Dr Justin Dunaway DPT OCS

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Dr Justin  Dunaway DPT OCS Dr Dunaway is lead faculty for the Institute of Clinical Excellence providing continuing education f

 Total Spine Thrust Manipulation in Memphis Tennessee Aug 13-14! Got to be one of the most fun places to host/take a con...
04/08/2022

Total Spine Thrust Manipulation in Memphis Tennessee Aug 13-14! Got to be one of the most fun places to host/take a con Ed course! Coke for the skills, stay for the music, food, and fun! Hope to see you there!

Total Spine Thrust Team:
.britt_lade .witherington.dpt

 You may be familiar with some of the physical or biomechanical effects of manual therapy. But what happens at the neuro...
03/08/2022

You may be familiar with some of the physical or biomechanical effects of manual therapy. But what happens at the neurological or chemical level? How does this impact psychology and perception of movement? How might manual therapy impact pain processing from the periphery to the brain?

These are some of the proposed mechanisms of manual therapy. They range from tissue specific to neurological to psychological. Week 6 of ICE Persistent Pain Management dives into specific intervention techniques, implementation of manual therapy, and how to integrate approaches to foster improved function not limited by pain.

Do you know where to begin when everything hurts?
Check out Persistent Pain Comprehensive Management with and .britt_lade at www.ptonice.com

Full post workout shot from Total Spine in Knoxville (cut it off in the last post- sorry!!!)
01/08/2022

Full post workout shot from Total Spine in Knoxville (cut it off in the last post- sorry!!!)

 Do you know where to focus treatment in a patient with central pain dominance? After classifying this patient’s pain pr...
30/07/2022

Do you know where to focus treatment in a patient with central pain dominance? After classifying this patient’s pain presentation (which may involve overlapping classification spheres), we have to identify meaningful goals, provide education and context, and set expectations. Then it comes down to addressing holistic health parameters, reframing movement, and fostering neuroplastic change in the brain and CNS.

Week 5 of ICE Persistent Pain Management dives into specific intervention techniques, goals, and case studies to address the patient with central sensitization.

Do you know where to begin when everything hurts?
Check out Persistent Pain Comprehensive Management with and .britt_lade at www.ptonice.com

 Total Spine Thrust Manipulation next weekend July 23-34 on the beautiful campus of . Going to be an awesome weekend wit...
15/07/2022

Total Spine Thrust Manipulation next weekend July 23-34 on the beautiful campus of . Going to be an awesome weekend with and .witherington.dpt

If you are thinking of signing up, this will definitely be a weekend NOT TO MISS!!!

$100 discount for South Students, faculty, CIs, and alumni!

Total Spine Thrust Team:
britt_lade witherington.dpt

Sunday  4 min plunge12 min sauna/4 min plunge/ 12 min sauna/ 4 min plungeInspired by  and
10/07/2022

Sunday
4 min plunge12 min sauna/4 min plunge/ 12 min sauna/ 4 min plunge

Inspired by and

 Does your evaluation of persistent pain generate subjective and objective data that guides each treatment session? Is i...
06/07/2022

Does your evaluation of persistent pain generate subjective and objective data that guides each treatment session? Is it tailored based on irritability? Does it lead you to clear dosage and plan of care on day one? What about day 10?

In some ways, our approach to persistent pain management starts with the same goals of any eval: generate measurable, trackable clinical data (subjective and objective) that helps generate a hypothesis (working diagnosis) so we can set goals and interventions tailored to the human in front of us.

We do this with an endgame in mind: to foster self efficacy about health and pain management, and to promote fearless movement so people can fully engage in life.

Week 3 of Persistent Pain Management dives into how to tailor the subjective and objective exam based on presentation, yellow flags, goals, and pain classification.

Do you know where to begin when everything hurts?
Check out Persistent Pain Comprehensive Management with and .britt_lade at www.ptonice.com

 When pain becomes prolonged, we often experience increased sensitivity to stimuli (touch, movement, temperature) which ...
01/07/2022

When pain becomes prolonged, we often experience increased sensitivity to stimuli (touch, movement, temperature) which can even make normally non-painful activities or experiences painful.

The mechanisms by which these changes occur are varied and complex, but often lead to decreasing the threshold needed to generate nociceptive (pain-related) information. This means normal sensory info can get flagged as dangerous and elicit pain response, and the longer we are in pain, the more sensitive our nervous system can get. These changes include and increased size of sensory fields (ie. you initially just injured your elbow but not touching/moving your shoulder elicits pain response) and decreased pain modulation capacity.

If this sounds foreign to you, it might be time to brush up on your knowledge of how pain actually works. Week 2 of PPM dives into pain-related maladaptive changes, where they occur, and how they relate to the system at large (ie. whole person).

Looking to become confident and effective in the persistent pain space? Check out Persistent Pain Comprehensive Management with and .britt_lade. Next cohort: AUGUST 22ND, 2022 Head to ICEPHYSIO.com for details.

 Don’t miss  in Knoxville, TN this July! If you are wanting to better your thrust manipulation skills, this is the cours...
22/06/2022

Don’t miss in Knoxville, TN this July! If you are wanting to better your thrust manipulation skills, this is the course for you

This course will be hosted at the fantastic facilities at South College and will be jam packed with information surrounding HVLAT and its benefits

Sign up today at www.ice.physio

 → We believe that to truly be able to evaluate and create individualized treatment plans for patients with complex pers...
22/06/2022

→ We believe that to truly be able to evaluate and create individualized treatment plans for patients with complex persistent pain you MUST have a deep understanding of the physiology of pain. During week 1 of Persistent Pain Comprehensive Management we take a deep dive into the physiology of normal adaptive pain, how pain modulation works, and what this all means from a clinical perspective.

Looking to become confident and effective in the persistent pain space? Check out Persistent Pain Comprehensive Management with and .britt_lade. Next cohort: AUGUST 22ND, 2022. Head to ICEPHYSIO.com for details.

 We can’t effectively treat pain without knowing where to target our intervention. Aiming treatment at the wrong level w...
14/06/2022

We can’t effectively treat pain without knowing where to target our intervention. Aiming treatment at the wrong level wastes our patient’s time and leads to “failed physical therapy.”
Check out this 2022 overview of the anatomy of pain: https://www.sciencedirect.com/science/article/abs/pii/S1472029922000820

To tune up your knowledge of neurophysiology, pain science, and improving patient outcomes check out Persistent Pain Comprehensive Management with and .britt_lade at https://ptonice.com/persistent-pain-management

 Total Spine Thrust is coming to Rochester, NY this month! Dr. Justin Dunaway will bring all information regarding spina...
08/06/2022

Total Spine Thrust is coming to Rochester, NY this month!

Dr. Justin Dunaway will bring all information regarding spinal manipulation, its indications, safety, and techniques. Bring your questions and sign up today at ww.ice.physio

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