This lab-intensive weekend course will equip health care providers with the didactic knowledge and hands-on skills needed for treating patients suffering from peripheral neurogenic pain and a variety of nociplastic pain states.

Students will be provided with mandatory pre-course viewing (2.5 hours) and reading materials to establish the foundation necessary to participate in this lab-intensive weekend. They will demonstrate competency through a quiz for Neurodynamics and a quiz for Graded Motor Imagery (GMI). Pre-course work will promote appropriate background, rationale, and clinical decision-making considerations for implementation of the techniques covered. For those students enrolled in the Therapeutic Pain Specialist (TPS) program, this weekend intensive serves as the practical application of the Neurodynamics and Too Hot to Handle courses.

On day 1, attendees will practice and develop skills in the physical examination and treatment of a sensitized peripheral nervous system. Practical sessions focus on the main upper extremity nerves (median, radial and ulnar), trunk, head and lower extremities, including both lumbar and lumbosacral plexuses and tracts. Practical sessions include identifying and palpating peripheral nerves, active and passive neurodynamic tests, and neurodynamic treatments for the sensitive nervous system. Safe and appropriate patient handling will be emphasized.

Day 2 focuses on desensitization of the nervous system, i.e. patients suffering from nociplastic pain. First, attendees will review easy-to-follow strategies to teach people about pain and neural sensitivity related to central sensitization. This practical application of Therapeutic Neuroscience Education (TNE) will prepare patients for novel treatments aimed at desensitization of a hyper-sensitive nervous system. Attendees will then learn to test various aspects associated with sensitization, including laterality, two-point discrimination, body diagram drawings, localization of stimulus and graphesthesia. Treatments will include retraining left-right discrimination, motor imagery/visualization, localization, sensory discrimination, graphesthesia and mirror therapy.

Course Highlights

Course highlights include intensive hands-on labs with instructor feedback, treatment sequencing recommendations, case descriptions of novel treatments involving neurodynamic and GMI tools, and the implementation of TNE prior to hands-on interventions to prime patients for success.


Target Audience: This course is open to physical therapists, physical therapist assistants, occupational therapists, certified occupational therapist assistants, and other professionals who treat patients in pain.

Contact Hours: 24 Contact Hours (8 online and 16 onsite) from EIM Institutes of Health Professions



Program Applicability: Credits from this course count towards ISPI’s Therapeutic Pain Specialist Certification


Upon completion of this course, attendees will be able to:

  1. Locate and palpate peripheral nerves in upper and lower extremities on lab partners using course manual and with instruction assistance
  2. Demonstrate upper limb, trunk, lumbar, and lumbosacral neurodynamic tests performed on lab partners after demonstration from instructor(s) and with use of manual
  3. Demonstrate upper limb, trunk, lumbar, and lumbosacral neurodynamic treatments performed on lab partners after demonstration from instructor(s) and with use of manual
  4. Choose appropriate neurodynamic tests and treatments for clinical application to at least 1 of 8 written case studies presenting to class for discussion using course teachings and course manual
  5. Practice and demonstrate an ability to explain nerve sensitization to patients in pain
  6. Skillfully perform sensorimotor testing of hypersensitization on lab partners using course manual and with instructor assistance