All case conversations provided by Jason Ward and his guests.
With Case Conversations, each month you'll receive actual patient cases which are presented to veteran clinicians. They'll dissect the history and physical exam findings and then give their advice and offer considerations for similar patient situations.
Sharpen your history-taking. See your confidence increase. Improve your outcomes.
These cases are presented to you to provide additional exposure to musculoskeletal patient care discussion.
Case Conversations is a product of the Mechanical Care Forum and is not associated with any professional organization including the McKenzie Institute International or any of it's affiliate chapters. It is not intended or proposed to be formal training or professional education.
With your monthly subscription you'll receive two patient cases with discussion of the patients history and physical exam findings and comments and suggestions by seasoned veterans of mechanical assessment and treatment.
Corporate Yearly Subscription
The same great resource with actual patient cases presented to veteran clinicians to hear their insights in patient history-taking, examination advice and treatment suggestions. The corporate subscription, however, will allow for group access of up to 8 individuals.
For pricing for groups larger than 8, please contact us.
Case Conversations - Singles
This case features a 42 yr old male, an injured worker, with lower back/PSIS region pain. I'm joined by Mr. Dana Greene of Syracuse, New York USA.
Amongst some of the discussion in this case, Dana offers insights about how he differentiates lumbar versus SI joint versus hip joint origin referencing a critical study to aid in ruling in or out the SI joint.
If you ever question your accuracy of identifying whether or not a patient has motion loss or not, Dana touches on his observations over the years of determining that accurately. For the patient whose condition's origin is unclear and especially when it includes a peripheral joint, Dana walks through his pattern of how he sequentially walks through the physical exam and repeated movements.
This case features one of those patients still classified as "inconclusive" 3-4 visits in, and might be very helpful for those who struggle with patients whose classification is unclear. This is another great case especially if you're a fan of Dana Greene. (30 min 40 seconds)
In speaking with Colin after he heard Dana’s case (case #6), a working age male with Right back and PSIS region pain injured on the job, Colin suggested that we spend some time reviewing that case and allowing Colin to serve as a, sort of, color commentator.
This has been one of the most popular and positively commented-on cases to date. If you are challenged by those patients who don’t rapidly change or respond definitively, this is a great case to hear! (1hr 2min 37sec)
In case #7 I'm joined by Dr. Mark Laslett PhD, FNZCP, Dip MT, Dip MDT of Auckland, NZ. He was in private practice from 1971 until 2001, when he began full-time doctoral studies. After completing his PhD studies in 2005, he returned to clinical practice. He continues to practice as a consultant clinician. Mark was trained informally in musculoskeletal diagnosis and manipulative therapies by Dr. Ian Broadfoot then completed the Diploma in Manipulative Therapy in 1976. Mark had a long association with Robin McKenzie and was an international instructor for the McKenzie Institute International until 1997. Mark started teaching manipulative therapy for the upper and lower extremities in 1980, then was a spinal section instructor until 1988. He commenced teaching mobilization and manipulation workshops for the McKenzie Institute as a senior international instructor in 1985 and added his own courses on the upper and lower extremities in 1990. He has presented courses in the USA, Canada, and Europe. Mark commenced involvement in research in 1982 and has pursued this passion ever since. His main academic and research interest is in the theory and practice of diagnostics as distinct from therapeutics. He has over 35 publications, contributed chapters to two multi-author books and self-published his own text Mechanical Diagnosis and Therapy: The Upper Limb in 1996 (now out of print). He became a Fellow of the New Zealand College of Physiotherapy in 2007 and has served as a member of its Academic Board since 2008.
Mark discusses a 64 year old female with central sacral pain. (34min 0sec)
Two middle aged women, both with the chief complaint of back and radiating leg pain. My guest expert is Mr. Mark Werneke of Freehold, NJ USA.
In this installment of Case Conversations my guest expert, Mr. Mark Werneke, presents, in essence, a mini-course on patient outcomes including some background information that has led to his current clinical practice of outcomes collection. He also shares what is accepted as best practices for collecting outcomes and what procedures and elements are needed. He explains how that outcome data guides treatment and management for best care. Following Mark's introduction, you’ll hear practical applications of these ideas played out through two of Mark’s patients who both presented with similar conditions and mechanical response but one, who had risk factors predicting a poor outcome, failed to show the expected improvement in functional status. You’ll see how Mark uses patient reported outcomes data and status change over time and how that directed a needed change in his approach in order to achieve a good outcome in one of those patients. You'll come away with a better understanding of what is crucial as you start or progress your efforts and prepare for alternative payment models and value-based purchasing. (1 hour 4 minutes and 35 seconds)
In this case Mr. Silva and I discuss a 24 year old male with low back, leg and foot pain and numbness. This patient describes a mixed pattern in the interview, not clearly describing a directional preference which creates the need for a careful assessment and thorough testing in the repeated movement section.
It's a great case because of Greg's vast experience from assessing and treating patients over multiple decades and years of teaching student therapists. (59min32sec)
One of the most popular features mentioned from attendees of manual and mechanical therapy courses is having real patients evaluated on the course. Taking the theory and academic foundation within a method and hearing the instructor put them into practical application is where the learning comes to life. But in the clinic on Monday morning, in the midst of full schedules and paperwork, administrative responsibilities and jam-packed personal lives, the reality is, we rarely enjoy interaction with like-minded clinicians to discuss those difficult patients and collaborate together on a regular basis. Not to mention having the opportunity to hear the best of the best in our field. With this resource you'll learn what additional questions they'd ask with a particular patient, what other movement or position they'd test or when they'd refer on. In Case Conversations you'll gain insight from patient-care leaders and, I believe, you'll see improvements in your clinical management and decision-making, for sure.
And, to reduce your worries of being disappointed, you'll receive your first case immediately upon purchasing and you'll have until the next scheduled case release date to cancel with a full refund. No contracts, no initiation fee, and no penalty to cancel at any time. For annual subscriptions, cancellations will be reflected beginning the subsequent month with prorated refunds available.