American BackPain Center
Treatment, Education, and Research of the Spine
For more than 25 years, Angelo DiMaggio, PT, Dip MDT, has been employed as a spine consultant by medical centers throughout  North America for the purpose of resolving their most complex and unresponsive cases. The combined results show that  52% of these cases experienced a significant or complete alleviation of symp- toms (as determined by the attending clinician).   These impressive results provide both the motivation and basis for this course and the entire course series while the  successful treatment methods employed provide the framework.  You will learn the highly organized examination and documentation system, as well as new “Lumbar
Strategies” which are the key to resolving complex cases. You will be given 
clear, consice clinical guidelines regarding ADL and workplace modifi-
cations, Work Hardening and Functional Reconditioning program
enhancement, the “essentials” of the McKenzie evaluation and
treatment approach,  how  to motivate  patients toward self-
reliance, and many other important topics.  This course
will not rely on the theoretical discussion of  hypo-
thetical patients.  Instead, you will get the same
first-hand look    (as  in  the  Consultation
Format) at real patients being exam-
ined and treated daily by the 

is an internationally known clinician and lecturer  who has specialized in   
conservative care of the spine for more than 30 years. He has presented at national and international conferences on such spine related topics as Conservative Mechanical Treatment, E.R.Care for Physicians, Manual Therapy,
The McKenzie Approach, Research Analysis, and The Treatment of Cervicogenic Headache. Mr. DiMaggio’s specialization in the spine has placed him in the role of author, editor, course developer, research consultant, and clinical consultant.  He is past chairman of the board and course instructor for the McKenzie Institute.
Through major medical centers and universities, he has taught more than 600 seminars and workshops for more than 10,000 therapists and physicians.  As a clinical consultant, Mr. DiMaggio has spent more than 25 years working one-on-one with therapists and physicians throughout the US and Canada, refining their use of mechanical therapy and resolving each clinic’s most challenging patients. Included are such notable spine centers as the Texas Back Institute, P.R.I.D.E. (Productive Rehabilitation Institute of Dallas for Ergonomics), the Cleveland Clinic, the Fort Worth Back Institute, and the Canadian Back Institute.  This highly intensive training format has led to a compilation of the most common 
misunderstandings and the most frequently committed clinical errors.  His extensive work in this field combined with his experience as lecturer / seminar instructor, is the cornerstone on which the seminar series is built. He is currently President of the American BackPain Center.

Mr. DiMaggio
Program Outline
 Day 1
   Registration  (8-9 a.m.)
   Welcome & introduction
   A Clinical Consultants Perspective
   LBP -- The “Big Picture” Is an     
       accurate diagnosis necessary?
   Lumbar Anatomy & Pathophysiology
        - Does asymmetry really matter?    
        - Can a low back really heal?
   Mechanical vs. Chemical Pain    
   Lumbar Examination Form
   1st Patient -- Examination

 Day 2
   Intro. to the 10 “Lumbar Strategies”
       1.)  Patient Self-monitoring
       2.)  Healing Environment
  Your Clinical Demeanor -- is it con- 
     ducive to success or failure? 
   Lumbar Re-examination Form
   1st Patient -- Visit #2
   Patient Independence
   2nd Patient -- Examination
   Intro. to Pain Relieving Exercise   
   Programs (P.R.E.P.).
   Postural Exercises

 Day 4
   The 10 “Lumbar Strategies” (con’t)
        10.)  Patient Motivation & Compliance 
                ( the 12 keys to success)
   Manual Therapy:  Who, when, why, 
     which direction, how much force?
   Strengthening Exercises:  Who, when, 
     why, and how to succeed without a 
     relapse.  Plus, clear, specific guidlelines
     for indications & contraindications
   Work Hardening & Functional Recon-
     ditioning: How to make them work harder.
   Reinjury Prevention Programs:  Proven
     programs your patients won’t doubt.
   Lumbar Discharge Form
   3rd Patient -- Visit #2 
   Third Party Payer Advantages:  Why 
     insurance companies will support this.
   The “essentials” of the McKenzie approach.
   The 10 most common “Problems & Pitfalls"  
     of the McKenzie approach (and how to              resolve them).
   Complex Patient Profiles
        1.)  the “Symptom Magnifier”
        2.)  the “Chronic” -- expect rapid results.
        3.)  the “Non-Responder” -- how to deal
              with them in one week.
        4.)  the “Exteme Pain & Spasm”
   2nd Patient -- Visit #3
   1st Patient -- Visit #4

 Day 3
   3rd Patient -- Examination
   4th Patient -- Examination
   The 10 “Lumbar Strategies” (con’t)
        3.)  Perception Time
        4.)  Reaction Time
        5.)  Awaking with Symptoms
        6.)  Loading vs. Unloading
        7.)  ADL Reduction
        8.)  Workplace Modification
        9.)  Symptoms Rising (in a.m.)
   2nd Patient -- Visit #2
   1st Patient -- Visit #3

Course Objectives
Upon completion of this course, participants will be able to;
1.  Immediately apply 10 new clinical Lumbar Strategies designed
      to “Out-Think” low back pain.
2.  Strengthen the Lumbar Examination process using current, 
     scientifically supported methods.
3.  Initiate use of a new Documentation System which turns 
     patient visits into organized data collection sessions.  Clear, 
     concise, objective data will enable you to make quicker, more 
     effective clinical decisions.
4.  Turn established lumbar exercise programs into Pain Relieving 
     Exercise Programs (P.R.E.P.).
5.  Promote patient independence and self-releance using the 12 
     keys to Motivation & Compliance.
6.  Individually assess and prescribe ADL & Workplace restrictions
7.  Enhance the effectiveness of Work Hardening & Functional 
     Reconditioning programs using more carefully constructed 
     entrance criteria.
8.  Improve Manual Therapy results through a clearer 
     understanding of patient and technique selection.
9. Create Reinjury Prevention Programs  specifically developed in 
     accordance with each patient’s proven effective P.R.E.P. (Pain 
     Relieving Exercise Program).
10.Recognize the Cost-effective  advantages to third party payers 
     with the American BackPain Center approach.

General Information
Upon registration, a letter of confirmation including hotel information and a map of the conference area will be sent.
Includes continental breakfast, a.m. & p.m. coffee breaks, course manual, and a 4 form Documentation Packet (Examination, ReExamination, Physician Progress Report, and Discharge forms).

Certificaties of attendance will be given to all participants at the conclusion of the course  ONLY and may be used for those who need CEU verification.  This course is intended for medical professionals holding the following degrees:  MD, DO, PA, PT, PTA, OTR, and ATC.

Refunds will be given, less a $75 administrative fee, if written notice is received by the Co-Sponsor no later than 14 days prior to the start of the course.
We are not responsible for airline ticket purchases or any other expenses incurred as a result of a course cancellation.

  Course Fee:  $695
                                 $750 if received less than 14 days prior to course
  CEU:  27 
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* Each day's session begins a 9 a.m. and ends at 5:45 p.m., except day 4 which ends at 4:30 p.m.
Strategic Orthopedics I
""Out-Think" and "Out-Maneuver" Low Back Pain