Course Description

In this course you’ll learn how to effectively communicate with your patients about pain, whether it’s acute or chronic. You’ll understand how to implement movements strategies to not only promote confidence and resilience in your patients, but also to help them gain confidence to move through and improve their ADLs. You’ll gain the understanding to do therapeutic exercise and movements right in your treatment room, without having to use a gym, and also without having to refer out to another professional for exercise. This in turn will increase your patients' confidence in you, and will also put more money in your pocket because you won’t have to refer them to someone else once you have the understanding of how to do therapeutic exercise in your treatment room. 

Learning Outcomes

  • Develop your own pain analogy.

  • Understand how to rule out red and yellow flags.

  • Start using graded exposure and adapted movements on your table.

  • Know when to use Isometric, Concentric, and Eccentric exercise.

  • Communicate effectively with patients dealing with persistent pain.

Continuing Education Credits

The following associations have approved this course for continuing education credit. Credit may also be available from those associations with no formal approval process.


CMMOTA - 2 Credits

CMTNB - 2 Category A Credits

CMTNL - 2 Category A Credits

CRMTA - 4 Primary Credits

MTAA - 4 Primary Credits

MTANS - 4 Primary Credits

MTWPAM - 4 Primary Credits

NHPC - 5 Credits

Pending Approval


Course Curriculum

  • 2

    Section 1: Building a Better Intake

    • Understanding and Ruling Out Red Flags

    • Pain is a Protection

    • Biopsychosocial Theory of Pain

    • Building Analogies to Help Patients Understand Pain

  • 3

    Section 2: Understanding Tissue Healing

    • Primary and Secondary Healing

    • Tissue Healing Timelines

    • Communicating Acute vs. Chronic Pain with Patients

  • 4

    Section 3: Adapted Movements and Graded Exposure

    • Graded Exposure

    • Building Resilience in Patients

    • Adaptive Movements: Cervical Spine

    • Adaptive Movements: Thoracic Spine

    • Adaptive Movements: Shoulder

    • Adaptive Movements: Lumbar Spine

    • Adaptive Movements: Hip

    • Adaptive Movements: Knee

    • Adaptive Movements: Ankle

  • 5

    Section 4: Tissue Loading

    • Picking the Right Exercise

    • How to Load During the Acute Phase (Isometrics)

    • Isometrics: Cervical Spine

    • Isometrics: Shoulder

    • Isometrics: Lumbar Spine

    • Isometrics: Hip

    • Isometrics: Knee

    • Isometrics: Ankle

    • How to Load During the Proliferative Phase (Concentric)

    • Concentric: Cervical Spine

    • Concentric: Shoulder

    • Concentric: Hip

    • Concentric: Knee

    • Concentric: Ankle

    • How to Load During the Remodeling Phase (Eccentric)

    • Eccentric: Cervical Spine

    • Eccentric: Shoulder

    • Eccentric: Hip

    • Eccentric: Knee

    • Eccentric: Ankle

  • 6

    Section 5: Rehab Movement & Exercise Programs

    • Exercise Prescription Framework

    • Tissue Healing Phase

    • Mobility Phase

    • Performance Initiation Phase

    • Performance Improvement Phase

    • Advanced Coordination, Agility and Skill

  • 7

    Section 6: Chronic Pain

    • Chronic Pain

    • SMART Goals

  • 8


    • Final Quiz

Course Certificate

After successful completion of this course, you will receive a course certificate stating that you've completed 4-hours of online training.


Jamie Johnston, RMT, SMT (CC)

Jamie is a Registered Massage Therapist, former massage college instructor, first responder/first aid instructor and volunteer firefighter in Victoria, BC. He graduated from the West Coast College of Massage Therapy in 2010 and has been working as an RMT ever since with a focus on sports and sport injuries. As a massage therapy student Jamie began volunteering with the Victoria Grizzlies Junior A hockey club and has been with the team ever since as an RMT and first responder. Prior to massage therapy school, Jamie worked as an industrial first aid attendant for six years and began volunteering with the fire department in 2002. In 2010 he became certified as a first aid instructor and later as a first responder instructor. He has since taught RMT students and RMT colleague’s first aid and how to handle medical emergencies within their practice; he considers this to be one of the best parts of his career. Jamie is the founder of the Massage Therapist Development Centre (, which is a collaborative blog dedicated to the development of RMTs.

Take Your Therapeutic Exercise Program to the Next Level!