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The Chronic “Invisible” Conditions and FND: PPPD, PPCS, and Chronic Pain

presented by Julie Hershberg, PT, DPT, NCS and Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, CBFP, CSRP, FAPTA

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Disclosure Statement:

Financial: Mike Studer receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Financial: Julie Hershberg receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Nonfinancial: Mike Studer has no competing nonfinancial interests or relationships with regard to the content presented in this course.
Nonfinancial: Julie Hershberg has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 82 Minutes; Learning Assessment Time: 34 Minutes

This course will help clinicians organize their evidence-based approach to persons with conditions related to FND: PPPD, chronic pain, and persistent postconcussion syndrome (PPCS). Clinicians will be empowered to engage in patient education, project outcomes, and follow a POC to discharge.

Meet Your Instructors

Julie Hershberg, PT, DPT, NCS

Julie Hershberg is a passionate neurologic physical therapist, educator, mentor, learner, and forever neuro nerd. She owns and practices at [Re+Active] Physical Therapy & Wellness, a state-of-the-art outpatient neurologic physical therapy and wellness practice in Los Angeles. It is there she has the privilege to lead a team of PTs, OTs, yoga therapists, and personal…

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Mike Studer, PT, DPT, MHS, NCS, CEEAA, CWT, CSST, CBFP, CSRP, FAPTA

Mike Studer received his physical therapy degree from the University of Missouri-Columbia in 1991. He received his postprofessional MHS degree in physical therapy with neurologic emphasis from the University of Indianapolis. He has been board-certified as a clinical specialist in neurologic physical therapy since 1995 and designated a certified exercise expert in the aging adult…

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Chapters & Learning Objectives

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Download the learning objectives for The Chronic “Invisible” Conditions and FND: PPPD, PPCS, and Chronic Pain.

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1. Physiologic Relationships: The Invisible FNDs and Related Conditions

In this chapter, we will establish the relationships and similarities between each of these conditions. Additionally, we will identify the common symptoms seen in persistent postconcussion syndrome (PPCS) and persistent postural-perceptual dizziness (PPPD). Finally, this chapter will define chronic pain and establish how is it related to these conditions.

2. Commonalities in Presentation and Triggers: Applying the Evidence

This chapter will provide strategies for effective trigger identification and management in persons with chronic pain, persons with PPPD, and persons with PPCS.

3. One Part of the Medical Team: Referral and Plan-of-Care Management

In this chapter, we will identify referral management and begin to reveal how we talk with patients about their diagnosis. In addition, we identify the medical team for persons with FND and outline two roles that can play a part in a collaborative process.

4. Invisible Cases, Observable Progress: PPCS and PPPD

In this chapter, we see real people who have struggled and persevered with PPCS and PPPD. We understand their plight, as others may not see their impairments (invisible), which can discount their self-agency and social support and lead to further disability and depression. We learn how to manage and reverse these tendencies for patient benefit.

5. Invisible Cases, Observable Progress: Chronic Pain

In this chapter, we meet an individual with an all-too-common case of pain and disability forecast through imaging prior to the patient experiencing symptoms. We learn how she, like so many, struggled and persevered through chronic pain. We see how little it took for her to reverse the course, to be given an opportunity to control her symptoms and condition, and how empowering this is for invisible conditions. Finally, she expresses a beautiful answer when challenged to explain whether her pain lives in her brain or in her back.

6. Summarizing What We Have Learned; Resources for Continued Learning

This chapter summarizes a relationship between FND, PPPD, PPCS, and chronic pain so that clinicians can see the common thread and help patients in their recovery for each. We outline additional resources for continued learning. This chapter will also summarize the three-part FND course series.

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