With Instructor Anthony Von der Muhll, L.Ac., DNBAO, FAIPM
Saturday-Sunday, December 7-8, 2019, 9:00 a.m.-6:00 p.m. (16 CEUs pending) at ACCHS, 1600 Broadway, Oakland CA.
Not able to attend on this date? Please let us know of your interest in a distance-learning class.
Course Content
Day 1: Shoulder and Shoulder Girdle
Clinical anatomy/patho-anatomy and relationships to the jing-jin:
- Acromio- and sterno-clavicular joints
- Gleno- and scapulo-humeral joints
- Muscles and tendons of the rotator cuff, shoulder and shoulder girdle
- Shoulder bursae
Diagnostic priorities
- Identifying/ruling out urgent/serious medical conditions: fracture/dislocations, vasculopathies, neuropathies, cartilagenous injuries
- Identifying contributing factors: posture, ergonomics, psycho-social stress, and others
- Identifying AOM meridians and patterns
History-taking for the shoulder: key questions and techniques.
Physical cxam of the shoulder.
- Surface anatomy, inspection and palpation
- Active range-of-motion: measurements, diagnostic significance
- Passive range-of-motion and joint play/stability exam
- Peripheral nerve sensory and motor exams
- Manual strength testing
- Special orthopedic, neurologic and vascular tests
- Documenting normal and abnormal findings
Diagnosis, pattern identification and treatment for shoulder girdle.
- Anterior and inferior gleno-humeral hypermobility and DJD
- Acromio-clavicular hypermobility and DJD
- Sterno-costal hypermobility
- Scapulo-humeral motion dysfunction
- Capsulitis, adhesive and non-adhesive
- Rotator cuff tendonitis/tendonosus, impingement, and bursitis
Day 2: Arm, Wrist, and Hand
Clinical anatomy/patho-anatomy and relationships to the jing-jin:
- Elbow joint
- Wrist joints
- Muscles and tendons of the upper- and fore-arm and hand
Diagnostic priorities
- Identifying/ruling out urgent/serious medical conditions: fracture/dislocations, neuropathies, cartilagenous injuries, complex regional pain syndrome
- Identifying contributing factors: posture, ergonomics, psycho-social stress, and others
- Identifying AOM meridians and patterns
History-taking for the arm, wrist and hand: key questions and techniques.
Physical cxam of the arm, wrist and hand.
- Surface anatomy, inspection and palpation
- Active range-of-motion: measurements, diagnostic significance
- Passive range-of-motion and joint play/stability exam
- Peripheral nerve sensory and motor exams
- Manual and dynanometer strength testing
- Special orthopedic, neurologic and vascular tests
Documentation of normal and abnormal findings.
Diagnosis, pattern identification and treatment for arm, wrist and hand.
Posterior/radial chain: yangming and shaoyang disorders.
- Extensor strains, tendinosus, tennis elbow, radial tunnel compression neuritis and palsy
- Radial styloid stenosing tenosynovitis
- Radial collateral ligament sprains and hypermobility
Ulnar chain: taiyang and shaoyin disorders.
- 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 ulnari
- Abductor digiti minimus
- Ulnar collateral ligament laxity (“Little League Elbow”)
Anterior chain: taiyin and jueyin disorders
- Biceps and forearm flexor tendonitis and tendonosus
- Median neuritis/neuropathy
- Pronator teres syndrome
- Carpal tunnel syndrome
Intrinsic wrist conditions
- 1st CMC joint pain
- Sprains and ligamentous laxity
- Degenerative joint disease
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:
- Cervical decompression
- Scapular stabilization
- Rotator cuff strengthening
- Forearm exercises
- Wrist stabilization
- Keyboard ergonomics