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PNUQ: Spring 2020
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**Registration Open**


PNUQ:  More Than U.L.T.T’s: Peripheral Neuropathic Syndromes in Orthopedic & Sports Medicine Patients: Upper Quadrant
_____$400 APTA Member 
_____$500 Non-Member 
_____$100 Student


PNUQ:  More Than U.L.T.T’s: Peripheral Neuropathic Syndromes in Orthopedic & Sports Medicine Patients: Upper Quadrant

Jack Stagge, PT, OCS, FAAOMPT

International Manual Therapy Seminars



This 2-day course will present concepts of differential diagnosis and treatment of patients with upper quadrant pain and loss of function pioneered by Bob Elvey P. T., GDMT.   Participants will learn to integrate the six sensitive and specific evaluation techniques into their standard evaluations and specific treatment protocols will be demonstrated and practiced. Often misdiagnosed maladies of the upper quadrant including shoulder impingements, “chronic tendonitis”, adhesive capsulitis, failed whiplash syndromes etc. will be discussed and well documented neurogenic causation will be presented. Real patient examinations, videos, case presentation, and lab practical’s will allow for application into the participant’s daily practice.

Course Objectives

At the conclusion of the course, participants should be able to:

  • Develop a better understanding of the current evidence and research into neuropathic pain syndromes.
  • Gain an understanding of the complexity and far reaching consequences peripheral nerve irritability can have on musculoskeletal tissues and function.
  • Demonstrate the ability to rule in and rule out neuropathic pain as the causation of patient’s pain, pattern losses, and functional disability.
  • Identify standard orthopedic maladies of the lower quarter that can have their origins in neurogenic inflammation.
  • Demonstrate the skills and knowledge base to integrate both the evaluation skills and the treatment protocols into their normal protocols.
  • Successfully apply manual techniques in specific positions and devise specific home programs to enhance the progression of their patients.
  • Identify measurable outcomes of treatment of peripheral nerve sensitization that reflect the value of these interventions when considering documentation for compensation based upon value- based care.


Day 1

8:00 - Introduction - Patient profiles

8:15-  Orthodiagnosis Types -  Orthopedic Evaluation

8:30 - Compression vs. P.N.S. and Evaluation Algorithm

9:00 - Pathophysiology - Causation of PNS   

9:45 - Subjective Evaluation

10:00 - Break

10:15 - Objective Evaluation:  DUCK, Posture and Active Testing

10:45 - Demo and Lab on Active Testing

12:00 - Lunch

2:00 - Passive Testing – Demo, Lab and Elvey Video on Passive Testing

4:00 - Break

4:15 - Neuro palpation demo and lab

6:00 – End Day 1

Day 2

8:00 - Review of DUCK

8:15 - Tender Points/Specific Signs of Local Dysfunction

8:30- Demo and Lab Trigger Point or Tender Point Palpation/Specific Signs of Local Dysfunction

9:45 - Putting it altogether

10:15 - Break

10:30 - Ortho and Sports Med Patient Presentation

11:00 – Treatment and treatment demo

12:00 - Lunch

1:00 - Treatment Lab

1:45 - Patient Self Treatment  - Home Programs demo and lab

3:15 - Break

3:30 - Treatment Sequencing

3:45 - Further Consideration and Research into efficacy

4:00 - Patient Specificity, Review etc.

4:45 - Post Test

5:00 - End


This is a 15-hour course with hands on experience, equivalent to 15 CEUs.


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