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Course - Too Hot to Handle: Desensitizing the Hyper-Sensitive Patient with Graded Motor Imagery
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Course Description

Too Hot to Handle: Desensitizing the Hyper-Sensitive Patient with Graded Motor Imagery

This 2-day, hands-on 15-hour class will focus on treating people with a hypertensive nervous system that are clinically “too hot to handle.” With the advent of pain neuroscience exploring issues associated with neuroplasticity, it has become increasingly clear that in a certain patient population, physical touch and movement, essential for recovery, could actually pose a threat. This includes conditions such as complex regional pain syndrome (CRPS – old RSD), phantom limb pain, peripheral neuropathy, spinal cord injuries, spinal pain and more. With persistent input to the central nervous system and brain, various long-lasting changes occur including cell death, change in brain maps of the body, neurotransmitters, receptors and various pathways associated with pain. These changes manifest themselves with clinical issues such as neglect, allodynia, hyperalgesia, mirror pains, spreading pain, widespread sensitization and problems with laterality recognition. Physical testing of patients with pathological changes in their mapping will include two-point discrimination, pressure-pain threshold testing, nerve palpation, localization, graphesthesia, neurodynamics, laterality and mapping of body parts. The same neuroplastic events associated with pain, however, produce unique avenues to treat patients often too sensitive for physical movement. The brain’s perception of threat can be altered with cognitions (therapeutic neuroscience education), but also via other senses, directly aiming at the faulty mapping of the brain in pain. Treatments discussed, demonstrated and practiced will include graded motor imagery, sensory discrimination, mirror therapy, graphesthesia and neuroscience education. Various examination and treatment techniques will be shown and practiced during lab sessions that will allow for immediate take home application of treatments. This class is a must for therapists working in a variety of clinical settings dealing with patients “too hot to handle.”

Adriaan Louw

Adriaan, co-founder and CEO of ISPI, earned both an undergraduate as well as a master’s degree in physiotherapy from the University of Stellenbosch in Cape Town, South Africa. He is an adjunct faculty member at St. Ambrose University, South College and the University of Nevada Las Vegas, teaching pain science. Adriaan has taught throughout the US and internationally for 20 years at numerous national and international manual therapy, pain science and medical conferences. He is a Certified Spinal Manual Therapist, ​Therapeutic Pain Specialist and has authored and co-authored over 50 peer-reviewed articles, books and book chapters related to spinal disorders and pain science. Adriaan completed his Ph.D. on therapeutic neuroscience education and is the Director of the Therapeutic Neuroscience Research Group – an independent collaborative initiative studying pain neuroscience. Adriaan is the Program Director of the Therapeutic Pain Specialist and Pain Science Fellowship post-graduate program for Evidence In Motion.


Registration cost of this class is: $495.00

This course is open for internal registration only, Please enter your company access code below to proceed!!
NYU Langone Orthopedic Center
333 East 38th Street, 5th Floor
New York City NY 10016
Start Date Times:

7/13/2019  08:00:00 am

End Date Times:

7/14/2019  06:00:00 pm