Shoulder, Arm, Hand

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

Next offering: TBA. Please let us know of your interest in a distance-learning class.

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 Class/E-book Content

Day 1: Shoulder Girdle

Clinical anatomy/patho-anatomy and relationships to the jing-jin ("sinew meridians" or myosfascial tracts):

  • Acromio- and sterno-clavicular joints
  • Gleno- and scapulo-humeral joints
  • Muscles and tendons of the shoulder girdle
  • Shoulder bursae

Diagnostic priorities

  • Identifying/ruling out urgent/serious medical conditions: fracture/dislocations, neuropathies, cartilagenous injuries
  • Identifying contributing factors: posture, ergonomics, psycho-social stress, and others
  • Identifying affected jing-jin ("sinew meridians") patterns

History-taking for the shoulder: key questions and techniques

Physical cxam of the shoulder (live class only)

  • 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 tests
  • Documenting normal and abnormal findings

Diagnosis, pattern identification and treatment for shoulder girdle

  • Gleno-humeral hypermobility (TUBS and AMBRI), labral tears and DJD
  • Acromio-clavicular hypermobility and DJD
  • Sterno-costal hypermobility
  • Scapulo-humeral motion dysfunction
  • Capsulitis, adhesive and non-adhesive ("frozen shoulder")
  • Rotator cuff tendonitis/tendonosus, impingement, and bursitis

Day 2: Arm, Wrist, and Hand

Clinical anatomy/patho-anatomy and relationships to the jing-jin ("sinew meridians" or myosfascial tracts): 

  • 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

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 affected jing-jin ("sinew meridians") patterns

History-taking for the arm, wrist and hand: key questions and techniques

Physical cxam of the arm, wrist and hand (live class only)

  • 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 tract: 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 tract: 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 tract: 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, 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

Build on your skills with the Review/Practicum Lab

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