Lumbar Pain Syndromes

Assessment and Treatment of Disc Herniation, Spinal Stenosis, Spondylolisthesis, Facet Joint Syndrome and Chronic Low Back Pain

About the Course

Low back pain is one of the most common reasons for seeking physiotherapy and osteopathic care. Its underlying causes can be complex, and effective treatment requires a structured clinical assessment, sound diagnostic reasoning and an individualized therapeutic approach.

This two-day course with Professor Juan José Boscà combines clinical reasoning with practical assessment and manual therapy. The focus is on understanding lumbar spine dysfunctions, identifying relevant clinical findings and selecting appropriate treatment strategies for different presentations of low back pain.

Participants will explore the functional anatomy and biomechanics of the lumbar spine and intervertebral discs, the mechanisms underlying disc degeneration and herniation, and the assessment of symptoms associated with lumbar disorders. Particular emphasis is placed on differentiating clinical presentations, interpreting imaging findings in their clinical context, and understanding the indications and contraindications of manual therapy techniques.

Through practical demonstrations and hands-on training, participants will develop their ability to select appropriate patient positions, apply manual therapy techniques and adapt treatment to the different phases of pain. The course also addresses rehabilitation progression, prevention and the return to everyday activities, work and sport.

Course Content

• Functional Anatomy and Biomechanics: Structure and function of the lumbar spine, intervertebral discs and spinal segments.
• Clinical Assessment and Diagnostic Reasoning: Systematic examination of low back pain, interpretation of clinical findings and assessment of the severity and presentation of lumbar disorders.
• Lumbar Disc Disorders: Understanding disc degeneration, protrusions and herniations, including their clinical presentation and implications for treatment.
• Imaging and Clinical Interpretation: Fundamental principles of interpreting radiological and MRI findings in the context of the patient’s symptoms and clinical examination.
• Manual Therapy: Practical application of articulatory, myotensive and manipulative techniques, including their indications and contraindications.
• Patient Positioning and Pain Management: Selecting appropriate patient positions and treatment strategies, particularly during acute phases of pain.
• Treatment Progression and Rehabilitation: Adapting therapeutic approaches from the acute phase through recovery, with consideration of daily activities, work and sport.
• Prevention and Patient Education: Practical recommendations for self-management, postural hygiene and a safe return to activity.

Key Takeaways

By the end of the course, participants will be able to:

• Apply a structured clinical assessment and strengthen their diagnostic reasoning in patients with low back pain.
• Better understand the anatomy, biomechanics and pathophysiology of lumbar disc disorders.
• Interpret clinical findings and imaging results in relation to the patient’s presentation.
• Select and apply appropriate manual therapy techniques based on clinical findings, indications and contraindications.
• Adapt patient positioning and treatment strategies to different phases of pain.
• Develop a structured approach to treatment progression, rehabilitation and return to daily, occupational and sporting activities.
• Integrate prevention strategies and practical recommendations into patient care.

AGB´S – de
Terms and Conditions – en

Kontakt:
Lindebergs Academy
Eckhart Acker
Cuvilliésstraße 14 a
81679 München
Fon: (089) 30 90 59 50
academy@lindebergs.de