Head pain, migraines, and temporomandibular joint (TMJ) pain have been and continue to be medicine’s most perplexing problems. These problems consistently cause conflict among medical diagnosticians and routinely frustrate clinical practitioners. Because of their evasive and uncertain nature, the clinician attempting to aide headache sufferers has been given little scientific assistance and even less clinical guidance. This course was developed to lend such guidance.
This, the third course in the series of Strategic Orthopedics seminars, is designed to “Out-Think” and “Out-Maneuver” migraine pain. Unlike the previous course, SO III Migraine requires a primarily “hands-off” approach. While SO I and SO II presented the importance of increasing your attention to DETAILS and the need to FOCUS, SO III demands it! Patients presenting with chronic, disabling headaches, migraines of all types, and/or TMJ pain pose the greatest patient challenge for any conservative care specialist. While medical headache clinics and pain specialists pursue chemical avenues of treatment (ie: drug therapies, injections), and manipulative practitioners pursue an aggressive “hands-on” avenue of treatment, we have the unique opportunity to pioneer a new avenue of biomechanical “hands-off” treatment.
The course begins with a detailed analysis of cervical conditions seldom associated with the production of headaches. Pertinent research is pulled together in strong support of a cervicogenic etiology. A highly organized, objective examination and treatment approach will be laid out in great detail with the aide of a procedural algorithm. Finally, actual headache and migraine patients will be examined daily and the treatment procedures will be put to the test. With 4 patients receiving 2 treatments each over just a 24 hour period, you will have a real, first-hand look at the applicability and effectiveness of these new biomechanical treatment strategies. As a result, you will be best prepared to immediately apply them upon returning home. The patient demonstrations will support the contention that the vast majority of headache, TMJ, and migraine patients of all types, have a significant cervicogenic, biomechanical etiology which is highly responsive to a cervicogenic, biomechanical, hands-off treatment approach.
"Out-Think" and "Out-Maneuver" Headaches & TMJ Pain
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.
Day 1 8 a.m. - 5:45 p.m.
Day 2 9 a.m. - 5:20 p.m.
Upon completion of this course participants will be
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 pad Documentation Packet (Examination, ReExamination, Physician Progress Report, and Discharge forms).
Certificates of attendance will be given to all participants at the conclusion of the course ONLYand 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 who have completed the Cerv./Thor. SO II course as a prerequisites.
The American BackPain Center reserves the right to cancel any course at any time up to 7 days prior to the course starting date. We are not responsible for airline ticket purchases or any other expenses incurred as a result of a course cancellation.
Lumbar Course You
(Prerequisite for this course)
Cervical Course You
Wish To Attend
Medical Profession: MD, DO, PA, PT, PTA, OTR, ATC
Cerv./Thor. Course You
(Prerequisite for this course)
Migraine Course You
Wish To Attend
Migraine - S O III
(Prerequisite is Cerv./Thor. SO II Fast Track)
Registration (8-9 a.m.)
Introduction & objectives
Anatomy & Pathophysiology
- The “Known” Causes of Migraines...
I Respectfully disagree
- Suboccipital Tightness – The Quiet Offender
- Causes of Suboccipital Tightness
- Look Close – X-Rays Don’t Lie
Chemical vs. Mechanical Pain
Suboccipital Tissues – They Get No Respect
Secrets To Stretching Sensitive Tight Tissues
Centralization Analysis for Head Symptoms
Cervical / Head Examination Form
Patient #1 – Examination & Treatment
Patient #2 – Examination & Treatment
Patient #3 – Examination & Treatment
Treatment of Migraines & TMJ Pain – A New
Cervical Weight bearing – Strategy #6
Patient #4 – Examination & Treatment
Appropriate Exercise Programs – How To
Patient #1 – Reexamination (visit 2)
Patient #2 – Reexamination (visit 2)
Patient #3 – Reexamination (visit 2)
Prevention Programs Patients Will Believe
Summary / Conclusion
Realize that the vast majority of TMJ and headache sufferers, including all Migraine “types”, have a cervicogenic component which is highly responsive to a Detailed, Focused, conservative application of bio- mechanical therapeutics.
Immediately apply the 10 Treatment Strategies taught in SO I & II to patients with head pain, migraines, and TMJ pain.
Expand the current Cervical / Head Examination from SO II to include specific physical tests for TMJ and headache patients.
Understand that headache patients often present with dizziness, tinnitus, visual disturbances, vestibular problems, and maxofacial pain, numbness, or tingling. These associated complaints are often as responsive to treatment as the head pain itself.
Make use of the 4 form Cervical / Thoracic Documenta- tion System for clear, concise, objective data collection on all headache / TMJ patients.
Prescribe individually tailored, patient activated Pain Relieving Exercise Programs (PREP) to promote patient independence through self-treatment.
Recognize biomechanical cervicogenic pain producing mechanisms which are seldom considered in the medical debate on TMJ pain and headache production.
Understand the importance of FOCUS, DETAIL, and a DOCUMENTATION SYSTEM which is organized and objective. This most challenging of all spinal mechanical patients requires all three.
Create Reinjury Prevention Programs specifically developed in accordance with each patients proven effective PREP.
Recognize the Cost-effective advantages to third party payers with the American BackPain Center’s zero high tech., zero modality approach.
* Each day's session begins a 9 a.m., day 1 ends at 5:45 p.m., day 2 ends at 5:20 p.m.