Continuing education

[cadenz2]

Could anyone suggest a professional development course that they would recommend that is useful for general private practice??

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[Ozben]

Depends what you are seeing and what you are having most difficulty in dealing with. I sent one of my staff off to do the McKenzie lumbar course and it is required that they hold inservices to other staff on what they have learnt. I found this extremely useful as I see a lot of back pain (acute and chronic). When applied properly it can have dramatic effects and gives the patient a highly effective self management technique for which they are forever grateful and word of mouth referrals increase dramatically. Rotator cuff strains,tears, and impingement also a high on the list of must know how to deal with. The third highest complaint walking through the door seems to be neck complaints. I find Maitland techniques excellent for dealing with these. Probably the best advice I can give is to continually question what you are doing and try and to improve your strengths and continually work on your weaknesses. A really good sports medicine textbook is essential. Its gone AWOL at the moment but 'Sports Medicine' Bruckner and Karim is what I think its called is the best available that I have found. Best of luck.

[Physiobase]

I would also suggest the work of Mulligan and Butler as excellent adjucts to general practice. Also a nordic therapy course (or "muscle energy" courses) would be a useful collection of assessment and treatment tools. Basic and advanced taping techniques never go astray in an acute setting as well. Best of luck 8o

[cadenz2]

Thanks for your advice - much appreciated. Is Mckenzie more than just self management exercises?

[Ozben]

McKenzie Method teaches assessment techniques using patient movements to assess the problem. His premise is that there are three causes of back pain. 1-Postural. 2. Dysfunction of the vertebral complex. 3-Derangement Syndromes. The assessment enables identification and clasification of the back pain. Treatment regimes follow depending on the classification of the back pain. Therapist input is fairly intensive at first requiring about 11-12 treatment sessions which consist of assisting the patient to learn and adjust as well as progress the exercises. It is very strong on patient education. While the emphasis is on patient self management there are times when further therapist is required eg nerve adherance, postural, or derangement problems on top of a derangement syndrome. Might be worth looking on the web. His name is Robin McKenzie, is from New Zealand and his courses are run through the McKenzie Institute all over the world. Thanks for your interest.

[cadenz2]

ozben - informative description! sounds like it'd be worth knowing!