With Instructor Anthony Von der Muhll, L.Ac., DAOM, DNBAO, FAIPM
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Clinical anatomy, kinesiology and the jing-jin (“sinew meridians” or myofascial tracts)
- Bones, joints, muscles, tendons, and neurology
- Posture and motion dysfunctions
- The arthritic progression: strain/sprain, derangement, degeneration
History-taking for the calf, ankle, foot: key diagnostic questions
- “Red flag” symptoms of urgent/serious medical conditions potentially warranting referral to physician care: spinal neuropathy; fractures; joint derangement and instability; arterial compression, venous thromboses; complex regional pain and compartment syndromes
- Differentiating symptoms of joint, muscles, tendon and nerve root injuries
- Neural hypersensitization and psycho-social factors
- Functional capacity questionnaires for reporting to managed care insurance
Physical exam of the calf, ankle and foot: how findings can guide treatment with acupuncture modalities
- Observation of gait dysfunctions
- Surface anatomy, inspection and palpation
- Ankle and foot joint active range-of-motion, tracking and functional tests: measurements, diagnostic significance
- Ankle and foot passive range-of-motion and joint-play/end-feel stress tests
- Muscle length and manual strength testing and referred pain pattern charts for 20 key muscles of the calf, ankle, and foot
- Special orthopedic tests for the ankle and foot
- 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
Calf
- Gastroc/soleus strains and plantaris ruptures
- Achilles, tibialis anterior, peroneal, and toe extensor tendinitis and nodular tendinosus
- Tibialis posterior dysfunction
- Medial tibial stress (“shin splints”) syndrome
Ankle joint
- Ankle sprains
- Calcaneal bursitis
- Chronic ankle instability: ATF, PTF, and CF ligamentous laxity
- Post-surgical adhesive capsulitis
- Degenerative joint disease/osteoarthrosis
- Sinus tarsi and lateral ankle impingement syndromes
Foot
- Acute sprains/strains
- Plantar fasciitis and metatarsalgia
- Turf toe and sesamoiditis
Peripheral neuropathies
- Peroneal neuropathy
- Tarsal tunnel syndrome
- Morton’s neuritis and neuromas
- Reflex sympathetic dystrophy/complex regional pain syndrome
Treatment modalities include:
- Myofasicial Trigger Needling: tibialis anterior, toe extensors, fibularis group, gastroc/soleus
- Prolo-acupuncture: ankle and foot ligaments, mid-foot, metatarsal and toe joints
- Active Cupping: suction + ankle ROM for calf muscle stretching
- Gua sha and tui na to normalize ankle joint mechanics
- Electro-acupuncture for peripheral nerve entrapment
- 3-edged, lancet and 7-star needle therapies
- Exercise therapy for calf, ankle and foot injury recovery and prevention
- Splints, taping, and footwear prescription
- Stabilization splints and sleeves
- Motion control vs. barefoot theories
- Taping techniques for plantar fasciitis
- Calf, ankle and foot strengthening, stretching and stabilization
Build on your skills with the Review/Practicum Lab.
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