Learning Objectives By the end of the seminar, the participant will be able to: Recognize key elements of effective exercise interventions in managing lumbar disc injury Appreciate major movement patterns contributing to ongoing peripheral nociception and the development of chronic pain, central sensitization and fear avoidant behavior Recognizing the continuum of flexion related structural injury in the lumbar spine Differentiating discriminating factors between the injured disc vs. other commonly presenting back injuries Demonstrate ability to troubleshoot mixed presentations of flexion intolerance and extension intolerance Develop effective treatment plans incorporating specific exercise interventions to manage pain associated with lumbar disc injury Understand key elements of hip dissociation using Prague School and University of Waterloo derived principles Demonstrate ability to integrate Joint by Joint Approach to improve mobility in the hip and T-sp to reduce load on the injured lumbar disc Understand key safe ways to build strength in the recovering flexion- injured spine Understand how to build agility in the injured spine to avoid re-injury with rapid movements Understand when to add power exercise into the rehab programs for the injured lumbar disc Appreciate varied sport specific considerations in rehab of the flexion- intolerant back Discuss key epigenetic factors resulting in histochemical changes associated with painful vs. non-painful herniated discs
