With Instructor Anthony Von der Muhll, L.Ac., DNBAO, FAIPM
Day 1: Anatomy, History and Physical Exam
Clinical anatomy: bones, muscles, tendons, ligaments, joints, kinematic chains, and the jing-jin ("sinew" or myofascial tracts)
History-taking for the hip, thigh, and knee: key diagnostic questions
- Identifying/ruling out urgent/serious medical conditions: spinal neuropathy; fractures; joint infection, hemarthrosis and derangement; arterial compression, venous thromboses, and avascular necrosis; pediatric/developmental conditions
- Identifying intra- and extra-articular and neuropathic conditions
- Identifying contributing factors and motion dysfunctions
Physical exam of the hip, thigh, and knee (live class only)
- Observation of gait dysfunctions
- Surface anatomy, inspection and palpation
- Active range-of-motion and functional tests: measurements, diagnostic significance
- Passive range-of-motion/joint stress tests
- Manual strength testing
- Special orthopedic tests
- Documenting normal and abnormal findings
Day 2: Diagnosis, Pattern Identification, and Treatment
Hip joint
- Hip tendinitis/apophysitis; TFL, rectus femoris and sartorius strains
- Bursitis: greater trochanter, ischial tuberosity, iliopsoas
- Femoral acetabular impingement and hip joint labral tears
- Hip degenerative joint disease/osteoarthrosis
Thigh and knee joint
- Acute strains and chronic myofascial pain: quadriceps, hamstrings, adductors, popliteus
- Patello-femoral and pes anserine tendinitis and bursitis
- Iliotibial band friction and chondromalacia patella syndromes
- Sprains and chronic hypermobility: ACL, MCL, LCL, PCL, superior tibio-fibular joint
- Meniscal and coronary ligament tears and degeneration
- Knee degenerative joint disease/osteo-arthrosis
Peripheral compression neuropathies
- Sciatic nerve entrapment: hamstrings
- Lateral femoral cutaneous and genito-femoral nerve entrapment
Treatment modalities include:
- Myofasicial Trigger Needling: iliopsoas, tensor fascia lata, sartorius, quadriceps, hamstrings, adductors
- Prolo-acupuncture: hip joint ligaments, knee collateral, cruciate and coronary ligaments, meniscii, and superior tib-fib joint
- Active Cupping: suction + hip and knee ROM for quadriceps, hamstring, and iliotibial band stretching
- Gua sha, tui na, and taping techniques to normalize hip and knee joint mechanics and patello-femoral tracking
- Electro-acupuncture for sciatic and peripheral nerve entrapment
- 3-edged, lancet and 7-star needle therapies
- Exercise therapy, sport and work ergonomics
