CPD - 13th December 2009

Our first course to be held at CPD Leeds is titled the manipulation of the Junctional areas of the spine. These include the Lumbar Sacral joint, Thoracic Lumbar joint, Cervical Thoracic joint and the controversial Occipital Atlantal joint.
We all know the important roll these junctional areas have on the biomechanics of the spine. However, these joints are often quite difficult to manipulate and even more difficult to manipulate them specifically.
I am sure that you will be familiar with the scenario when an attempt to mobilize the Lumbar Sacral joint resulted in the manipulation of the joint above, or when trying to manipulate the Cervical Thoracic junction the patient felt too uncomfortable to carry out the procedure due to the long leavers being applied.
Another common scenario is with the complex patient. What I mean here is that patient with the ‘moving pain' syndrome. We have all had the patient that comes to you with low back pain and following treatment the low back pain disappears to be replaced with mid Thoracic pain. You subsequently treat the mid Thoracic pain resulting in a pain free mid back but now the patient experiences neck pain.
In these cases I find the most effected treatment is mobilization of all the Junctional areas of the spine in one session. This might sound somewhat aggressive but I find this clinically extremely effective for this kind of patient. In order to avoid a treatment reaction it is essential to apply this using the minimal lever thrust techniques.
This is why I am really excited about this course. As well as brushing up on mobilization techniques it will provide you with the tools to deliver the appropriate and effective care to the difficult patient.
Look forward to seeing you all on Sunday 13th December.
Ami