FNOR 5: Neuro-Orthopedic Approach to Integrative Pain Rehabilitation

FNOR V

Neuro-Orthopedic Approach to Integrative Pain Rehabilitation 

“When it comes to Chronic Pain and persistent injury, Body and Brain are inseparable. In fact, it is the brain and nervous system that drives the persistence of the pain experience. Modern rehabilitation specialists must be able to navigate somatic as well as cognitive and behavioral drivers of Persistent Pain as these elements modify the human nervous system at each of its levels through adverse neuroplastic changes. A broader, multi-dimensional appreciation of pain, with the central nervous system at the junction of the individual’s cognitive processes, behaviors, movement strategies, lifestyle factors, personal values, physical capacity and various life demands, offers the modern rehabilitation specialist a vastly more flexible, individualized and effective approach to resolving persistent pain.” (George, 2015)

SOME OF THE CLINICALLY USEFUL CONCEPTS YOU CAN EXPECT TO LEARN FROM THIS COURSE:

• Why mastering Modern Pain Science means mastering the Nervous System.
• Why accepting that there is no “Cure” for Chronic pain is the first step toward resolving it!
• How to Structure an Individualized, Clinical Approach that addresses the various, widespread neural modifications associated with chronic pain and injury.
• How to use therapeutic, neurologic mechanisms to establish a steep rehabilitation trajectory through pain toward enhanced physical performance.
• Components of the Pain Matrix and how to target each key area with specific neurorehabilitative techniques.
• Persistent pain through the lens of a movement disorder – how to address the “motor” and “nonmotor” symptoms of the condition.

GENERAL DESCRIPTION

“As a team, we came to the scary and dangerous conclusion that despite the fact that we were a multi-disciplinary group of practitioners, our shared experience was that our foundational training poorly equipped us to deal with Chronic pain. While this realization was intimidating, it was also the beginning of a constructive process that allowed us to cut loose from old approaches and persistent ideas about pain, which current statistics suggest just aren’t serving us well. ”

Drawing on highly practical perspectives and techniques from fields of pain medicine, physical therapy, psychology, psychiatry, pharmacology, occupational therapy, biofeedback, nursing and CAM, FNOR 5^TM presents a multi-disciplinary perspective on pain that is organized into a simple system that addresses the multi-dimensionality of the pain experience. Building on the various therapeutic tools presented in FNOR 1-4, the rehab specialist will learn to harness and direct the process of adaptive neuroplasticity toward modifying the nervous system of the persistent pain sufferer. Furthermore, a system will be presented for managing the complexity of the chronic pain presentation toward a more focused, effective therapeutic approach. This approach is particularly useful in dealing with clients with multiple co-morbidities in that frequently, multiple concomitant conditions, experienced by a chronic pain sufferer, tend to overlap in the brain, offering an opportunity to bring about robust, positive changes across a wide spectrum of symptoms by altering neurophysiology.

Techniques and principles presented in this course can be applied to various conditions associated with chronic pain including chronic back pain, Fibromyalgia, headache and migraine, post-surgical pain, upper and lower body joint pain and complex regional pain syndrome (CRPS).

WHY (AS A MODERN REHABILITATION SPECIALIST) YOU SHOULD TAKE THIS COURSE:

“When we approached Chronic Pain with a similar approach to other neurologic diseases, (i.e. when we shifted our focus away from constantly focusing on dropping pain scores to persistently driving adaptive nervous system changes), we found that our clinical results improved dramatically… and it actually became a more rewarding experience.” (Fife, 2015)

Chronic pain is a major health issue with astounding economic consequences and costs in human suffering. The National Institutes of Health reported that 40 million Americans experience severe pain and more than 25 million experience daily pain (2015). Despite the pervasive nature of this problem, healthcare practitioners of all kinds are generally insufficiently trained in pain. Furthermore, many practitioners do not delineate between chronic and acute pain, employing the same treatment methods for each condition – a fundamentally flawed approach when modern pain science demonstrates that acute and chronic pain are two entirely different conditions, each with their own, unique, associated component processes.

FNOR 5^TM is about creating more effective, modern rehabilitative pain specialists. Multimodal pain therapy that addresses the multi-dimensionality of pain is a direction for the future – this course strongly emphasizes this approach through a presentation of highly-practical skills that will likely benefit the practice of any specialist who regularly attends to patients in pain.

UPDATE YOUR PAIN REHABILITATION TOOLBOX WITH…

• Really Effective, Practical Pain Therapy Techniques.
• A Strong Conceptual Foundation based on Current Understanding of Pain Physiology.
• Effective neurologically-based, Cognitive and Behavioral Techniques that can be applied without “bogging down” the rehabilitation process.
• A simple, practical framework for implementing an truly individualized care strategy for your client.
• A unique system of Neuro-Orthopedic integration that allows for effective management of the complex challenge of chronic pain.
• The ability to identify significant, individual hurdles to progress.