplinary approach): Our program was developed by professionals from different backgrounds, with years of experience in therapeutic approaches including: emergency medicine, pre- and post-surgical care, frontline primary care, CAM, 'functional neurology', pharmacology and physical therapy.  
      • Highly Practical, Original Approach The FNOR approach has been developed in the high volume, primarily orthopedic physical therapy (physiotherapy) environment.  There are no "frills or fluff" or "gimmicky" techniques.  The FNOR-approach favors high-leverage interventions (independent of "techniques") and is highly efficient as a consequence...  
      • The primary goal is GETTING PATIENTS OUT OF PAIN FAST!: We doubt there is a system developed today that can do this more consistently than FNOR!  In our view, there isn't much value to any approach to a painful condition (like lower back pain) that doesn't resolve pain with fast and frequently. 
      • Unique Application of Diagnostic Technologies: The use of current technologies like video kinematics provides a unique, modern dimension to the very modern, FNOR approach. 

TUITION:

  • The base rate for this course (as with each of the 3-day, 25 hour, FNOR modules) is $1,250 (US).  An early bird registration rate of $1050 is offered for registrations made 60 days ahead.   

 

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      Course Cancellation Policy

      All Cancellations must be made within 60 days from the date of purchase to be eligible for a refund. Cancellations made less 30 calendar days prior to the course start date will not receive a full refund. All cancellations made less than 30 days prior to the course start date will be refunded, minus a $350 cancellation fee. Cancellations made within 10 days of a course are not eligible for a refund but fees already paid may be applied as a credit to a future, FNOR course, within 12 calendar months of the course that is being canceled (minus a $350 cancellation fee).  Online Courses are subject to cancellation policies on a case-by-case basis (i.e. cancellation policies for online courses will be stated at the point of registration.)  Please note that travel arrangements should not be made until confirmation that registration in a course has been received and approved to avoid change fees. While every reasonable effort is made to hold courses as advertised, FNOR reserves the right to make changes to any course, including changing instructors or course site and canceling any course date to accommodate for unexpected occurrences. Upon registration for a course, course registrants assume all responsibility and agree to hold FNOR and its course sponsors harmless for any expenses that might be incurred for changes in travel arrangements resulting from any course changes or unexpected events.Course Cancellation Policy:

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      Course Cancellation Policy

      All Cancellations must be made within 60 days from the date of purchase to be eligible for a refund. Cancellations made less 30 calendar days prior to the course start date will not receive a full refund. All cancellations made less than 30 days prior to the course start date will be refunded, minus a $350 cancellation fee. Cancellations made within 10 days of a course are not eligible for a refund but fees already paid may be applied as a credit to a future, FNOR course, within 12 calendar months of the course that is being canceled (minus a $350 cancellation fee).  Online Courses are subject to cancellation policies on a case-by-case basis (i.e. cancellation policies for online courses will be stated at the point of registration.)  Please note that travel arrangements should not be made until confirmation that registration in a course has been received and approved to avoid change fees. While every reasonable effort is made to hold courses as advertised, FNOR reserves the right to make changes to any course, including changing instructors or course site and canceling any course date to accommodate for unexpected occurrences. Upon registration for a course, course registrants assume all responsibility and agree to hold FNOR and its course sponsors harmless for any expenses that might be incurred for changes in travel arrangements resulting from any course changes or unexpected events.Course Cancellation Policy:

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