3/5~6 Acupuncture Treatment of the Jing-Jin (“Sinew Meridians”): Shoulder, Arm, Hand Dr. Anthony Von der Muhll, L.Ac., DAOM, DNBAO, FAIPM
specializes in sports, orthopedic and neuro-musculoskeletal injuries and pain conditions. He became Licensed as an Acupuncturist in 2003, and was the first graduate of the Five Branches University’s’ Integrative Sports Medicine program. He has served as a Clinical Instructor and Associate Professor at the Five Branches since 2005, and as an Instructor in the Doctorate of Acupuncture and Oriental Medicine Program of the Academy of Chinese Culture and Health Sciences beginning in 2017. He is also a Diplomate of the National Board of Acupuncture Orthopedics, a Fellow of the American Academy of Pain Management, and certified as a Personal Trainer through the American College of Sports Medicine. He is also one of the few traditionally-trained acupuncturists who has also become certified as a Myofascial Trigger Point Therapist (dry needling) through Myopain Seminars. He has 20 years of clinical experience as a sports massage therapist, physical therapy aide, athletic training assistant, and licensed acupuncturist in multi-disciplinary clinics, including SpineMed Associates and the PRIME Pain Medicine Institute. He has also served as an Expert Witness for the California Acupuncture Board (CAB) and in civil malpractice litigation.
March 5, 2022-March 6, 2022 9:00 AM-5:30 PM
Room: 101
16 Category 1 CAB units available
Type: Online Via Livestream or Recorded Lectures
Description:
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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
Course Objectives:
Study the Acupuncture Treatment of the Jing-Jin (“Sinew Meridians”): Shoulder, Arm, Hand