💡 In this episode, Dr. Jean-Philippe Deneuville discusses the key findings from his recently published research, which explores whether directional preference can truly be used to identify discogenic pain.

He shares how his study contributes to understanding directional preference diagnostic accuracy, discogenic pain subgroups, and how these insights can improve clinical reasoning, diagnosis accuracy, and treatment outcomes.

💭 “If we can identify directional preference in a patient, we have a very good probability of having discogenic pain." - Dr. Jean-Philippe Deneuville

👉🏻Dr. Jean-Philippe Deneuville is a French physiotherapist specializing in musculoskeletal disorders. He holds an International MDT Diploma, a Master’s in Musculoskeletal Physiotherapy from the University of Dundee, and a Ph.D. in Mechanical Bioengineering. A McKenzie Institute faculty member since 2017, he has taught over 100 courses worldwide. His research focuses on intervertebral disc disorders and spinal pain, working closely with the PRISMATICS team to develop new diagnostic and treatment technologies. He currently balances clinical practice, teaching, and research.

📚You will learn about:

• Directional Preference accuracy - how it identifies discogenic low back pain.

• Screening limits - why the absence of Directional Preference doesn’t rule out discogenic pain.

• Directional Preference vs. Centralization Phenomenon - key similarities and subtle differences.

• Discogenic pain subgroups - including Modic changes and what it means for patient care.

  
  

🔎 Jean-Philippe's resource of information:

DENEUVILLE, Jean-Philippe; LASLETT, Mark; et al. Concurrent validity of the directional preference phenomenon compared to controlled lumbar discography: A supplementary analysis of a diagnostic accuracy study. Musculoskeletal Science and Practice, v. 80, 2025. Available here.

📲 Jean-Philippe's contact information:

• Email: deneuvillejp@me.com

• LinkedIn

🎥Link to interview on Youtube

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📩Email: ⁠mariana@ptprotalk.com⁠

PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like⁠ NeckCare⁠ and ⁠SaraHealth⁠.

💡 In this episode, Dr. Michael Maxwell shares his insights on the importance of identifying the individual mechanisms (structural, physiological, and functional) behind patients' chief complaints. This is a rich conversation about clinical reasoning, integrating approaches, and how to personalize treatment to achieve more consistent results.

💭 “I am trying to define the underlying mechanisms of the patient’s chief complaint symptoms as best as possible and match them with the interventions that fit most closely." - Dr. Michael Maxwell

👉🏻Dr. Michael Maxwell, DC, BHK is a chiropractor and educator whose mission is to deliver research-backed, practical MSK education. He is Canada’s only Certified Instructor for Michael Shacklock’s Clinical Neurodynamics and a Certified Instructor for Dynamic Neuromuscular Stabilization (DNS).

With over 20 years of experience — from personal training and medical exercise to chiropractic practice — Michael integrates movement-based manual therapy and exercise interventions. He has organized more than 300 continuing education courses across Canada featuring world-renowned clinicians, and he regularly teaches at postgraduate courses and conferences internationally.

This unique combination of clinical experience, extensive training, and exposure to leading educators positions him to offer exceptional continuing education for health professionals.

📚You will learn about:

• How to screen and funnel patients effectively

• Ways to identify and understand patients’ pain mechanisms

• How to choose techniques and approaches tailored to each individual

• Practical insights from Michael’s 20+ years in movement-based manual therapy and exercise interventions

  
  

🔎 Michael's resources of information:

• Articles

• Youtube Channel

• Podcast The FARM by Dr. Beau Beard

• Courses

📲 Michael's contact information:

• Website

• LinkedIn

• IG

• Facebook

• Youtube Channel

  
  

🎥Link to interview on Youtube

PS: To join the HEP interest list, please click ⁠here⁠

👉 ⁠Share Your Feedback⁠

🎙Join our ⁠email list⁠ to receive podcast updates

📸⁠Instagram⁠

📱⁠Facebook⁠

💻⁠LinkedIn⁠

🐦⁠Twitter⁠

📩Email: ⁠mariana@ptprotalk.com⁠

PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like⁠ NeckCare⁠ and ⁠SaraHealth⁠.

💭“I decide to use a neurodynamic approach when I can reproduce, during the neurodynamic test, totally or partially, the patient’s original symptoms.” - Dan Pilderwasser

👉🏻Dan G. Pilderwasser, PT, DO (Osteopathy) is a physiotherapist and educator with over 45 years of clinical experience, specializing in neurodynamics and manual therapy. He is a Clinical Neurodynamics Instructor (NDS Australia, Michael Shacklock), a Mulligan Concept Accredited Teacher, and the Director of Physioscience Clinic.

Practicing since 1979, Dan holds a postgraduate qualification in osteopathy (DO), with an extensive background in postural re-education, neurophysiology, and musculoskeletal rehabilitation. He has trained internationally, including courses in Bobath, PNF, nerve mobilization techniques with David Butler, neurodynamics with Michael Shacklock, and peripheral nerve manipulation with Jean-Pierre Barral.

He is also the President of the South American regional MCTA® and has contributed to advancing clinical education in neurodynamics and manual therapy across Latin America.

📚You will learn about:

• How to differentiate musculoskeletal vs nerve problems

• Recognizing key types of nerve dysfunction

• How our understanding has evolved from a mechanical to neuroimmune perspective

• Practical tips on ULNTs and nerve-mobilization techniques

  
  

🔎 Dan's resources of information:

• Neurodynamic Solutions

• Book: Clinical Neurodynamics by Michael Shacklock

• Book: Bodily Relearning by Benjamin Boyd

• Noigroup

📲 Dan's contact information:

• IG

• LinkedIn

• Facebook

• X

🎥Link to interview on Youtube

PS: To join the HEP interest list, please click ⁠here⁠

👉 ⁠Share Your Feedback⁠

🎙Join our ⁠email list⁠ to receive podcast updates

📸⁠Instagram⁠

📱⁠Facebook⁠

💻⁠LinkedIn⁠

🐦⁠Twitter⁠

📩Email: ⁠mariana@ptprotalk.com⁠

PT Pro Talk Podcast is only possible with the support of forward-looking and innovative companies like⁠ NeckCare⁠ and ⁠SaraHealth⁠.

#ClinicalNeurodynamics #Nervemobilization #neuropathicpain #Neuraldysfunctions #Entrapmentneuropathies