IVDD Recovery and Fascial Dysfunction Through a Multimodal, Shockwave-Informed Lens
Two in-depth clinical sessions. One unified goal: better outcomes for painful and mobility-limited patients. Whether you are managing acute spinal cord injury or chronic movement dysfunction, these courses provide practical, mechanism-informed frameworks you can apply immediately in practice.
About the Presenter: Navigating IVDD Recovery
Ronald Koh, DVM, MS, DACVSMR, FACVBM, CVA, CCRV, CCRP, CVMMP, CVCH, CVFT, CVPP, CHPV
Professor at CHI University
Dr. Koh is a board-certified specialist in Veterinary Sports Medicine and Rehabilitation with advanced training in pain management and integrative therapies. In this session, he shares a practical, phase-based approach to IVDD recovery focused on neuro grading, multimodal pain control, and safe rehabilitation planning.
A Phase-Based Framework for Safer Neuro Rehab and Multimodal Pain Control
IVDD recovery is rarely linear. Outcomes improve when clinicians:
- Make the diagnosis and neuro grade as clear as possible
- Set realistic expectations using the known “loss and return” pattern
- Apply safe, stage-based rehab alongside multimodal pain management
What You’ll Learn
- Imaging hierarchy and when to use MRI, CT with contrast, or other options
- How validated grading scales guide prognosis and planning
- Conservative vs surgical decision pathways
- Why neurologic loss is typically ascending and recovery is reverse
- How to build acute-phase rehab plans that prioritize safety
- Multimodal pain control beyond medication alone
- Practical owner coaching: home setup, bladder care, stress reduction
- Wheelchair use, benefits, and cautions
Ideal For: Rehab clinicians, general practitioners managing IVDD conservatively, and technicians supporting neuro recovery workflows.
Mobility, Pain Amplification, and the Shockwave Connection
When fascial layers lose their ability to glide, nociceptive input rises. Peripheral sensitization can escalate. Central sensitization can follow.This session reframes fascia as a primary driver of mobility and pain, then connects that understanding to shockwave as a fascial tool within multimodal care.
What You’ll Learn
- Superficial vs deep fascia and why septa matter
- Myofascial chains and compensation patterns
- The role of fibroblasts, ECM, hyaluronic acid, and lubricin
- How loss of glide activates nociceptors
- Neurogenic inflammation and sensitization pathways
- Practical fascial assessment: posture, gait, ROM, end feel, tissue glide
- How shockwave may support lubrication, remodeling, and pain modulation
Ideal For: Sports medicine and rehab clinicians, pain-focused general practitioners, and practices using or evaluating shockwave as part of multimodal care.
Lindsey Fry, DVM, DACVSMR, CVMA, CVPP, CCRP
Red Sage Integrative Veterinary Partners
Dr. Fry is a board-certified specialist in Veterinary Sports Medicine and Rehabilitation with advanced training in pain management and integrative care. In this session, she connects fascia research to practical clinical assessment and explains how shockwave can support mobility and pain management within a multimodal plan.
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Hands-On Shockwave Training - Right before IVAPM
April 17, 2026
Earn 4 CE Credits| Cost: $199
9:00 AM to 1:00 PM