We held our 2nd Upper Extremity module in Paris for 2016 the 1st to the 4th of December. The course was held at l’IFEC, Institut Franco-Européen de Chiropraxie, Ivry Sur Seine. The course participants were very eager and dedicated throughout the whole course. 90% of the participants passed their practical exam although the course was very intensive and demanding. Thank you so much to all participants for their overwhelming feedback. Good luck with your patients and athletes! Course Instructors: Nicolai van der Lagen and Ole R. Johansen (both from Norway, but teaching in French).
Male patient aged 44 with pain on the medial side of the right elbow and on the ulnar side of the forearm. The problem has been present for a couple of years, but it always gets worse during the summer. Last winter was also painful, but symptoms were not constant, more following the activity level. Loss of strength in the forearm and grasping followed the pain. Symptoms started to present on the left side this year. Very active person who competes on high level endurance races cross country.
During examination we quickly found out that the ulnar nerve was very tight and that the nerve itself bounced anteriorly and posteriorly during extension and flexion of the elbow. Increased tightness of the ulnar nerve was palpated by the medial elbow/forearm when shoulder external rotation and abduction were introduced (more stretching of the nerve). Patient reported increased symptoms when ulnar nerve was tested. Patient presents restrictions in shoulder external rotation and abduction (more active than passive).
“Conclusion: If you’re a clinician, get out there and use the soft tissue techniques taught in these videos for the greater good of your patients and clients. Manual soft tissue treatments can be a game changer in terms of increasing your efficiency in treatment, and streamlining the total duration of patient care.”
Her knees always get painful first and then the hips will start to hurt. This typically happens after 45 to 60 min. of playing tennis. She feels that it is a bit less painful and that it takes longer time to trigger the symptoms when playing on softer ground.
Examination indicated a compensatory pattern from the toes to the spine. Reproduced knee pain by testing and palpating the knee capsule, lateral meniscus and the insertion of the iliotibial band. Both feet were pronating. Stretching the external rotators of the hip showed restrictions and increase in pain. Adductors were sensitive and shortened. Decreased dorsal flexion of the ankle both side and decreased inversion of ankle joint. Squatting was difficult to perform. Poor activation of peroneus longus and brevis.
The ART Lower Extremity level 1 course in Moss – Norway was a great success. Participants from The Netherlands, USA, Canada and Norway worked together for 4 intensive days at HQ Europe seminar room. Participant backgrounds: Chiropractors, Physiotherapists and Osteopaths.
During the Lower Extremity course participants work hands on with clinical approaches for a variety of diagnoses and cumulative soft tissue problems. Accurate handling with our tools of preference (our fingers and hands) are demonstrated and reviewed throughout the entire course.
The Upper Extremity course and the Long tract nerve entrapment course were held at Vasala Sport Institute in Tampere – Finland. This was the 8. time Team Europe held a course in Finland. The group of ART providers is growing in Finland. And what a group of clinicians! Participants on this course were Chiropractors, Physiotherapists and Sport Massage therapists.
The Upper Extremity module is by far the most complicated and probably also the most difficult. Participants work together with the Instructors for 4 intensive days. Proper hands on techniques are demonstrated from the fingers to the shoulder during the course.
Congratulations to all participants passing their exams at our ART Upper seminar with FC Midtjylland in Herning, Denmark, this weekend! Great course with great and dedicated therapists from Denmark. Thank you all for your wonderful feedback, and we are looking forward to see you again!
Good luck with using your new skills in your practice!