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Exploring the Essential Features of “Mike Studer, Theresa Schmidt & Dawn Heiderscheidt – Treating Neuropathy: Integrative Approaches for UE and LE Symptom Management & Relief”
Treating neuropathy is not a lost cause.
But too many clinicians believe it is… and as a result, neuropathy is the most overlooked common diagnosis.
That also means there’s a huge opportunity for clinicians like YOU.
Even the smallest improvement can turn your patients’ despair and resignation into hope and independence…
…and this advanced training will help you get there by challenging common assumptions to a difficult diagnosis. Join today and discover the latest and most impactful evidence-based interventions, including:
- Neurophysiology of neuropathies and how they impact your treatment: compression, chemotherapy-induced, diabetic, inflammatory, toxic, and more!
- Facilitate neuroplasticity in motor control, sensory organization, and balance retraining
- Restore peripheral nerve mobility with neuro-fascial release, IASTM, cupping, and soft tissue techniques
- Maximize function when deficits persist — fall risk reduction, home modifications, compensation strategies, home programs, and more!
- Pain management: manual therapy techniques, modalities that are supported by evidence (TENs, lasers, diathermy, etc.), dietary changes, and coverage of medication and treatment options outside of rehab
- Exercise dosing: cardiovascular, muscular, and high-intensity training alongside gamification strategies to enhance engagement!
- Strategies to overcome learned non-use and prevent further loss
You will walk away with the knowledge and skills to confidently apply functional screening techniques, identify deficits, and design a personalized plan of care.
As a clinician who truly understands neuropathy’s causes, subtypes, and prognosis, you’ll stand out as an expert who can help some of the most challenging and complex patients regain their quality of life once again.
Standout elements of this course include:
- Assessment techniques that facilitate early Identification
- Effectively prevent and manage peripheral neuropathy with evidence-based strategies
- Cutting-edge interventions that optimize functional recovery via neuroplasticity
- Reduce fall risk, improve mobility, and enhance balance with gait retraining
- Exercise dosing strategies for variable symptoms, sensitivity, and functional limitations
- Gamification tactics to increase engagement and adherence
- Dual-task interventions to better simulate real-life scenarios and transfer of skills
- Achieve tangible results in just minutes with a specialized approach to hands-on therapy
What You’ll Learn:
Pathophysiology of Neuropathies and the Impact on Your Treatment Plan
- Subtype and treatment strategies
- Diabetes mellitus
- Compression (Spinal stenosis = arthritic; tumor = neural/mass)
- Chemotherapy-induced
- Toxin (lead, mercury) and severe metabolic impairment
- Trauma
- Idiopathic (Trigeminal, Occipital)
- Vitamin B12
- Alcoholism
- Inflammatory/autoimmune
- Infections
- Familial
- Differences in prognosis
- Classification: Small fiber vs medium/large fiber
- Neuropathic Pain: more common and invasive than we thought
- Will exercise help… or make it worse?
How to ID Neuropathy Faster & Improve Outcomes
- Commons symptoms
- Abnormal sensation
- Loss of strength, atrophy
- Imbalance due to sensation, strength, and conduction velocities
- Impaired gait due to all of these and primary neural fatigue
- Muscle cramps
- Gastric — paresis, dumping, pain
- Autonomic — BP, integument + appearance, hair, sweating, saliva
- Cranial nerve — primary facial and ocular
- Red flags
Barriers and Myths in Neuropathy: Challenge Assumptions to Advance Your Practice
- All causes are the same
- All presentations (motor, sensory, autonomic) are the same
- Everyone’s condition will degenerate
- Neuroplasticity (central) is irrelevant
- Peripheral nerve regeneration is irrelevant
- The nervous system is impaired, and other symptoms cannot impact the outcome
- Exercise will exacerbate the neuropathic impairment
- How to help patients overcome bias with objective findings
Neuropathy Examinations: Mechanosensitivity & Impairment/Functionality Based
- Reaction of the nerve during motion, palpation and neurodynamic tests
- Common sites of nerve irritation and damage
- Structural differentiation:
- Nerves vs. Myofascial interface
- Gliding vs. Tensioning
- Special Tests for UE and LE:
- Limb Tensions Testing
- Sensation and Motion Testing
- Neural Tissue Provocation Testing
- Contraindications for neural mobs
- Examination and treatment sequencing:
- Impairment-based examination and functional measures:
- Strength, Power, and Endurance
- Sensation and Pain
- Dual-task training and tolerance
- Balance and flexibility
- Cognition and neural reactivity
- Impairment-based examination and functional measures:
Neuroplasticity in Neuropathy
- Motor control to correct motor losses
- More efficient brain to muscle connections
- Sensory organization and reweighting to accommodate sensory loss
- Reduce the full-on visual dependence
- Integrative: Balance retraining
- The science of imbalance: vertigo, disequilibrium, and lightheadedness
Dosing Exercise in Neuropathy: The Importance of Fitness
- Muscular endurance
- Cardiovascular endurance
- High-intensity Interval training
- Body-weight-supported treadmill
- Task Specific Circuit Training
- Psychology in movement: the power of fear and confidence
- Attention and cognition in movement
- Gamification and behavioral economics tactics to enhance engagement
Neurodynamics: Integrative & Hands-on Approaches for Adverse Neural Tension Syndromes
- Soft tissue mobilization
- Myofascial release
- Neurodynamic techniques, nerve gliding exercises
- Tensioning exercises
- Myofascial cupping
- Muscle energy technique (MET)
- Positional release (PRT)
- Neuromuscular re-eucaiton
- Postural alignment and correction of faulty movement patterns
- Home exercise program — customized by each irritable nerve
- Self mobilization
- Ergonomics
- Sport specific training
Modalities in Neuropathy Rehabilitation: What Does the Evidence Show?
- E-stim
- TENS
- Laser
- Diathermy
- Thermal
- Topical applications
- Peripheral nerve stimulator
- Spinal cord stimulators
BONUS
Home Modifications for Rehab Clinicians
with Dawn Heiderscheidt, MOT, OTR/L, ECHM, CDCS
- Integrate a comprehensive home safety assessment in a timely manner
- Implement a simple step-by-step framework to oversee home modification projects from start to finish!
- Fall proof a home in 4 easy steps
- Specialized recommendations for TBI, SCI, peripheral neuropathy and more!
- Get paid! Understand implications for Medicare, waiver programs and cash-based pay!
Meet Your Experts:
- Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, FAPTA, has been a PT since 1991, board-certified in neurologic PT in 1995, and a private practice owner since 2005. Dr. Studer has been an invited speaker covering 50 states, 10 countries, and 4 continents speaking on topics ranging from cognition and psychology in rehabilitation, aging, stroke, motor learning, motivation in rehabilitation, balance, dizziness, neuropathy, and Parkinson Disease. Dr. Studer is a co-founder and co-owner of Spark Rehabilitation and Wellness in Bend, OR. He is an adjunct professor at Oregon State University’s DPT program, where he leads the coursework on motor control. Mike has adjunct duties at several other DPT programs and assists the USC-led national network of neurologic PT residencies (Neuroconsortium) as well. Mike is the co-owner of Spark Rehabilitation and Wellness, a multidisciplinary Healthy Aging and Neurology rehabilitation clinic, also in Bend. In 2011, Mike was recognized as Clinician of the Year in the Neurologic and (in 2014) the Geriatric Academies of the APTA. He received the highest honor available in PT in 2020, being distinguished as a Catherine Worthingham Fellow of the APTA in 2020, joining a group of under 300 persons at the time for the history of the profession. Mike’s honors additionally reflect his service for Vice Presidency of the Academy of Neurologic PT, the Mercedes Weiss award for service to the Oregon chapter of APTA. He holds a trademark in dual-task rehabilitation and has a patent pending on the same. Over his career, Mike has authored over 35 articles, 6 book chapters, and routinely has clinical research projects in affiliation with one of many universities. He is a consultant to Major League Baseball on the motor control of pitching and hitting. As a very fun and lighthearted note, Mike is the four time and current WR holder for the fastest underwater treadmill marathon, a mark that was set most recently in January 2022.
- Theresa A. Schmidt, PT, DPT, MS, OCS, LMT, CEAS, is an orthopedic physical therapy specialist and massage therapist integrating traditional and alternative medicine with emphasis on manual therapy, precision exercise, wellness, Reiki, hypnosis, and mindfulness. She presented for NASA/Inomedic, Johns Hopkins, Cleveland Clinic, Vanderbilt Med, Wake Med, and professional associations. She received her doctorate at UNE and served as faculty at Touro PT Programs and CUNY Queens Colleges in NY. She is a published author, Expert Consultant, Reiki Master Instructor, and hypnotherapist in private practice at Educise® in New Hampshire.
- Dawn Heiderscheidt, MOT, OTR/L, ECHM, CDCS, is the owner and CEO of Aurora Independence — a company focused on home safety consulting and home modifications. While working in acute/subacute home-based rehabilitation settings, she consistently saw patients returning to her caseload due to falls and home safety concerns. This is what sparked her desire to serve people and help keep them safe at home. She holds her Executive Certification in Home Modifications, she is a Certified Aging in Place specialist and acts as Program Admin for Community Aging in Place—Advancing Better Living for Elders (CAPABLE). Beyond this she partners with local non-profits, Habitat for Humanity and local universities to help guide the next generation of Occupational Therapists in Home Modifications. Before becoming an OT, she spent years as an educator in Philadelphia, PA. She continues to have a strong desire to educate and empower others through therapy sessions, speaking engagements, and instructing courses. She also partners with several start-ups, offering concierge services to Philadelphia and surrounding areas. Dawn has been a guest lecturer at Temple University and provides fall prevention workshops in her community. Dawn is passionate about helping people live in their homes successfully and participate in the activities they love. She continues to seek new knowledge and build connections for home safety, home modifications, and aging in place.
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