With Instructor Anthony Von der Muhll, L.Ac., DAOM, DNBAO, FAIPM
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Principles of Integrative Acupuncture Orthopedics
Shoulder pain and injuries will serve as a common condition to demonstrate theory, principles, modalities and techniques of integrative acupuncture evaluation, diagnosis and treatment.
- What is "pain?" What does "treating pain" mean? What is "Integrative Acupuncture Orthopedics?"
- Integrating traditional East Asian and contemporary bio-psycho-social models and paradigms
- Moving beyond pain management to functional capacity restoration
- Jing-luo/jing-jin theory and tissues; relationships to patho-anatomy and -physiology of injuries and pain, and responses to AOM treatment modalities
- Bones
- Muscles
- Tendons, aponeuroses, fascia
- Ligaments and joint capsules
- Bursae and benign cysts
- Peripheral nerves and the central nervous system
- Neurovascular bundles
- Pathologic fibrosis, scar tissue, and trigger points
- Anatomical kinesiology and 6-meridian/shang han lun theory: how the body moves and maintains stability, in health and disease
- Acute injuries and the degenerative cascade: preventing the progression to chronic pain and disability
History-taking and Physical Exam for Orthopedic Injuries and Pain
- Screening for urgent/serious medical conditions
- History-taking principles: objectives, challenges, and general procedures
- Structuring the interview to gather key diagnostic information
- Building patient rapport through empathetic and supportive inquiry
- Techniques for eliciting information to assess severity/urgency and guide physical exam
- Physical examination for injuries and pain: objectives, challenges, and general procedures
- Observation and inspection
- Palpation and tenderness assessment
- Joint active range-of-motion
- Passive range-of-motion and joint play/stability testing
- Manual strength and muscle length testing
- Sensory and reflex testing
- Special orthopedic and neurological tests
Pattern Identification and Diagnosis
- Holistic and integrative East-West orthopedic pattern identification and diagnosis
- Identifying root and branch
- Treatment frequency; re-evaluation timelines and benchmarks
Treatment Modalities and Planning
- Functional treatment goals for orthopedic rehabilitation
- Treatment frequency; re-evaluation timelines and benchmarks
- Beyond pain management: the assess-rebalance-assess cycle
- Indirect vs. direct and local vs. distal approaches to treatment; selecting and sequencing of modalities
- Making distal acupuncture work for orthopedic conditions
- Myofascial ("trigger point") acupuncture
- Disruptive/proliferative ligamento- and tendino-periostial acupuncture ("prolo-acupuncture")
- Electroacupuncture
- 7-star, lancet and 3-edge needle therapy
- Tui na (traditional East Asian manual therapies)
- Myofascial gua sha
- Orthopedic suction cupping
- Taping techniques
- Exercise therapy
Introduction to Shoulder Injuries and Pain
- Clinical anatomy of the shoulder
- Key diagnostic issues
- Identifying urgent/serious conditions; ruling out the neck as a contributor
- Introduction to diagnosis and treatment for the shoulder: acromio-clavicular joint sprains, rotator cuff tendinitis, bursitis and impingement syndromes
- Tendino- and ligamento-periostial and trigger point acupuncture/electro-acupuncture
- Gua sha, cupping, and 7-star needling
- Correcting posture and ergonomics; exercises and taping
Student Ratings and Comments
from evaluations as required by California Acupuncture Board, prior live class offerings in 2016 and 2017.
Respondents: 29 of 37 enrolled
Average rating: 98/100
"Excellent teacher" --Anonymous
"Thank you. Instructor is outstanding." --Anonymous
"Anthony is a gem! He is very clear and organized." --Anonymous
"Good choice for a teacher." --Anonymous
