Calf, Ankle, Foot

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Clinical anatomy, kinesiology and the jing-jin ("sinew meridians" or myofascial tracts)

  • Bones, joints, muscles, tendons, and neurology
  • Posture and motion dysfunctions
  • The arthritic progression: strain/sprain, derangement, degeneration

History-taking for the calf, ankle, foot: key diagnostic questions

  • "Red flag" symptoms of urgent/serious medical conditions potentially warranting referral to physician care: spinal neuropathy; fractures; joint derangement and instability; arterial compression, venous thromboses; complex regional pain and compartment syndromes
  • Differentiating symptoms of joint, muscles, tendon and nerve root injuries
  • Neural hypersensitization and psycho-social factors
  • Functional capacity questionnaires for reporting to managed care insurance

Physical exam of the calf, ankle and foot: how findings can guide treatment with acupuncture modalities

  • Observation of gait dysfunctions
  • Surface anatomy, inspection and palpation
  • Ankle and foot joint active range-of-motion, tracking and functional tests: measurements, diagnostic significance
  • Ankle and foot passive range-of-motion and joint-play/end-feel stress tests
  • Muscle length and manual strength testing and referred pain pattern charts for 20 key muscles of the calf, ankle, and foot
  • Special orthopedic tests for the ankle and foot
  • Documentation of physical exam findings
  • Measuring and reporting functional capacity baselines and treatment outcomes
  • Clinical flow charts to facilitate efficiency and accuracy in examination

Diagnosis, Pattern Identification, and Treatment

Calf

  • Gastroc/soleus strains and plantaris ruptures
  • 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
  • Sinus tarsi and lateral ankle impingement syndromes

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:

Build on your skills with the Review/Practicum Lab.

Check back for next live class date, or contact us to be notified by email

Check back for next live class date, or contact us to be notified by email