The "Double Crush" Re-Evaluated: Finding Proximal Drivers of Distal Arm Pain

At the completion of this seminar, the participant will be able to:

• Confidently palpate and correctly differentiate each of the muscles covered in class in the upper extremity, trunk and lower extremity
• Independently demonstrate how 10 muscle dysfunctions relate to common symptom patterns found within the body
• Correctly and independently state and locate the origin and insertion of each of the muscles covered in the class
• Describe at least 5 functional synergist patterns
• Independently state at least 3 possible drivers of a dysfunction based on clinical presentations

1. Clearly state 3 physiological mechanisms of Double Crush Syndrome that explain how a proximal subclinical compression sensitizes a nerve to distal injury.
2. Correctly describe 3 ways to utilize the “structural differentiator” during neural tension testing to determine if the clinical driver is proximal (Neck/TOS) or peripheral (Wrist/Elbow).
3. Clearly state 3 mechanical “tunnels” of the Thoracic Outlet and describe how a restriction in these specific areas contributes to distal upper extremity paresthesia.
4. Correctly describe 3 clinical “If/Then” scenarios for manual therapy interventions at the cervical spine and first rib used to restore neural mobility.
5. Clearly describe 2 primary differences between Neural Sliders and Neural Tensioners and correctly identify when to use each based on the patient’s level of tissue irritability.
6. Clearly state 3 components of the Upper Quadrant Scan used to systematically rule out proximal drivers in patients presenting with carpal tunnel or tennis elbow symptoms.

CEU Approval Coming Soon…

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