If you have found your way to the Gestalt Education blog, you more than likely know how to perform peripheral nerve tension tests. However, knowing what they mean and when they matter have always been a burning question of mine. I learned the simple tests: Median Nerve Tension, Ulnar Nerve Tension, Peroneal Nerve Tension, etc. but always had a difficult time knowing what they meant. Is it the muscle? Is it the Nerve? Is it the peripheral nerve? Is it centrally mediated? All of these questions led to indecision and frustration. It wasn’t until I took a course with Micheal Shacklock that this all started to come together.
The “Functional Triage” is something we have been tossing around for quite a while but never really developed into a tangible idea until recently. This unnamed ability to classify patients quickly and apply the associated treatment was something I recognized very quickly the first time I shadowed Dr. Winchester at Winchester Spine and Sport in Troy, MO.
THE WORLD OF HURT: A GUIDE TO CLASSIFYING PAIN OVERVIEW COURSE IS THE COURSE I HIGHLY RECOMMEND FOR CLINICIANS TO TAKE FIRST IN THE WORLD OF HURT TRAINING COURSES BECAUSE IT LITERALLY COVERS ALL SIX MECHANISMS TO WHY WE HURT.
Setting the stage to when anatomical versus pathology versus mechanism classification systems should be considered. This course above the rest touches on all the pain mechanisms consolidating the information for clinical practice Monday morning. In addition to presenting characteristics unique to each mechanism and the clinical reasoning to differentiate one dominating mechanism from another, it highlights the interventions that are most effective for that specific mechanism.
The ability of the practitioner to differentiate and explain the dynamic nature of IAP may be the difference between successful at home exercise programs and non-compliant patients. Many clinicians leave a DNS course thinking they need to walk around with a maximal abdominal brace at all times and miss the distinction between an abdominal brace and IAP.
The pediatric series through DNS was everything that I was missing in my pediatrics training. Here was my train of thought: I was always taught that if there is not a motion restriction during motion palpation, why adjust? On that same thought, if babies have no compensatory movement patterns yet and they have the proper respiration pattern and therefore, no trigger points or soft tissue tenderness…why treat?! Better yet, why are babies getting adjusted SO OFTEN in clinical chiropractic settings if they do not have joint restrictions or soft tissue issues? I had this internal struggle about treating kids for as long as I have been in school.
The Dynamic Neuromuscular Stabilization C course is the third course in the “letter route” of courses. At this point, the attendee of DNS A and DNS B has been exposed to why DNS is important in patient rehabilitation, where the idea of DNS came from, some developmental kinesiology positions, and how to integrate the core properly.