Saturday-Sunday, May 2-3, 9:00-6:00 (16 live CEUs)
With Instructor Anthony Von der Muhll, L.Ac., DNBAO, FAIPM
Course Content
Day 1: Anatomy, History-taking, and Physical Exam
Clinical anatomy
- Bones, muscles, tendons, ligaments, joints
- Kinematic chains and the jing-jin ("sinew" or myofascial tracts)
History-taking for the calf, ankle, foot: key diagnostic questions
- Identifying/ruling out urgent/serious medical conditions: spinal referred pain; fractures; joint derangement and instability; arterial compression, venous thromboses; complex regional pain and compartment syndromes
- Identifying intra- vs. extra-articular vs. neuropathic conditions
- Identifying contributing factors, muscle imbalances and motion dysfunctions
Physical exam of the calf, ankle and foot (live class only)
- Surface anatomy, inspection and palpation
- Gait analysis
- Active range-of-motion: measurements, diagnostic significance
- Passive range-of-motion/joint stress tests
- Manual strength testing
- Sensory testing
- Special ortho-neuro tests
- Documentation of findings
Day 2: Diagnosis, Pattern Identification, and Treatment
Calf
- Gastroc/soleus strains
- Achilles, tibialis anterior, peroneal, and toe extensor tendinitis and nodular tendinosus
- Tibialis posterior dysfunction
- Medial tibial stress (“shin splints”) syndrome
Ankle joint
- Ankle sprains
- Calcaneal bursitis
- Chronic ankle instability: ATF, PTF, and CF ligamentous laxity
- Post-surgical adhesive capsulitis
- Degenerative joint disease/osteoarthrosis
- Tarsal tunnel syndrome
Foot
- Acute sprains/strains
- Plantar fasciitis and metatarsalgia
- Turf toe and sesamoiditis
Peripheral neuropathies
- Peroneal neuropathy
- Tarsal tunnel syndrome
- Morton’s neuritis and neuromas
- Reflex sympathetic dystrophy/complex regional pain syndrome
Treatment modalities include:
- Myofasicial Trigger Needling: tibialis anterior, toe extensors, fibularis group, gastroc/soleus
- Prolo-acupuncture: ankle and foot ligaments, mid-foot, metatarsal and toe joints
- Active Cupping: suction + ankle ROM for calf muscle stretching
- Gua sha and tui na to normalize ankle joint mechanics
- Electro-acupuncture for peripheral nerve entrapment
- 3-edged, lancet and 7-star needle therapies
- Splints, taping, exercise, and footwear prescription
- Stabilization splints and sleeves
- Motion control vs. barefoot theories
- Taping techniques for plantar fasciitis
- Calf, ankle and foot strengthening, stretching and stabilization