The PNMT Upper Extremity Seminar is one of the most popular seminars in the PNMT core series. It is an in-depth look at shoulder issues and problems of the hand and arm, an important area for those of us whose hands are our instruments!

Part One: The Shoulder

Friday evening and all day Saturday we will address the shoulder, analyzing both scapular movement and glenohumeral movement. In the first section we will address muscles that affect movement of the scapula. Full scapular motion is crucial to full range of motion of the arm as the motions are paired. The complexity of the scapular muscles alone is a bit challenging; it is important to pair scapular movements with corresponding humeral motions. By the end of the seminar, you will never watch someone lift their arm and see it in the same way again!

In the second section of the shoulder, we will focus on pure humeral motion. Full range of the arm is often restricted in ways that we do not often realize. You will learn to precisely measure and then affect change in the movements that are quite amazing! You will be surprised at the changes in range of motion and ease of movement you can create in a short amount of time. Your clients will really appreciate the difference, your effectiveness rate with stubborn shoulder problems will dramatically improve.

Part Two: Hand and Arm Issues

The second part (most of the last day) of the PNMT Upper Extremity Seminar looks at hand and arm issues including repetitive strain issues and various forms of overuse syndromes. This is a complex area, but whom better to treat it than people who use their hands as the tools for healing? Most of us learn the anatomy of this area only later to forget it once again. Memorizing muscles with no real connection to meaning doesn't work for most of us. When you see how each muscle has a distinct set of symptoms, it is easier to remember individual anatomy. You will assess each muscle for individual involvement and treat each one appropriately.

The hand and arm section is organized with two agendas: common pain conditions and nerve entrapment.

You will learn the latest information about repetitive strain injuries, why they happen and what can be done to prevent them. You will also study and learn to treat common conditions like pain at the lateral epicondyle (tennis elbow), pain at the medial epicondyle (golfer's elbow), and various other overuse conditions of the hand and arm.

The nerve entrapment information that we present will change the way you understand (and therefore treat!) numbness and tingling of the extremities. With a deep model of understanding of nerve entrapment, your effectiveness in treating these problems will soar! We will address entrapments of the radial, median, and ulnar nerve. This is not a quick recipe that promises to solve carpal tunnel in ten minutes or less. Real problems demand real answers. We will present cutting edge but scientifically sound information. With PNMT, you will have the tools to effectively address the needs of your client. After all, the work should be judged by the results attained. Our focus is to help you serve your clients better, through approaches that are clinically and scientifically sound.

Do you know. . .

 * What is the role of the latissimus in forward flexion of the humerus?
 * Why the median nerve is affected by breathing
 * Why resistive testing and active testing can be so valuable in determining which muscle is the real problem
 * Why pain in the dorsal forearm is not surprising if the person describes having thumb pain
 * Why most frozen shoulders are not frozen at all
 * Why your client has pain in the anterior shoulder and you correctly assume it is the subscapularis