PNMT Lower Extremity Seminar

In many ways, the lower body is the unsung hero of the muscular system. It has an enormous responsibility in providing both support and locomotion. To effectively treat the lower body, the therapist must understand the relationships and complexities of the musculature. The class is structured upon precise manual techniques for incredibly thorough treatment interspersed with clinical applications to help the therapist know what muscles to treat and why to treat them. 


Three major areas of focus of the PNMT Lower Extremity are:


1. The HipRestrictions and pain in the hip muscles are very common, yet often the client is unaware of the extent of the restriction. The effect of these restrictions is often played out as pain elsewhere, such as lower back pain. What the hip cannot do, the lower back will compensate for. No amount of lower back treatment will ultimately be successful if the hip restriction is unaddressed. After learning very precise assessment approaches, treatment of the complex muscles of the hip is highly focused and precise. 


2. The KneeThere are multiple muscular causes for medial, lateral, and posterior knee pain. If the client presents these symptoms to other health care providers, an immediate assumption is made that deeper more intrajoint structures are suspect. Our evaluation techniques can help you discern when to refer, but quite often the problem is found in the musculature surrounding the knee. It is a great service to your client if PNMT can solve what is perceived to be a much more intrinsic problem via precise manual methods. 


3. The Foot  What a structural masterpiece! From ankle sprains to conditions that present like and mimic plantar fasciitis, this area of the course will be infinitely practical. So many people struggle with foot pain and need the highly precise treatment that PNMT has to offer. The foot is very complex, but we will break it down in a memorable and applicable way that will drastically increase your results. 


The class is predominately hands-on. You must understand the assessments, but you must "know" the techiques in your hands, and there is no way to do that other than doing them multiple times on multiple people. In the end, we don't just teach you how, we teach you why


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Objectives for the PNMT Lower Extremity Seminar are:


  1. To understand the three criteria which might indicate the presence of osteoarthritis of the hip
  2. That the participant can state at least two indicators for treatment of each muscle covered in the seminar
  3. That the participant can state two signs which would clearly differentiate between hypomobility and hypermobility of the SI joint
  4. To clearly state the accepted norms for internal/external range of motion of the hip and demonstrate the measurement protocol
  5. To demonstrate the measurement of hip adduction and name two muscle which may limit it
  6. To state one criteria which definitively differentiates grade one, two, and three hamstring strains
  7. To state the accepted norm of hamstring range of motion and demonstrate measurement
  8. To explain the possible role between adductor magnus and the hamstrings and cite the research which links them
  9. Name three soft-tissue structures implicated in medial knee pain
  10. Name two soft-tissue structures implicated in lateral knee pain
  11. Name two common symptoms of plantar fasciitis and name one muscle commonly involved
  12. Name a least three common physical findings in the presence of a trigger point


Typical Timeline

Friday Evening

6:00 PM to 6:30 PM   Registration

6:30 to 6:50Introduction, General principles of Precision NMT


7:30 to 8:00 Lecture on the similar pain patterns of the low back, sacroiliac joint, and hip pathology.  Discussion of red flags that indicate referral to physicians. 

8:00 to 8:30Demo on hip ROM


8:45 to 9:30 Practice


9:00 to 10:00 Continue with hip movements and practice


10:15 to 10:45 Lecture and demo on the gluteal group

10:45 to 11:30 practice


11:40 to 12:00 Sacrotuberous ligament anatomy and treatment demo

12:00 to 12:30 Practice

12:30 to 1:30Lunch

1:30 to 2:00 Deep Hip Rotator anatomy and demo

2:00 to 2:30 Practice


2:40 to 3:00 ITB and TFL anatomy and demo

3:00 to 3:40 Practice


3:50 to 4:15 Hamstring anatomy and demo

4:15 to 4:45 Practice

4:45 to 5:00 Adductor anatomy and demo

5:00 to 6:00 Adductor practice


9:00 to 9:20 Questions from previous day

9:20 to 9:45 Quadricep anatomy and demo

9:45 to 10:20 Practice


10:40 to 11:10 Popliteus and Plantaris anatomy and demo

11:10 to 11:30 Practice


11:40 to 12:00 Anterior compartment of lower leg anatomy and demo

12:00 to 12:30 Practice


1:30 to 2:00 Lateral Compartment anatomy and Demo

2:00 to 2:30 Practice


2:40 to 3:10 Posterior compartment anatomy and demo

3:10 to 3:50 Practice


4:05 to 4:15 Discussion of Plantar fascitis

4:15 to 4:40 anatomy of foot musculature and demo

4:40 to 5:10 Practice

5:10 to 6:00 Review