Integrative evaluation, diagnosis, and treatment of hip, thigh and knee pain and injuries 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 hip and knee: eastern and western.
- Urgent/serious medical conditions: spinal referred pain; joint infection, derangement and instability; arterial compression, venous thromboses, and avascular necrosis; pediatric/developmental conditions.
- Intra- vs. extra-articular vs. neuropathic conditions.
- Contributing factors and motion dysfunctions.
- AOM primary (jing-luo) and sinew (jing-jin) meridian patterns.
History-taking for the hip, thigh, and knee: key diagnostic questions.
Physical exam of the hip, thigh, and knee.
- Surface anatomy, inspection and palpation.
- Active range-of-motion: measurements, diagnostic significance.
- Passive range-of-motion/joint stress tests.
- Manual strength testing.
- Special orthopedic tests.
- Correlating history and physical exam with imaging studies.
- Documenting normal and abnormal findings.
Day 2: Diagnosis, Pattern Identification, and Treatment
Treatment modalities include:
- Myofascial trigger needling, disruptive/proliferative tendino- and ligamento-periostial acupuncture ("prolo-acupuncture"), 7-star, lancet and electro-acupuncture techniques.
- Active cupping, gua sha, tui na and muscle energy techniques.
- Exercise therapy and ergonomics re-training.
- Hip tendinitis/apophysitis; TFL 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.