With Instructor Anthony Von der Muhll, L.Ac., DAOM, DNBAO, FAIPM
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Day 1: Shoulder Girdle
Clinical anatomy, kinesiology, & the jing-jin ("sinew meridians" or myofascial tracts)
- Glenohumeral, acromio- and sterno- clavicular joints
- Muscles, tendons and ligaments of the shoulder girdle
- Shoulder bursae

History-taking for the shoulder: key diagnostic questions
- "Red flag" symptoms of urgent/serious medical conditions warranting referral to physician care: fractures, dislocations and complete tears; neuropathies; tumors
- Differentiating symptoms of muscle, tendon, ligament, labral, capsular, and nerve injuries
- Neural hypersensitization and psycho-social factors
- Functional capacity questionnaires for reporting to managed care insurance
Physical exam of the shoulder: how findings can guide treatment with acupuncture modalities
- Observation, inspection and palpation
- Joint active range-of-motion and tracking exam: taking measurements and diagnostic significance
- Assessment of joint stability through end-feel testing
- Muscle length and manual strength testing and referred pain patterns charts for 18 key muscles of the shoulder girdle
- Special orthopedic tests
- 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 for shoulder girdle pain, injuries and disability
- Gleno-humeral joint
- Non-capsular patterns: AMBRI and SLAP (labral) tears
- Capsular patterns: osteoarthorosis, capsulitis, and "frozen shoulder"
- Acromio- and sterno-clavicular joint sprains/separations and hypermobility
- Rotator cuff tendonitis/tendonosus, impingement, and bursitis
- Bicipital tendinopathies
Day 2: Arm, Wrist, and Hand
Clinical anatomy, kinesiology, and the jing-jin:
- Elbow joints: ulnar-humeral, radio-humeral and -capitellar
- Wrist joints: ulnar-carpal, radio-carpal, and distal radio-ulnar
- Muscles and tendons of the upper- and fore- arm and hand
History-taking for the arm, wrist, and hand: key diagnostic questions
- "Red flag" symptoms of urgent/serious medical conditions potentially warranting referral to physician care: fractures, neuropathies, complex regional pain syndrome
- Differentiating symptoms of muscle, tendon, ligament, joint, and nerve injuries
- Neural hypersensitization and psycho-social factors
- Functional capacity questionnaires for reporting to managed care insurance
Physical exam of the arm, wrist and hand
- Observation, inspection and palpation
- Active and passive range-of-motion examination of the elbow, wrist, and finger joints: measurements and diagnostic significance
- Assessment of joint stability through end-feel testing of the elbow, wrist and finger
- Peripheral nerve sensory and motor exams
- Manual and dynamometer strength testing, muscle length testing, and referred pain pattern charts for 20 key muscles of the arm, wrist and hand
- Special orthopedic, neurologic and vascular tests
- Documentation of physical exam findings
- Measuring and reporting functional capacity baselines and treatment outcomes
- Algorithmic flow charts to facilitate efficiency and accuracy in examination
Diagnosis, pattern identification and treatment for arm, wrist and hand pain, injuries and disability
Posterior & radial tracts: yangming and shaoyang
- Tennis elbow, extensor strains, tendinosus, radial tunnel compression neuritis and palsy
- Radial styloid stenosing tenosynovitis
- Radial collateral ligament sprains and hypermobility
Ulnar tract: taiyang and shaoyin
- Ulnar neuritis/neuropathy
- Ulnar groove compression
- Canal of Guyon compression
- Acute sprains and chronic laxity of the ulnar-carpal joint
- Acute tendonitis and chronic tendonosus
- Golfer’s elbow & “medial epicondylitis”
- Extensor carpi ulnaris
- Flexor carpi ulnaris
- Abductor digiti minimi
- Ulnar collateral ligament laxity & “Little league elbow”
Anterior tract: taiyin, shaoyin, jueyin
- Biceps, supinator and forearm flexor tendonitis and tendonosus
- Median neuritis/neuropathy
- Pronator teres syndrome
- Carpal tunnel syndrome
Intrinsic wrist conditions
- 1st CMC joint pain: sprains, DJD
- Triangular fibrocartilage complex tears
Intrinsic hand conditions
- MCP and inter-phalangeal joints
- Sprains and laxity of finger collateral ligaments
- Degenerative joint disease
- Finger extensor tendonitis
Ergonomics, postural correction and exercise therapy for shoulder, arm and hand conditions:
- Scapular stabilization
- Rotator cuff strengthening
- Forearm exercises
- Wrist stabilization
- Keyboard ergonomics