Panel Discussion – Lumbosacral & Sacroiliac Joint Problems – Diagnostic & Therapeutic Challenges

Panel Discussion
Venue: On-Demand Panel Discussion
Contact Hours: 3 Hours
Course Language: English
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Physiotherapist / Physical Therapist USD 65.00 -

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Panel Discussion – Lumbosacral & Sacroiliac Joint Problems – Diagnostic & Therapeutic Challenges (Recorded in August 2021)


Panelists: Sharon Classen   PT, ATC, CERP - Serenity Physical Therapy, USA
Bart Halsberghe  DVM, DABVP (Equine Practice), cISELP, cVSMT, cVMA, CERT, CKTP-E
Global Equine Veterinary Consulting, Belgium
Florent David  DVM, MS, DACVS, DECVS, DACVSMR, ECVDI - Equine Veterinary Medical Center -

Moderator:Andy Fiske-JacksonBVSc, MVetMed, FHEA, DECVS, MRCVS - Royal Veterinary College, UK



Increasingly lumbosacral and sacroiliac joint region pain are being recognised as common causes of poor performance. The international multidisciplinary panel consisting of a physiotherapist and orthopaedic specialists/surgeons, will discuss possible causes, common presenting signs and the interplay between those conditions and other lameness causes. How can we accurately diagnose lumbosacral and/or sacroiliac joint pain and what imaging modalities can we use? How sensitive and specific are these imaging modalities? Are local anaesthetic techniques replacing imaging modalities? How should those conditions most effectively be treated/managed and what impact do they have on the future performance of the horse?


Panel Discussion Registration Process: Once you have registered and upon payment, you will receive the link to access the on-demand recording for a period of 8 weeks. If you wish to receive a Certificate of Attendance after having viewed the webinar, please get in touch with us and we will send it to you electronically.

  • VetPD

    Florent David
    DVM, MS, Dipl.ACVS, Dipl.ECVS, Dipl.ACVSMR, ECVDI(Assoc.)


    European & American Specialist in Equine Surgery; European Specialist in Diagnostic Imaging and American Specialist in Equine Sports Medicine/Rehabilitation
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    Florent David graduated from the National Veterinary School of Lyon, France in 2001. He subsequently completed an Internship (2001-02) and then a Residency program (2003-06) in Equine Surgery at the University of Montreal, Saint-Hyacinthe, Canada. During his Residency Florent completed a Master degree (MSc) on cartilage cytokine expression and osteoarthritis (2007) in Dr Sheila Laverty's laboratory.

    He then took up a one year position (2006-07) as a Clinical Instructor in Equine Surgery and Lameness in the Veterinary Medicine Teaching Hospital of the University of Montreal. He became a board certified specialist with the American College of Veterinary Surgeons (ACVS) - Large Animal (Equine) and with the European College of European College of Veterinary Surgeons (ECVS) in 2007. He then moved to the Republic of Ireland in September 2007 and took on the position of Lecturer in Large Animal Surgery at the School of Veterinary Medicine, University College Dublin (UCD), Ireland. Since September 2009 Florent is enrolled in a part-time PhD programme at Utrecht University, The Netherlands which focuses on equine tendon repair.

    In September 2011, Florent was granted recognition by the European College of Veterinary Diagnostic Imaging as ECVDI Associate Member (Large Animals) for his active contribution in the field of equine ultrasonography. From 2014 to 2016 Florent worked as an equine surgeon at Mid-Atlantic Equine Medical Center in Ringoes, New Jersey, USA.  In spring 2016 Florent was offered the job of Equine Surgeon and Sports Medicine Specialist at Bjerke Dyrehospital, in Oslo, Norway which is the leading equine referral hospital in Norway.  On a day to day basis Florent works in equine surgery and has specific clinical interests in ultrasonography and lameness investigation, as well as minimal invasive surgery (laparoscopy, arthroscopy & thoracoscopy). Florent has published more than 25 articles in peer-reviewed journals and has given more than 50 presentations at national and international meetings.

    Florent then spent several years at Equine Veterinary Medical Center, Al Shaqab - a Member of Qatar Foundation and is now at EquiTom in Belgium.

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    Andy Fiske-Jackson
    BVSc, MVetMed, FHEA, Dipl.ECVS, MRCVS

    United Kingdom

    European Specialist in Equine Surgery
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    Andy qualified from the University of Liverpool, UK in 2004. He initially spent three months working for the Society for the Protection of Animals Abroad, a charity caring for working equids, in Morocco. He then spent two years working for a mixed practice doing predominantly farm and equine work. In July 2006 he undertook an eighteen month internship at the Liphook Equine Hospital after which he spent a further six months working as a first opinion equine ambulatory vet for the same practice. In July 2008 he started a residency in equine surgery at the Royal Veterinary College and went on to join the surgical team at the College where he currently works. He became a Diplomate of the European College of Veterinary Surgeons in February 2012. Andy has published several articles in peer reviewed publications and presented at various national and international meetings. His research interests include digital flexor tendon sheath pathology, mesenchymal stem cell application in superficial digital flexor tendonitis and the role of back pain in poor performance.

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  • VetPD

    Sharon Classen

    United States

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    Sharon Classen, PT, ATC, CERP, graduated from the University of Nebraska Medical Center in 1981 and has worked for over 38 years in Orthopedics and Sports Medicine. She took additional training and received her Certification of Equine Rehabilitation Practitioner from the University of Tennessee. She is also a Permitted Equine therapist for FEI events. Her past work experiences include working at the Olympic Training Center in Colorado Springs, the University of Nebraska Cornhusker’s dynasty football program,  NCAA sports, and private orthopedic and sports medicine practices. Her current practice, Serenity Physical Therapy, involves working with Equestrian and Equine Athletes throughout the United States and Internationally. Both at the national and FEI levels.

    Sharon has presented at the APTA’s (American Physical Therapy Association) annual meeting (CSM), at the AAEP (American Association of Equine Practitioners), at the International Association of Veterinary and Physical Therapy Rehabilitation. She teaches VetPD courses, ISELP,  and on the faculty of University of Tennessee’s CERP (Certification of Equine Rehabilitation Practitioner at UT).  She is also part of the USEF High Performance Sports Medicine Symposium and does consultation with the FEI with various program developments. She is also a member of the APTA’s special interest group Animal Rehab. She has treated both Equestrian and Equine athletes at World Cup competitions and was the Head Physio at the World Equestrian Games.

    Her main focus is prevention, maintenance, rehabilitation, and performance enhancement of both the horse and rider. Focusing on biomechanics and return to full function/sport. Sharon’s primary research interests include Biomechanical Interplay of Horse and Rider, Concussions management, and Therapeutic Exercise for the Equine Athlete. She brings her unique perspective as a clinician, rider, and trainer to the world of Equine Sports Medicine.

    Sharon has been working with the Equine Athlete using her skill set as a Physical Therapist for almost 40 years - evaluating, treating, and implementing plan of care and Therapeutic Exercise programs. She has been passionate about horses from an early age and the marriage of PT and her love of horses has been a natural union.

    Sharon lives in Elkhorn, NE with her husband and two daughters and owns a 26 stall barn where she has trained and treated show jumpers for 38 years. She has trained with many of the US Olympic team trainers and top trainers here in the United States. Both Sharon and her daughters compete at many top jumper shows throughout the United States.

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  • VetPD

    Bart Halsberghe
    DVM, Dipl.ABVP (Equine Practice), Dipl.ECVSMR, , ISELP cert., cVMA, cVSMT, CERT

    Belgium, United States

    European Specialist in Veterinary Sports Medicine & Rehabilitation
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    Dr. Bart Halsberghe attended vet school in his native Belgium at the University of Ghent where he graduated with distinction in 2003. During his veterinary education, he pursued the equine track and got particularly interested in sports medicine. 

    Upon graduation, Dr. Bart Halsberghe moved abroad to broaden his horizons and pursue an equine veterinary career. After one year living and working in the United Kingdom, he relocated to the United States where he joined a thoroughbred racehorse practice serving the racetracks in Louisiana, Kentucky and Arkansas. There, he worked under the watchful eye of some top veterinarians in the industry and developed a great knowledge in lameness, respiratory problems, exercise physiology (training) and nutrition.  

    After almost four years working in the thoroughbred racing industry, Dr. Bart Halsberghe joined Peninsula Equine Medical Center, one of the main equine sports medicine and referral facilities in California. There he further developed his skills in equine sports medicine and rehabilitation working with a wide variety of horses within their respective disciplines (show jumping, dressage, eventing, endurance, reining, western pleasure, polo).​

    In 2018, Dr. Bart Halsberghe moved back to Flanders, Belgium to start his own private equine practice ‘Global Equine Veterinary Consulting’, providing veterinary services and consulting focusing on equine sports physiatry, lameness and diagnostic imaging, and pre-purchase/pre-sale examinations.

    Shortly after its inception, Dr. Bart Halsberghe has been involved in the International Society of Equine Locomotor Pathology (ISELP), an association focused on lameness problems in the equine athlete, in particular, the diagnose of musculoskeletal injuries with ultrasound. Dr. Bart became the first veterinarian in Belgium to receive the international recognized ISELP certification in 2012.

    In 2017, Dr. Bart completed a specialty training program in the clinical practice of the horse, as it pertains to the care of the total patient and became a Diplomate of the American Board of Veterinary Practitioners (Equine Practice).

    Under the motto ‘Never stop learning’, Dr. Bart has expanded his knowledge over the years through several certification and continuing education programs mainly in the field of complementary & alternative medicine, rehabilitation and straightness training. He is currently certified in veterinary medical acupuncture (cVMA), veterinary spinal manipulative therapy (cVSMT), equine rehabilitation (CERT) and kinesio taping (CKPT-E).

    Dr. Bart is also an FEI permitted treating veterinarian, so he can treat the competitive athletes in a safe and responsible way at the highest level.

    Dr. Bart Halsberghe, not only loves learning but also teaching. He feels that sharing knowledge and new ideas is important for the progression of veterinary medicine and the health and welfare of the horse. He has been an assistant professor at the college of veterinary medicine, Western University of Health Sciences in Los Angeles, California, since 2014. There he shares his clinical skills and knowledge with veterinary students. He also travels worldwide instructing other veterinarians in imaging techniques and lameness diagnostics.

    Dr. Bart Halsberghe has published several research articles on complementary and alternative veterinary medicine, underlining his commitment to supporting evidence-based veterinary medicine.

    Passion-driven, he combines all this knowledge and experience to pioneer a new branch in veterinary medicine called ‘equine sports physiatry’, emphasizing the prevention, diagnosis, treatment, and rehabilitation of physical impairments or disabilities affecting the brain, spinal cord, nerves, bones, joints, ligaments, tendons, muscles, and fascia in the equine athlete. Equine sports physiatry is unique among veterinary medicine in that its area of expertise is the functioning of the whole patient (holistic patient-centered care) aiming to relieve pain, enhance and restore functional ability, and improve quality of life, which give rise to optimal performance and health.

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