Clinical Neurodynamics Solutions
Upper & Lower Quarter Combined Course
HYBRID Delivery: 14 hours self-paced online, 16 hours over 2 days in-person
PORTLAND, OR
Oct 14-15, 2023
$1,495.00
*Prices in CAD
Background
Michael Shacklock proposed the concept of neurodynamics in 1995 with his paper in the British journal Physiotherapy in which various scientific cornerstones formed a key aspect of clinical practice in physiotherapy and physical therapy neurodynamics practice.
This has been developed on in his book Clinical Neurodynamics, 2005, Elsevier, Oxford in which the whole body is dealt with in diagnosis and treatment of many musculoskeletal syndromes with a neural component.
The courses by Neurodynamic Solutions are based on the philosophy of helping therapists develop their clinical skills and applying them to their patients. This course therefore contains approximately 65% practical and 35% theory.
Neurodynamics Certification
Clinical Neurodynamics Solutions is more than a course; it's a learning and certification process. To fully understand what is involved in the process, please click on the following button to read more on the NDS website.
Course Highlights
- 65:35 practical-theory
- Strong hands-on and discussional elements
- Many new manual techniques for the most significant neural problems seen in musculoskeletal practice
- Systematic treatment progressions for radiculopathy (cervical and lumbar), shoulder, elbow and wrist, hip/piriformis, hamstrings and ankle and foot pain.
What You Learn
- understand how nerves move
- painless nerve root mobilisations
- how to exclude neurodynamic disorders
- differentiate between musculoskeletal and neurodynamic components
- make a neurodynamic diagnosis
- technique progressions from low to high functional levels
- how to create, select and perform the best techniques for your patients
- manual precision of neurodynamic technique
- how to detect contraindications for neurodynamic treatment
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Lower Quarter Information
Neurodynamics applied to the lumbar spine, hip and piriformis syndrome, hamstring injury and foot/heel pain
Highlights:
- general neurodynamic principles applied to the entire body and specifically the lower quarter, including the lumbar spine, hip and piriformis syndrome, hamstring injury and heel pain due to tibial and medial calcaneal nerve disorders
- classifications of structures and mechanisms for diagnosis and treatment
- neurodynamic sequencing - a mechanism that can be used to make neurodynamic technique more specific than in the past
- how to differentiate nerve from other tissues with mechanical testing
- how to make diagnosis and treatment more specific than before.
Concept of neurodynamics
- general neurodynamic principles applied to the entire body and specifically the lower quarter, including the lumbopelvic region, hip pain and piriformis syndrome, hamstring strain and neurodynamic aspect to heel pain
- neurodynamic sequencing - a mechanism that can be used to make neurodynamic technique more specifically than in the past
- how to differentiate nerve from other tissues with mechanical testing
Neurodynamic sequencing
- a method used to select and create progressions for patients
- appropriate for patients with severe neural pain progressed to the athlete, performing artist and sports person
Bilateral and contralateral neurodynamic testing
- lower limb neurodynamic tests for lumbar nerve root and acute dural pain
- progressional system to reduce force on lumbar nerve roots and progressively load them for more advanced patients
- acute care model for the lumbar nerve root
- how to take tension off the lumbar nerve root
Neuropathodynamics
- expands the boundaries and classifications of neurodynamic dysfunctions
- lumbar interface, opening and closing dysfunctions
- lumbar neural tension and sliding dysfunctions
Neurodynamic testing
- straight leg raise, slump test, prone knee bend
- peroneal/fibular, tibial and sural neurodynamic tests
- sensitisation techniques for the neural tissues (level/type 3a)
Planning the physical examination
- how not to provoke pain but still treat the neurodynamic component
- how to sensitize the examination and treatment for hidden neurodynamic problems, level 1, 2 and type 3a, 3b, 3c and 3d examinations
Diagnosis with neurodynamic tests
- differentiating neural tissue from neuromusculoskeletal tissues
- establishing what is normal and abnormal
- what to do next
Method of treatment
- system of technique progression
- hypersensitivity problems
- subtle and hidden neural component and sensitised treatments
- directing treatment at pathophysiology
- progression from pathophysiology to pathomechanics
- neurodynamics applied to lumbar disc and intervertebral foramen biomechanics
Treatment progressions
- lumbar nerve root foraminal opening and closing dysfunctions
- lumbar neural tension dysfunction
- combined neural tension and reduced closing dysfunctions (level/type 3c)
- sciatic aspect to piriformis syndrome treatment combinations
- hamstring/posterior thigh pain
- tarsal tunnel syndrome and foot pain
Upper Quarter Information
Neurodynamics applied to the cervical spine, shoulder, elbow and wrist
Highlights
- general neurodynamic principles applied to the entire body and specifically the upper quarter, including the cervical spine, shoulder/brachial plexus and other upper limb nerves at the elbow and wrist
- classifications of structures and mechanisms for diagnosis and treatment
- neurodynamic sequencing - a mechanism that can be used to make neurodynamic technique more specific than in the past
- how to differentiate nerve from other tissues with mechanical testing
- how to make diagnosis and treatment more specific than before.
Concept of neurodynamics
- general neurodynamic principles applied to the entire body and specifically the upper quarter, including the cervical spine, shoulder/brachial plexus, and other upper limb nerves at the elbow and wrist
- neurodynamic sequencing - a mechanism that can be used to make neurodynamic technique more specifically than in the past
- how to differentiate nerve from other tissues with mechanical testing
Neurodynamic sequencing
- a method used to select and create progressions for patients
- appropriate for patients with severe neural pain progressed to the athlete, performing artist and sports person
Bilateral and contralateral neurodynamic testing
- upper limb neurodynamic tests for cervical nerve root and acute dural pain
- progressional system to reduce force on nerve roots and progressively load them for more advanced patients
- acute care model for the cervical nerve root
Neuropathodynamics
- expands the boundaries and classifications of neurodynamic dysfunctions
- interface, opening and closing dysfunctions
- neural tension and sliding dysfunctions
Neurodynamic testing
- MNT1, MNT2, RNT, UNT, RSNT and sensitisation techniques
Planning the physical examination
- how not to provoke pain but still treat the neurodynamic component
- how to sensitize the examination and treatment for hidden neurodynamic problems, level 1, 2 and type 3a, 3b, 3c examinations
Diagnosis with neurodynamic tests
- differentiating neural tissue from neuromusculoskeletal tissues
- establishing what is normal and abnormal
- what to do next
Method of treatment
- system of technique progression
- hypersensitivity problems
- subtle and hidden neural component and sensitised treatments
- directing treatment at pathophysiology
- progression from pathophysiology to pathomechanics
Treatment progressions
- cervical nerve root foraminal opening and closing dysfunctions
- neural tension dysfunction
- combined neural tension and reduced closing dysfunctions (level/type 3c)
- lateral elbow pain, carpal tunnel syndrome.
Course Objectives
- Improve and develop:
- manual skills, specifically the ability to feel abnormalities in movement related to the nervous system in the upper quarter
- abilities in diagnosis and interpretation of neurodynamic testing and musculoskeletal relationships
- clinician’s repertoire of diagnosis and treatment of techniques
- safety in relation to neurodynamics
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CEU Hours = 30
14 Online, Self-Paced
16 In-Person
Your Instructor - Virtual Portion

Michael Shacklock
NDS Instructor, founding director, principal
Australia
Your Instructor - In-Person Portion

Dr Joseph P. Gravino
Neurodynamic Solutions proudly welcomes Joseph Gravino to the team as a very accomplished instructor in physical therapy. He teaches Neurodynamic Solutions throughout the United States and has his own clinic and team in Buffalo, New York.
Dr Gravino received his Bachelor’s Degree in Biology in 2013 and his Doctorate of Physical Therapy from Daemen College in 2015. Since then, he has completed many post doctorate courses in manual therapy, exercise and pain. In 2016, Joe started his company, Elite Spine & Extremity Physical Therapy and became credentialed in Mechanical Diagnosis and Therapy (MDT). In 2017, Joe presented a case study pertaining to treating individuals with neuromuscular disorders and mechanical low back pain. From 2017-2019, he worked closely with the World of Hurt team and Annie O’Connor. In 2019, Joe started working with Michael Shacklock on an individual mentor basis. Since doing so, his clinical team has completed the first level of training as NDS practitioners. Joe has been a long time member of the American Physical Therapy Association and the International Association for the Study of Pain Neuropathic Pain special interest group. Currently, Joseph is working on submitting his first publication(s). Additionally, Joseph has worked as an adjunct professor at University at Buffalo and Daemen University in their orthopaedics curriculum and has helped with the content production for a local orthopaedic residency.
Clinical Neurodynamics Solutions
HYBRID: UQ1 & LQ1 Combined Course (8 hours online, 2 days in-person)
PORTLAND, OR
Oct 14-15, 2023
$1,495.00