Treating the Core: Lumbo-sacral Spine, Abdominal and Gluteal Musculature, and Pelvic Girdle

With Instructor Anthony Von der Muhll, L.Ac., DNBAO, FAIPM

Date: TBD. Please let us know of your interest in a distance-learning class.

Billed yearly until cancelled


Integrative approach to evaluation, diagnosis, and treatment of musculoskeletal pain and injuries of the lumbo-sacral spine pain, abdominal and gluteal musculature and pelvic girdle with AOM modalities.

Day 1: Anatomy, History and Physical Exam

  • Clinical anatomy, kinematic chains, and relationships to AOM jing-luo, jing-jin and zang-fu, and emotional disharmonies.
  • The degenerative cascade in the spine: eastern and western.

Diagnostic priorities.

  • Urgent/serious medical conditions: stenosis, tumor , infection, fracture, organ-referred, radiculopathies.
  • Contributing factors and motion dysfunctions.
  • AOM jing-luo and jing-jin patterns.

History-taking for the lumbo-sacral spine, core musculature and pelvic girdle: key diagnostic questions.

Physical exam of the lumbo-sacral spine, core musculature and pelvic girdle.

  • Surface anatomy, inspection and palpation.
  • Active range-of-motion: measurements, diagnostic significance.
  • Lower extremity reflex, sensory, and motor exams.
  • Upper motor neuron exam.
  • Manual muscle testing of the gluteals.
  • Special orthopedic and neurologic tests.
  • Correlating history and physical exam with imaging studies.
  • Documenting normal and abnormal findings.

Diagnosis, pattern identification and treatment planning for lumbo-sacral spine, core musculature and pelvic girdle.

  • Lumbo-sacral sprains/strains, motion dysfunctions, and myofascial pain: trigger point needling, cupping, manual, and gua sha therapies
  • Lumbo-sacral derangement, degeneration, radicular, and stenotic patterns: distant, 7-star and electro-acupuncture treatment; postural correction exercises.

 

Day 2: Diagnosis, Pattern Identification, and Treatment

Postural, myofascial, and multi-factorial lumbo-sacral, core musculature and pelvic girdle pain.

  • Distal and local electro-acupuncture
  • Trigger point needling: quadratus lumborum, iliopsoas, gluteals, hip external rotators, and abdominal muscles
  • Suction cupping + thoraco-lumbar AROM therapy
  • Gua sha therapies

Flexion dysfunctions: discogenic patterns.

  • Electro-acupuncture therapy
  • Exercise therapy
  • Ergonomics for discogenic pain
  • Evaluation and treatment of knee pain/quad weakness as a contributor

Extension dysfunctions: facetogenic and sacro-iliac patterns, neuroforaminal and central stenosis.

  • Electro-acupuncture therapy.
  • Tui na therapies.

Laxity of the iliolumbar, posterior sacro-iliac, and sacro-tuberous ligaments and pubic symphysis; spondylolysis and spondylolisthesis.

  • Prolo-acupuncture and electro-acupuncture therapy

Failed low back surgery syndrome

Home exercise programs for lumbo-sacral stabilization.

Build on your skills with the Review/Practicum Lab

 

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