Start date
20 September, 2019
End date
22 September, 2019
Date note

Instructor:  Nicholas Hazledine, PT, Dip MDT


Branch contact:  Aileen Conway   -

Eligibility: PT or final year PT Student.  All other health professionals please refer to the eligibility policy on our website.


The McKenzie Method of MDT is globally recognized as a leading treatment for spine and extremity disorders.  The MDT approach is a comprehensive biopsychosocial classification system that provides clinicians with the tools necessary to accurately determine the most appropriate and effective course of treatment for their patients, subsequently improving their patient outcomes.  The MDT assessment enables clinicians to triage patients accurately and efficiently.  MDT’s success as a comprehensive way to treat MSK disorders and injuries comes from clinicians being able to reliably classify problems into specific sub-groups, which have distinct and effective treatment approaches.

This course introduces the theoretical aspects and concepts of the McKenzie Method in Mechanical Diagnosis and Therapy (MDT), as it is applied to the musculoskeletal system. The focus of this course, which is the first in the McKenzie course series, is the assessment, classification and management of patients with complaints of low back, related referred pain and functional limitations.

The principles of MDT and how they apply in the context of the biopsychosocial framework of managing patients with musculoskeletal pain and functional limitations will be a key focus. The participants will explore and extensively practice the MDT assessment, classification and management process through lectures, workshops, discussions, and patient demonstrations. The classifications of Derangement, Dysfunction and Postural syndromes are described in detail and appropriate management plans are discussed, with emphasis on the use of patient self-treatment procedures and education. Indications for the use of clinician procedures will also be discussed and the procedures demonstrated and practiced. Subgroups not fulfilling the criteria of the McKenzie syndromes are introduced and the basis for their differential diagnosis is outlined.

Follow-up patient demonstrations will illustrate the reassessment process and allow participants to get a realistic feel and understanding of the impact of the MDT system on differing patient presentations over 2-3 treatment sessions.

Course Goals

Following attentive participation in, and completion of, this course will provide participants with the introductory knowledge, basic skills and abilities to begin to:

  1. Describe and discuss the basic principles of MDT and how it fits within the context of the biopsychosocial back pain experience
  2. Appropriately apply the McKenzie Method of MDT to patients with lumbar spine problems.
  3. Distinguish between the MDT syndromes (Derangement, Dysfunction, Postural) and OTHER subgroups and provide appropriate management regimens for each of the MDT syndromes.
  4. Identify when the application of external forces is required for the resolution of symptoms using MDT’s concept of ‘Progression of Forces’.
  5. Recognise how to assist patients to design and apply the therapeutic processes to achieve management goals, taking into account any personal or environmental barriers to recovery.

FREE Resources available on our website:
Online Overview Course, informational videos, patient information, Mechanical Care PodcastsMechanical Care Podcasts (Experienced clinicians from around the globe share their valuable insights and clinical pearls on mechanical care) & Mentoring Webinars

Recent podcasts of interest: Dr. Vikas Agarwal, MD, Cert. MDT (listen to a physician’s perspective)

Recent Webinar Available Online:

Using Retraction Extension Under Traction to Reduce Cervical Radiculopathy

Chris Chase PT, OCS, FAAOMPT, Dip. MDT

Utilizing MDT to Evaluate and Classify Cervicogenic Headache

  • Gerard Gordon, PT, FAAOMPT, Dip. MDT
  • Williams Oswald, DPT, OCS, Dip. MDT

Derangements with Directional Preference of Flexion in the Lumbar Spine

• Kay Scanlon, PT, DPT, OCS, Dip. MDT
• Linnet Kazemi, PT, DPT, Dip. MDT

Event Cost
On-line and In-person

Unit #203 - 16088 84th Ave
Surrey BC V4N 0V9

Posting expiry date
This course is not provided through PABC. If you have any questions, please contact the private organizer.