a World of HURT: Peripheral Nerve Pain Mechanisms

Course Times: Saturday & Sunday 8:00 am - 4:30 pm CST.

Virtual Option: The course is also available live stream through zoom for participants who are unable to travel. Thie course can be taken from anywhere! When you check out you will be asked if you will attend in person or virtually.

Who Should Attend: Chiropractors, Physical, Occupational Therapists & Assistants, Athletic Trainers, Personal Trainers, Medical Doctors, Naturopathic Doctors, Nurses, Psychologists and any other practitioner who is involved in treating musculoskeletal or centrally domainted pain and prescribing exercise.

There is also a 1 day Overview Course occuring on Friday December 4th at the same location. If you sign up for both coures (all three days) you can use a promo code when you sign up for this course.

Promo Code for Licensed Clincians attending all 3 days: $100 off = 3DAYLC

Promo Code for Students attending all 3 days: $50 off =3DAYSTU

"a World of Hurt: A Guide to Classifying Pain" Text Book: The course matierial is taught from the book a World of HURT: A Guide to Classifying Pain” © 2023, World of Hurt LLC. It is not required to purchase the book prior to the course, but it is recommended. Purchase a World of Hurt Text Book: Click Here.

The book “a World of Hurt: A Guide to Classifying Pain” collaborates two proven mechanism classification systems to treat the Pain Continuum from Acute to Chronic. Collaborating the best of pain science education, specific exercise prescriptions and healthy lifestyle eating recommendations. These Words Moves and Foods interventions effectively treat musculoskeletal and neurological pain and spasticity based on the dominating peripheral or central mechanism. The principles from a World of HURT has been widely tested, used in many health care systems and private clinical settings, multidiscipline seminars, and university curricula. Clinicians, payers, and patients all benefit from the common language and insight provided by this resource. Six training courses assure a mechanism classification approach into clinical practice.

Continuing Education Credit: 14 CE credits pending approval for DC and PT in Texas. All information needed for course submission in any state for any profession will be provided to each participant. World of HURT Courses have been accepted in many states by multiple other professsions including OT, ATC, Personal Trainer Psycholgy, MD, RN, ND, DC, etc

Course Description: This two-day course focuses information critical to the assessment and treatment of patients dominated by Nociceptive Pain Mechanisms involving the peripheral nerve. The Peripheral Neurogenic Pain Mechanism (PNPM) requires specific neurodynamic mechanical exercise prescriptions as well as pain neuro-immune science education about peripheral nerves and the pain alarm system. Outlining Chapter Five and Six of “A World of Hurt: A Guide to Classifying Pain,” pain clinicians will learn how to assess and classify neurogenic nociceptive pain mechanisms as either “trapped,” “tight,” or “sensitive” utilizing neurodynamic evaluation testing and clinical reasoning. This course assists identifying neural entrapments, dysfunctions and/or the beginning signs of central sensitivity in both the upper, lower body and spine. This pain neuro-immune science course provides interventions in patient education for neurogenic conditions and specific prescriptive neurodynamic exercises for each neurogenic mechanical problem. This course includes active manual therapy workshops for common cervical, thoracic, and lumbar spine directional preference and upper and lower body neural soft tissue entrapment site treatments. In addition, a workshop dedicated to both active neurodynamic exercise progression and passive neurodynamic testing and mobilization. Video, paper cases and live patient demonstrations (when available) will aid application to each clinician’s practice by understanding the importance of the specific “words” and “moves” necessary to reverse neurogenic mechanical nociceptive pain mechanisms.

Learning Objectives:

At the end of this course participants will be able to:

1. Differentiate subjective and objective characteristics for peripheral neurogenic and central sensitivity.

2. Differentiate subjective and objective characteristics for mechanical syndromes of the nervous system involving neural entrapments, neural dysfunction and central sensitivity.

3. Prescribe patient education and exercise interventions for mechanical syndromes related to neural entrapments, neural dysfunction in spine, upper and lower extremities.

4. Perform passive repeated movement neurodynamic evaluation and treatment for common upper and lower extremity peripheral nerves.

Agenda: All course times are Central Standard Time.

Saturday December 5th, 2026

7:30-8:00 Registration

8:00 Course Introduction – [WoH: Forward xi]

8:15 Lecture: Pain Mechanism Classification System (PMCS) – Definitions, Research, & Clinical

Practice Considerations [WoH: pg 19-23; 26-31; 35-38; 41-50; 52-55]

9:15 Interactive Workshop: Discussion how pain mechanism classification fits into your clinical practice? Role play foundational Pain Science Education topics.

9:45 Break

10:00 Lecture: Nerve Pain & Central Sensitization Subjective & Objective Characteristics

[WoH: pg 106-115;119-122; 150-157; 188-194; 198-203]

11:00 Interactive Workshop: Paper Cases Classification Exercise

12:00 Lunch (on your own)

1:00 Lecture: Neurodynamic Examination: Considerations & Clinical Patterns

[WoH: pg 122-134; 102 - 103]

1:30 Interactive Workshop: Neurodynamic Tests: Lower, Upper and Spine [WoH: pg 158-166]

2:45 Break

3:00 Case Study: Video or Live Demonstration: PNPM

4:15 Debrief Day 1: Question / Answers – Open discussion

4:30 Adjourn

Sunday December 6th, 2026

8:00 Interactive Workshop: Intervention: Trapped Nerve Spine - Directional Preference & Centralization Exercise

9:45 Break

10:00 Interactive Workshop: Intervention: Trapped Nerve Upper and Lower Body Entrapment Sites - Manual Therapy and Prescriptive Exercise [WoH: pg 130, 132-133]

12:00 Lunch (on your own)

1:00 Lecture: Peripheral Neurogenic & Central Sensitization Intervention [WoH: pg 134-144; 185]

1:45 Interactive Workshop: Intervention: Neurodynamic Progressive Exercise

3:00 Break

3:15 Interactive Workshop: Intervention Pain Science Education [WoH: pg 206-208, 210-213, 214, 215, 218]

4:00 Summary of Pain Mechanisms – Working Lamp Analogy: “5 Steps to a Pain Free Life”

4:15 Debrief Day 2: Question / Answers – Open discussion

4:30 Adjourn

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Host or Publisher World of Hurt LLC