2020 South Carolina Hand Therapy Conference

Registration method is on line at:

WEBSITE:  http://schandtherapy.org

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 http://schandtherapy.org