Learn Exposure Approaches to Make Change that Matters

Cory Blickenstaff owns and operates Forward Motion Physical Therapy (, which provides on the job site physical therapy clinics in the Vancouver, WA area utilizing various movement and manual therapy approaches to empower people toward an autonomous state of health as it relates to movement.   


PTs, PTAs, OTs, COTAs, MDs, DOs, NPs, PAs

This 2 day course will cover pain science concepts and history in physical therapy, specific applications of novel movements and edge work, exposure based care in physical therapy, and fostering a consistent message and mode of communication across the entire treatment encounter.  


Course Objectives

At the end of this 2-day course the participant will 

1.  Understand pain neurobiology concepts of central sensitivity, neuropathic pain, nociplastic pain, conditioned pain modulation, exercise-induced hyperalgesia, allodynia, among others and how each term relates to daily practice
2.  Given a patient case presentation, be able to deduce the dominant pain mechanisms present in the patient presentation
3.  Be able to utilize pain neuroscience education in patient scenarios of fibromyalgia, low back pain, osteoarthritis, and CRPS 
4.  Given a patient case scenario, be able to design a therapeutic exercise program including graded exposure, graded activity, novel movements, and graded loading concepts
5.  Understand current mechanisms of manual therapy and how to apply manual therapy in light of modern neuroscience
6.  Articulate three reasons that neurodynamic tests should be utilized for evaluative and treatment purposes when interacting with the patient with neuropathic pain
7.  Understand contextual architecture and how to leverage it in practice
8.  Accurately define graded motor imagery and each of its three components and learn how to apply to current practice
9.  Understand a comprehensive patient management framework that gives a detailed biopsychosocial perspective on any patient presentation
Day One
9am Application of Current Pain Science: a Bridge to the Clinic
In this section we’ll discuss current models and uses of pain science, define some terms that will set the stage for other portions of the class, and applying this information into a clinically useful framework.
10am Building the Interaction: Context Architecture
The 3 spaces of interaction will be introduced as will the role of context in our therapeutic interactions. We’ll also discuss practical approaches for establishing a therapeutic context.
11am Novel Movement: Concepts and Lab
Novel movement will be introduced as a concept for use in the clinic. Categories of novel movement will be introduced and then time will be spent practicing some specific examples of these concepts as a group.
1230-2 lunch
2pm Assessment: What are we Looking For?
Lecture and Lab: The role of assessment will be examined as a way to guide application of the interventions, set baselines, and continue building the therapeutic context. Time will be spent practicing assessment in this manner.
330pm Novel Movement: Practical Applications
Lecture and Lab: Discussion of focused use of novel movements based upon assessment findings will be discussed and then time will be spent practicing specific applications based upon common assessment findings of the upper and lower quarter.
Day Two
830 Q&A
9am: Building the Progression
The role of narrative in the presentation of the person in pain will be examined as will the impact of self efficacy and internal locus of control. We will discuss progressions in narrative as the patient improves and how to foster specific progression in narrative while connecting to movement.
10am: Finding the Edge: Edge Markers
Lecture and Lab: The concept of the “Edge” will be introduced as will the markers used in identifying it. We will practice 2 specific examples, one upper body and one lower body, of identifying the edge as a group.
11am: Edgework: Lower Quarter Applications
Lecture and Lab: The 3 categories of Edgework will be introduced and application to Lower quarter findings will be demonstrated and practiced as a group.
Lunch 1230-2
2pm: Edgework: Upper Quarter Applications
Lecture and Lab: Applications of Edgework to the upper quarter will be demonstrated and then practiced as a group.
330: Putting it all together
Lecture and Lab: A guideline for order to introduce both novel movement and Edgework into the clinical encounter will be discussed, demonstrated, and then practiced as a group. Using these concepts as a way to kinesthetically reinforce and teach about pain will be reviewed and summarized.

"This is perhaps the most informative weekend course I’ve ever taken. Cory brings together an expansive scope of ideas, evidence, and information. Novel Movement and Edgework weaves together movement paradigms and manual therapy practices with concepts from exposure therapies, graded activity, behavioural experiments, inhibitory learning, and motivational interviewing. I came away with a remarkably cohesive framework to use these tools in an effective and patient centred way. "

Bradley Jawl, BSc, MPT

"Edgework is a great, practical approach to applying pain science in the clinic. Getting people moving is such an important part of helping people get better, and Edgework is a wonderful way to do it!"

Sarah Haag, PT, DPT

"Cory’s ability to breakdown and synthesize evidence is far better than anyone on any previous course I have attended. He is a super knowledgeable guy, very approachable, his information is evidence based and he delivers it all in a very engaging and thoughtful manner. The course provides instant take homes and a different way of viewing the patient/clinician interaction. I love to now look for ‘if’s’ and turn them into ‘when’s’ and I love to find ways to refute peoples negative expectations of previously threatening movements. It is certainly a course for helping one to promote self-efficacy and patient empowerment. I describe it as a ‘must attend’ course to all students passing through my clinic and colleagues. When you combine this level of passion with intellect, you get an extremely effective teacher and mentor. "

Thomas Southee, BSc(hons)PT, DPT

"Cory's course Edgework and Novel Movement gave me more license to help patients get moving again so they can attain their goals. I felt like I wasn't boxed in and having to find "the exercise" that would help restore their "function". Cory is knowledgable in the conceptual models that inform care paradigms and the physical application of those models. He's a fun guy to learn from as well."

RIchard McIlmoyle, DC
Job Title


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