THE UPPER QUARTER COURSE

The NeuroCentric Approach (NCA) challenges the thoughtful clinician to reconsider chronic pain and many musculoskeletal "syndromes" through a different lens. When the systemic, local and mechanical health and behavior of neural tissues are thoroughly assessed, commonly a new avenue of beneficial intervention is apparent. With NCA, we prioritize the patient's ability to take part in the discovery, in the short term pain management and in the long term functional improvement to truly bring healing to conditions previously thought to be untreatable.

In this 12 hour, upper quarter course, headache, neck pain, upper back pain, shoulder/elbow/wrist and hand pain will be considered and explored in a fun, informative and engaging clinical vignette and grand rounds environment. This approach assures that participants can return home with a new set of readily available skills to tackle their most challenging cases.

This course is a lecture/lab course. Please wear comfortable clothing you are able to move freely in. Exercise apparel is encouraged. Local participants are encouraged to bring treatment tables.

This event may be offered as a livestream event for virtual attendance. Check below for link to livestream tickets. If you choose to attend virtually, note that much of this coursework is hands-on and would be difficult to understand without having an available partner present with you to allow you to practice palpation and movements. We strongly advise that livestream attendees watch with a colleague to allow hands-on practice. All professionally licensed attendees must be ticket holders.

Learning Objectives

This course is for licensed physical therapists, chiropractors, medical doctors, naturopaths, acupuncturists, osteopaths, etc. Personal trainers and bodyworkers may attend only with waiver obtained directly from Dr. Snell or Dr. Dean. Prior exposure to the work of rehab pioneers such as Robin McKenzie, Stuart McGill, Gray Cook, Greg Rose, Pavel Kolar, David Butler and Michael Shacklock is strongly encouraged but is not a prerequisite to attendance.

 By the end of this 12 hour course, attendees will be expected to understand and appreciate the following concepts in regards to upper body conditions:




1. Recognize the importance of thorough neurological assessment which includes the mechanical behavior of neurological structures.



2. Learn to work within the Graded Neurological Exam to determine which neural compartments are most affected for the presenting patient.



3. Recognize the continuum of neuralgia>muscle hypertonicity>altered arthrokinematics>joint pathology.



4. Consider the best-practice application of current pain science and mind-body research as part of a holistic NMS program.



5. Possess familiarity with specific exercise interventions to manage pain.



6. Take part in assessment and treatment plan development on patient cases.



7. Possess a base level of understanding of common rehab and exercise science principles for application in clinical practice.



8. Appreciate and evaluate the effects of stress, diet, exercise, and sleep on biochemistry associated with pain.



9. Appreciate the effects of trauma exposure to common pain conditions and clues to identify and appropriately refer these patients.



10. Understand how and when to appropriately assist in co-management of trauma patients.



11. Have a base level understanding of current technology to help patients track the effect of stress, sleep and lifestyle on heart rate variability (HRV).



12. Develop an understanding of sympathetic/parasympathetic imbalance in pain conditions and ways to mediate the ANS toward balance




13. Identify and address dysfunction of central, peripheral and superficial neural structures. 

Dr. Phillip Snell


Dr. Phillip Snell holds an adjunct faculty position at the University of Western States and has a clinical chiropractic practice in Portland, OR. He lectures internationally to other medical providers on the use of exercise interventions and manual therapy in the treatment of lumbar disc herniation and other physical medicine conditions.

APRIL 20-21, 2024

Evolution Healthcare and Fitness

Hours of the course
9am to 5pm on day 1 and 9-3pm on day 2 (two day course)

12 Continuing Education Units Accredited
12 hrs CEU’s will be available for via PACE for Chiropractors in most locations, but availability may depend on course location.

Testimonials

"NCA integrates well with DNS and enhances the work I'm already doing with all of the athletes I work with."

Michael Rintala, DC-Instructor, Dynamic Neuromuscular Stabilization (DNS)

"NCA helps to localize where to apply your work. Using the Graded Neuro Exam, you can learn whether brain-based work is best or spinal cord/nerve root, or out in the periphery, or even at the cellular level working on their systemic health."

Thadd Dudry, LMT-Instructor, Anatomy Trains

"I think this will help minimize downtime and improve recovery in my players, especially pitchers."

Adam Munson, ATC-Los Angeles Angels MLB