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Advanced Physical Evaluation of Orthopedic Patients with Upper and Lower Quarter Neuropathic Syndromes

presented by Jack Stagge

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Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Accreditation Check:
In this course, Jack Stagge P.T., O.C.S., FAAOMPT will cover in depth topics that are introduced in both the Upper Quarter and Lower Quarter Basic Courses. The course will begin with a review of essential neuropathological definitions, pathological considerations, and the development of pseudoneuromas as a basis for further understanding of the mechanisms behind neuropathic syndromes. Advanced techniques for verifying patients with neuropathic pain syndromes will be presented, and evidenced-based objective measures such as algometry, surface temperature, and sensory measurements will be demonstrated to allow the practitioner the ability to objectify progress and modify treatment. The course will enable participants to apply their knowledge in their day-to-day practices, and integrate evidence obtained through evaluation with patient’s medical history to come to a differential diagnosis and identify patients who have been misdiagnosed as having standard orthopedic and sports medicine diagnosis, and may fail other treatment due to a primary or underlying neuropathic syndrome.

Meet Your Instructor

Jack Stagge, PT, OCS, FAAOMPT

Jack Stagge received his bachelor’s degree in Physical Therapy from CSU Fresno in 1978 and a specialty certification in Adult Neurology from U.S.C. in 1979. His postgraduate training includes extensive manual therapy course work in Norwegian, Australian, McKenzie and Cyriax protocols. He was chosen as a subject matter expert by the American Physical Therapy Board…

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Chapters & Learning Objectives

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1. Introduction to Neuropathic Syndromes

In this chapter, participants will review the essential neuropathological definitions, pathophysiological considerations, and the development of pseudoneuromas as a basis for further understanding of the mechanisms behind neuropathic syndromes. Differences between compressive and irritative/inflammatory conditions will be discussed.

2. Advanced Review of Upper and Lower Quarter Evaluation

In this chapter, Mr. Stagge will review the six specific components of the evaluation developed by Bob Elvey for both upper and lower quadrant neuropathic syndromes. Advanced considerations including algometry, surface temperature etc. will be illustrated.

3. Beyond the Duck

In this chapter, advanced techniques for verifying patients with Neuropathic Pain Syndromes will be presented. Thoughts for further study into these syndromes will be discussed.

4. Demonstration of Evaluation Techniques for the Upper and Lower Quarter

This chapter demonstrates evaluation techniques for the upper and lower quadrant. Specificity and proper positioning will be emphasized.

5. Putting it All Together

In this chapter, Mr. Stagge will explain how integrate the evidence obtained through the evaluation with the patient's medical history, prior injury history, and subjective report to come to a differential diagnosis. Mr. Stagge will present actual case studies from one upper and one lower quadrant patient to enable the participants to see the process as applied in everyday practice.

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