Practical Approach to Shoulder Dysfunction

Practical Approach to Shoulder Dysfunction: Conservative and post-operative interventions with cadaver instruction
6 hours

This course will provide an overview of structural anatomy and surface palpation anatomy.
Basic pathology of common shoulder injuries will be explored as well as provocative testing.
Differential diagnosis and treatment interventions will be covered, and ample time will be
allocated to graded activities, protocols review and cadaver lab. This course is geared to the
clinician who appreciates the hands-on approach to therapy.

• Kendyl Brock Hunter, OTR/L, CHT
• Robert McClellan, OTR/L, CHT

• Increased appreciation and understanding of shoulder anatomy and kinematics
• Identify surface shoulder anatomy through palpation and identify pathology common to
shoulder injuries and its function
• Be able to administer provocative testing specific to shoulder dysfunction
• Develop specific treatment interventions for shoulder injuries including graded activities
• Understand the rationale for various shoulder protocols, precautions and adaptations to

9:00 Registration
9:30 Overview of shoulder anatomy: Structure and function
10:30 Provocative testing to identify shoulder pathologies (instruction and lab)
11:30 Evaluation and treatment…what works
12:30 Lunch
1:00 Cadaver Lab – interactive anatomy review
2:00 Clinical exercises to maximize outcomes…the do’s and don’ts
3:00 Protocols review and new trends in rehabilitation
4:00 Adjourn

GHUESIG Conference 2020

We hope that you will join us again in Savannah for our fourth year running. Each year has gotten better and there is no reason to think that this will not be the same. 16 CEUs for only $375 with lecture, orthosis and cadaver labs!



Friday May 1, 2020

7:45 – 7:55   Welcome and Orientation

7:55 – 8:55   Aviva Wolff, Ed.D, OT, CHT  “Communication is Key:  When Things Go Wrong between Provider and Patient”

8:55  – 10:10  Aviva Wolff, Ed.D, OT, CHT “Precision Rehabilitation for Upper Extremity Injuries in Musicians:  Individualized Assessment, Prevention and Treatment

10:10 – 10:25    Break – Visit with Exhibitors

10:25 – 11:10   Dr. Michael Gottchalk “Minimally Invasive Techniques in Elbow Contractures”

11:10 – 11:50  Dr. Charles Daly  “Prevention of Post-Operative Nerve Injuries”

11:50 – 1:00   Lunch Provided –  Exhibitor Time

1:00 – 2:00   Panel of Experts (Physicians, Therapists)

2:00 – 5:15 pm   Rotating Breakout Sessions

Room 1:  Cadaver Dissection and Discussion

Room 2:  Bob Phillips, OTR/L, CHT   Splinting Lab  “Yoke Splint”

Room 3:  Kim Kraft, PT, DPT, CHT   “Upper Quarter Concepts for Screening and Treatment”


Saturday,  May 2, 2020

7:55 – 8:00  Welcome

8:00 – 9:15  Katie McBee, PT, DPT, OCS, MS  “Fine Tuning Communication to Improve Outcomes with Complex Pain Patients

9:10 – 10:00  Dr. John Dalton  “Shoulder Arthroplasties”

10:00 – 10:30   Graham Reaves, MS, OTR/L  “Rehabilitation of Shoulder Arthroplasties”

10:30 – 10:45  Break with exhibitors

10:45 – 11:55   Dr. Jed Maslow   “Advances in Amputee Care: The Starfish Procedure”

12:00 – 1:15   Lunch Provided,

1:15 – 5:00 pm Breakout Sessions

Room 1  Becki Neduski, PhD, OTR/L, CHT “Building a Better Flexor Tendon Protocol: Movement, Measurement and Outcomes”

Room 2:   Jamie Bergner, OTD, OTR/L, CHT, COMT  “Is it Really Lateral Epicondylosis?  A Manual Therapy workshop for Successful Treatment of Lateral Elbow Pain”

Room 3:  Jim Wagner, OTD, OTR/L, CHT, OSCS “Multimodal Approach to Soft Tissue Dysfunction –  Scaping, Taping and Cupping”


Lodging Information

In addition to rental options (VRBO, AirBNB, etc.), GHUESIG has partnered with the following hotels for special rates:

Embassy Suites (Conference Hotel)

605 West Oglethorpe Ave.

(912) 721-6900


Parking $25 day


Hampton Inn and Suites

603 West Oglethorpe Ave.

(912) 721-1600


Parking $20 day


Residence Inn

500 West Charlton Street


$199- $229

Parking $25 day


Thunderbird Inn

611 Oglethorpe Ave.



Parking $15 day

2020 South Carolina Hand Therapy Conference

Registration method is on line at:


with PayPal.



This all in one course will apply current evidence with novel treatment ideas to clinical practice for upper extremity nerve conditions.  Participants will learn a step-by-step approach to examine and provide therapeutic management for neuropathic conditions including proximal to distal compressions.  The course is designed to provide hand therapists with immediate clinical application for the treatment of patients with neuropathic compression pain and injury.  Therapists will be prepared to assess and implement evidence-based techniques for common nerve injuries.   Practical and clinical reasoning skills will be gained to incorporate, and progress posture exercises, manual techniques, orthotic management and nerve mobilization based on a client’s individual presentation.




Tambra Marik, OTD, OTR/L, CHT

Assistant Professor at the Medical University of South Carolina with an academic focus in Musculoskeletal Injuries of the Upper Extremity. Dr. Marik has had multiple publications in the Journal of Hand Therapy, the American Journal of Occupational Therapy and in the Test Prep for CHT Exam Book. She has held several positions American Society of Hand Therapists including Education and Research Division Director.

Dr. Marik has treated as an OT and CHT at ATI Physical Therapy (previously Apple PT) and MultiCare U.E. Rehab. In Tacoma, WA. She has given over 30 professional presentations on the upper extremity and treatment of the shoulder to hand.


Dr. Andrea Gale, MD

Dr. Andrea Gale is a board-eligible, and fellowship-trained orthopedic surgeon who specializes in the treatment of disorders of the hand and upper extremity. Her clinical expertise is in minimally invasive endoscopic and arthroscopic procedures, injection therapies and nonsurgical treatments of the hand and upper extremity. She obtained her medical degree from Medical University of South Carolina, and completed her orthopedic surgery residency at Houston Methodist Hospital in Houston, TX.  She is dual fellowship trained in shoulder surgery and hand surgery.  She completed her fellowship in shoulder surgery at the Idaho Shoulder Research and Education Foundation in Eagle, ID, and a fellowship in hand surgery at the University of Connecticut School of Medicine in Hartford, CT.

Dr. Gale’s areas of interest include carpal tunnel syndrome, cubital tunnel syndrome, Dupuytren’s disease, trauma, fractures, tendonitis, arthritis and peripheral nerve injuries of the upper extremity.


* Medical School: Medical University of South Carolina – 2011

* Internship:  Medical University of South Carolina – 2012

* Residency: Houston Methodist Hospital – 2016

* Fellowship: Idaho Shoulder Education and Research Foundation- 2017

* Fellowship: University of Connecticut School of Medicine – Hand and Upper Extremity – 2018


Marc Bartholdi, OTD, OTR/L, CHT

Dr. Marc T. Bartholdi OTR/L, CHT, OTD

Dr. Bartholdi is a fellowship trained certified hand therapist with over 20 years of experience in upper extremity evaluation, treatment, and management. He received his undergraduate degree from Keuka College, completed a hand therapy fellowship with Texas Women’s University, and finished a clinical doctorate with Rocky Mountain University of Health Professions. Dr. Bartholdi is Select Physical Therapy’s Hand Program Coordinator for Charlotte, NC. He is also an active member of American Occupational Therapy Association (AOTA), American Society of Hand Therapists (ASHT), South Carolina Occupational Therapy Association (SCOTA), and South Carolina Hand Therapy Association (SCHTA). Dr. Bartholdi has served as a committee chair for ASHT and currently serves as a board member at large for South Carolina Hand Therapy Association (SCHTA). He relocated to Tega Cay, SC in 2015 with his wife, also an occupational therapist, and their 2 children.




Course Objectives:

  1. Distinguish between proximal and distal nerve injuries.
  2. Assess proximal nerve root and peripheral compressions and determine treatment planning based on a client’s individual presentation.
  3. Analyze movement patterns and posture to determine contributing mechanisms of nerve compression.
  4. Interpretation of clinical tests and findings for treatment planning.
  5. Implement elastic taping, manual techniques, mobilizations and exercises into clinical practice for individuals with nerve injury
  6. Identify appropriate orthosis management based on case studies and clinical findings.
  7. Construct treatment plans with appropriate progressions.



 Morning Session 8:00 am to 9:00 am

  1. Physiology of a nerve
  2. Pathophysiology of nerve injuries
  • Nerve pathways at brachial plexus
    1. Brachial Plexus injuries
    2. Clinical presentation
  1. Surgical Management of Peripheral Nerve Compression/Injury
  2. Compression of the Median Nerve
    1. Carpal Tunnel Syndrome
      1. Open Release
      2. Mini-Open Release
  • Endoscopic Release
    1. Two Portal Technique
    2. Single Portal Technique
  1. Ultrasound Guided Release
  2. Recurrent Carpal Tunnel and Revision Surgery
  1. Pronator Syndrome
  2. Anterior Interosseous Syndrome
  1. Compression of the Ulnar Nerve
    1. Compression at Guyon’s Canal
    2. Cubital Tunnel Syndrome
      1. In-Situ Decompression
      2. Medial Epicondylectomy
  • Subcutaneous Anterior Transposition
  1. Intramuscular Transposition
  2. Submuscular Transposition
  3. Recurrent Cubital

Tunnel and Revision

  • Compression of the Radial Nerve
    1. Superficial Radial Nerve Compression
    2. Posterior Interosseous Nerve Syndrome
    3. Radial Tunnel Syndrome
      1. Transmuscular Brachioradialis-Splitting approach
      2. Posterior Approach
  • Anterior Approach
  1. Proximal Radial Nerve Compression
  • Conservative management of nerve compressions

10:15 to 12:00

  1. Cervical nerve compressions
    1. Clinical presentation
    2. Clinical management

Lab:  Cervical screening

Elastic taping technique

Lunch 12:00 pm to 1:00 pm

Afternoon Session 1:00 pm to 3:30 pm

  1. Thoracic Outlet Syndrome (TOS)
    1. Anatomy and common areas of nerve entrapment
    2. Clinical tests, key features of TOS, terminology (neurogenic vs venous)
    3. Shoulder and thoracic factors
    4. Central sensitization
    5. Surgical options
    6. Clinical management for conservative treatment

Lab:  TOS screening, exercise

progressions, manual

techniques (scalenes and

pectoralis minor release,

clavicle mobilizations),

elastic taping, scapulothoracic


posture assessment

Break 3:30 pm to 3:45 pm

Afternoon Session 3:45 pm to 5:00 pm

  1. Conservative management Peripheral

nerve injuries

  1. Presentation, clinical testing, therapy management

Lab:  Nerve gliding and case


  • Post-op Management
  • Case studies
  • Wrap up


SCHTA Annual Business Meeting will be held during lunch.  All participants are invited to participate.


Vendors will be providing breakfast and lunch.



Staybridge Suites Columbia

1913 Huger St, Columbia, SC 29201

(803) 451-5900


Springhill Suites Columbia Downtown / The Vista

511 Lady St, Columbia, SC 29201

(803) 978-2333

Cost 149 night. Reserve by 1/27/20. To reserve room, call directly and mention SC Hand Therapy Association.


Course Location

1501 Sumter St.

Columbia, SC 29201

Room: PHB EOB Auditorium


Directions to course:

From the Upstate:

I 26 into Columbia

Exit 108 B to downtown (4 miles)

Right on to Assembly (1/2 mile), left onto Taylor (1/4 mile)

Right on to Sumter, parking garage on left.  Park on 6th floor or higher.  Take elevator to the first floor and follow signs to the Auditorium.


From the Low country:

I-26 into Columbia.  Merge onto Augusta road Exit 111B

Toward W. Columbia.  Stay straight on Klapman Blvd.  (turns into Hampton St.) – go about 3 miles.

Left on Sumter.  Parking garage on the right.  Park on 6th floor or higher.  Take elevator to first floor.  Follow signs to Auditorium.



South Carolina Hand Therapy Association Presents


Evaluation and Treatment of Upper Extremity Nerve Compression and Injuries


Saturday Feb 15thth, 2020

               8 am – 5 pm

Palmetto Health Baptist Auditorium                                                 1501 Sumter St, Columbia, SC 29201


Audience: Occupational Therapists, Occupational Therapy Assistants, and

Certified Hand Therapists


Continuing Education Units:  8 Hours




Register ASAP online at


3Kings Upper Extremity Specialists

Register for the upcoming conference on January 24-25, 2020. It is half full and limited to 25 people. I realize the holidays are coming and maybe not the best time to spend money on continuing education. To help out, 3Kings UE Specialists is offering a 50% deposit to be paid to hold your spot and then the remainder to be paid no later than 7 days prior to the course date. I know many therapists may not receive continuing education benefits and would hate for anyone to miss a course they would benefit from.

Please contact me if you would like to do this option. Thank you to those of you that have registered, and you should have received your receipt. Following is the agenda (there has been one speaker modification on Friday due to unforeseen circumstances). Please pass along the information to anyone you think would be interested (the brochure is attached). This course is approved by HTCC for CHTs and 3Kings Upper Extremity specialists is also a provider for Alabama OTs.

Location: Mayo Clinic Primary Care (Gate Parkway)
12.6 contact hours
Cost: $315 if you have NOT attended a previous course,
$ 283.50 if you are attended a previous course OR host facility employee

Friday Evening (6-9:15pm)-January 24

5:30-6 Registration and light dinner provided
6-6:05 Welcome-Jen Dodson

6:05-6:35:Joint mobilization overview and joint mobilization to the shoulder girdle
6:35-7:35: Lab: Joint mobilization techniques to the shoulder girdle-Thomas Berger, DPT,CHT

7:35-8: Cervicothoracic contributions to UE pain-Tava Buck, PT, DPT, OCS, FAAOMPT
8-8:45: Lab-Thoracic PA, UPA, transverse glide, movement with mobilization and thrusts
8:45-9:15pm: Cupping lecture and demonstration

Saturday (8-3:45pm)-January 25
7:30-8am: Registration
Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT
8:00-9:00 : Lecture & lab: (20 min lecture; 40 minutes lab) TOS screen, followed by
instruction in 1st rib mobilization and scapular taping to unload the brachial plexus
9:00-10:00 : Lecture & lab: (lecture and lab combined) Ulnar nerve: cubital tunnel
syndrome and ulnar tunnel/Guyon’s canal: provocative tests, neural flossing and taping techniques
10:00-11:00: Lecture & lab: (lecture and lab combined) Radial nerve: radial tunnel and Wartenberg’s syndrome: provocative tests, joint mobilization to the proximal radioulnar joint (PRUJ), neural flossing and taping techniques
11:00-12:00: Lecture & lab: (lecture and lab combined) proximal median nerve entrapment and carpal tunnel syndrome: provocative tests and neural flossing

12-12:45: Lunch (on your own)

12:45-1:15: Soft tissue mobilization techniques for the painful shoulder and elbow-Chad Jasmine LMT, NMT
1:15-2pm: Lab-Soft tissue mobilization techniques
2-2:45: Managing persistent edema-Beverly Bass, OTD, MOT, OTR/L, CLT, CHT
2:45-3:30pm: Lab
3:30-4: Review and Closing

Charles Daly – Peripheral Nerve Compression Oct 8

Live stream meeting registration for "Charles Daly - Peripheral Nerve Compression Oct 8 "

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Your Agreement
(Enter: yes/no) I agree/confirm that I will watch this live stream in its entirety to earn 1.5 CEU.

Agreement Date

September 11 – Brian Sirmon Extensor Tendons

Live stream meeting registration for "Extensor Tendons with Brian Sirmon"

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July 2 2019 — Dr. Kay Kirkpatrick and Marge Krengel — Legislative Issues

Live stream meeting registration for "Dr. Kirkpatrick and Marge Krengel - Legislative Issues"

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2020 Jacksonville Upper Extremity Conference — January 24-25, 2020

-This will be a lab-intensive course emphasizing topics such thoracic and cervical spine mobility to optimize UE function, addressing the kinetic chain and myofascial meridians, peripheral nerve compressions, thoracic outlet syndrome, soft tissue mobilization techniques to address pain, and subacute/chronic edema management

-Guest out of town speaker will be Ann Porretto-Loehrke, PT, DPT, CHT, COMT!! Those of you that have taken her courses know how fortunate we are to have another leader in the hand therapy field come to our area. Those that have not taken a course from her, don’t miss this opportunity! She consistently gets excellent ratings on evaluations and therapists always request for her to return. She will be covering topics she authored in the latest version of Rehabilitation of the Hand and UE textbooks.

-Local speakers will be from Mayo Clinic, the University of St. Augustine and the Wright Center: More details with their biographies and areas of expertise coming soon!

June 4th 2018 — Charles Daly — Tendon Transfers

Live stream meeting registration for "Dr. Daly: Tendon Transfers"

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Doctors Demistify

Upper Extremity Nerves for OTs and PTs



Saturday August 17, 2019

Emory Department of Orthopedic Surgery (59 Executive Park)

5 hours of CE credit for intermediate and advanced learning


Course chair: Clifton Meals, MD

Other faculty: Emory and other Atlanta hand surgeons

Course objectives:  At the completion of the course, the learner will be able to

  1. describe the neuroanatomy from brain to fingertip.
  2. describe current concepts of peripheral nerve biology and healing.
  3. collect a good history & exam for common peripheral nerve conditions.
  4. educate patients regarding their condition and treatments.
  5. participate more effectively in the patients’ care.


8:00    00 announcements and introduction

8:10    01 macro anatomy:  brain to fingertips

8:30    02 microanatomy, nerve biology, injury classification, healing

8:50    03 testing:  end organs, density, threshold, motor, EMG, imaging

9:10    04 laceration, repair, grafting, nerve transfers, neurotization

9:35    05 compression:  neck, thoracic outlet

9:55    questions and answers

10:15  break

10:30  06 compression:  median nerve

10:45  07 compression:  ulnar nerve

11:00  08 compression: radial (RTS/Wartengerg), axillary/suprascap nerves

11:15  09 tumors: neuromas, glomus, neurilemoma, neurofibroma

11:30  10 numbness:  peripheral neuropathy, syphilis, leprosy, MS

11:45  11 weak/spastic: CharcotMT, stroke, ALS, polio, Guilliain-B, P-T syn

12:00  12 pain:  CRPS, Parsonage Turner, shingles

12:15  questions and answers

12:35  quiz and wrap-up

12:45  adjourn


Registration fee includes e-syllabus, refreshments:   $110

See course details at

Register now!


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as an Approved Provider for Continuing Education