Course Curriculum

  • 1

    Module 1 - Defining Low Back Pain

    • Video Lecture - Defining Low Back Pain

    • Course E-Book

  • 2

    Module 2 - Applying the BPS Framework

    • Video Lecture - Applying the BPS Framework

  • 3

    Module 3 - Base Rates of Lumbar Image Findings

    • Video Lecture - Base Rates of Lumbar Image Findings

  • 4

    Module 4 - Evidence Based Education for Low Back Pain

    • Video Lecture - Evidence Based Education for Low Back Pain

  • 5

    Module 5 - Clinician’s Guide to Psychologically Informed Management of Low Back Pain

    • Video Lecture - Clinician’s Guide to Psychologically Informed Management of Low Back Pain

  • 6

    Module 6 - Self-Efficacy

    • Video Lecture - Self-Efficacy

  • 7

    Module 7 - Physical Activity Recommendations

    • Video Lecture - Physical Activity Recommendations

Curriculum Details

Module 1 - Defining Low Back Pain
Module 1 will define low back pain and examine world prevalence rate. We will also explore the natural history of low back pain as well as potential for future re-occurrences. Relevant risk factors and supportive evidence will be examined. Finally, after a brief discussion on defining pain, Module 1 will close out by examining models of healthcare for helping the individual with low back pain: biomedical vs biopsychosocial.

Module 2 - Applying the BPS Framework
Module 2 examines the utility of imaging during consultation of patients with low back pain. We will discuss clinical practice guidelines as well as the Choosing Wisely stance on imaging. We will discuss the cases in which imaging is likely warranted. We will also discuss the risks of unnecessary imaging, from negative narratives to increased healthcare utilization/cost.

Module 3 - Base Rates of Lumbar Image Findings
Module 3 is dedicated to exploring base rates of imaging findings. We assess how much imaging findings tend to matter in the context of low back pain. We will explore topics regarding disc herniations, lumbar spinal stenosis, modic changes, facet joint and sacroiliac joint osteoarthritis, spondylolysis and spondylolisthesis, scoliosis, and finally muscle characteristics.

Module 4 - Evidence Based Education for Low Back Pain
Module 4 discusses how to be a guide in clinical practice when helping patients with low back pain. We begin by examining further complications with the predominant biomedical model. We then discuss building therapeutic alliance with patients as well as important educational components of the consultation. We close Module 4 by discussing the power of words via our narratives to patients and how these narratives influence beliefs and future behaviors.

Module 5 - Clinician’s Guide to Psychologically Informed Management of Low Back Pain
Module 5 discusses two relevant factors to be aware of when assisting patients with their low back pain experience - fear avoidance behaviors / kinesiophobia and catastrophic thinking. We also examine how resolution of pain fits into clinician-patient goals.

Module 6 - Self-Efficacy
Module 6 begins with a discussion about how pain is a threat to the social self. We then define regression to the mean and how we can maximize our time with patients. Finally, we examine the importance of self-efficacy in this context and how we may help patients with this topic.

Module 7 - Physical Activity Recommendations 
Module 7 is our final module and we primarily discuss physical activity recommendations for the individual patient. We examine the evidence regarding physical activity and pain, diving into dosage (mode, frequency, intensity, volume, duration, etc.). Our last discussion point in Module 7 is centered around outcome assessments that may be of use.

Meet Your Instructor

B. Michael Ray, MS, DC

Dr. Ray is a chiropractor based out of Harrisonburg, VA. He owns and operate Shenandoah Valley Performance Clinic and specializes in the rehabilitation of neuromusculoskeletal issues, associated pain, and dysfunction. He enjoys helping athletes from various backgrounds return to their desired level of activity. His primary goals for working with clients are to educate them about their situation and collaboratively design a game-plan to move them from where they are at to where they want to be.

Course FAQ

  • Who is this course for?

    This course is suitable for healthcare providers who will likely encounter people dealing with low back pain seeking guidance. Coaches and personal trainers will likely find the information beneficial for situations when clients may report experiencing low back pain. Finally, any individual wishing to learn more about the experience of low back pain based on what current research evidence is demonstrating will likely find benefit from this information.

  • What can I expect to get out of it?

    The course explores the experience of low back pain in an attempt to provide an updated approach to helping others based on current research evidence.

  • How long will it take to complete?

    The course is self-paced so length to completion will vary. However, we estimate the course takes approximately 5 hours to complete.

  • What's included in the E-Book?

    The E-book is more than the course in written format but also provides further insight into areas of the discussion of low back pain and how best to help others having the experience.

  • How long are the lectures?

    The lectures vary in length of time but average ~30 minutes.

  • Is there testing involved?

    No testing is involved at this time.

  • Are CEUs available for this course?

    Not currently, although this is something we are looking into.

Any Other Questions?

Send Us an Email.

If you have any questions about this course, please don't hesitate to send us an email at

support@barbellmedicine.com