NEEDLE THERAPY, PAIN MANAGEMENT THERAPEUTICS; FUNCTIONAL RESTORATION
This 300 Hour Needle Therapy Course is recognized by the National Board of Needle Therapy and Certification body of the National Guild of Needle Therapy, OPEIU Guild Local 62, AFL-CIO. The course provides evidence-based education for a specialty and prepares Licensed Acupuncturists for integrative practice as a specialist in: Needle Therapy: Pain Management and Therapeutics; Functional Restoration.
Over 300 L.Ac’s have taken this Course
in the past 3 years developed
with standards
approved by The National
Oriental Medicine Accreditation Agency (NOMAA).
1. Module 1-1: Needle Therapy, first day (8 hours). Introduction to the basis and principles of Needle Therapy, including the logical process of standard assessment and diagnosis and the rational basis of Needle therapeutics and Functional Restoration. Principles of Needle Therapy involve the assessment and treatment of musculoskeletal conditions from the perspective of the ancient Chinese understanding. Introduction and Principles; movement therapy; guided stretching exercise for rehabilitation treatment methods: needle therapy; mobilization; manipulation; breathing exercises. History: Blood Vessel Theory, cardiovascular system; energy-meridian misconceptions; Muscle System Organization; Basic Comprehension of Nerves; Longitudinal Body Organization; Introduction of Needle Therapy; Basis of Needle Therapy; Standard Neurovascular Nodes Designations.
2. Module 1-2: second day (9 hours) Basis of Needle Therapy (acupuncture), functional assessment, active movement, passive moment, capsular patterns, non-capsular patterns, resisted movement, and joint play, Neurological assessment, muscle strength tests, tendon reflexes, superficial reflexes, sensibility assessment, signs of atrophy, special tests, diagnostic imaging, and lab tests, Rational basis of applying needling therapy summary of needling mechanisms, and logical selection of Neurovascular Nodes in treatment. Patient care, records, internal and external documentation, files organization, maintenance of records, patient consents.
3. Module 1-3: third day (8 hours) History, subjective symptoms, general examination and observations, assessment, evaluation, diagnosis, treatment planning, and case management modes of care, pressure techniques, massage (tuina), mobilization and manipulation, Needle Therapy, moxibustion, heating therapy, cupping, orthotics, dietary therapy Prevention, rehabilitation, remedial exercise, breathing exercises, relaxation routines, lifestyle counseling, and public health, frequency and duration of care, reducing variables in practice, principles of case management, and treatment planning.
4. Module 2-1: Physiological basis of Chinese medicine, first day (8 hours) Physiological basis of Chinese medicine, blood circulation, vessel organization, and distribution of nodal sites. Understanding the mechanisms of needle therapy Interaction of blood coagulation and immune complement systems in tissue responses to needle stimulation. Activation of nociceptive afferent nerve fibers. Participation of the propriospinal system is producing propagated sensation and activating afferent proprioceptive nerve fibers. Descending control pathways from the brain to specific spinal cord segmental levels. Somatovisceral and somatotopic relationships of nodal sites to the internal organs and somatosomatic relationships with the skeletal muscles.
5. Module 2-2: second day (9 hours) longitudinal muscular organization and aspects of voluntary muscular control involving proprioceptive gamma loop. Detail review of the specific muscles in the twelve longitudinal distributions of upper and lower body. Pathology of the muscular distributions including the impact of diet, emotions, vitalities, and environmental factors. Rational basis of acupuncture application involving the selection of local and adjacent, distal, and proximal critical nodes. Guidelines on treatment planning candidate critical node selection for orthopedic and pain conditions affecting various body regions.
6. Module 2-3: third day (8 hours) Introduction and background in the use of electroacupuncture/PENS and general features of a typical device. Precautions and contraindications in the clinical application of electroacupuncture/PENS. Hands on demonstration of typical electroacupuncture/PENS units. Clinical approach in applying electroacupuncture/PENS stimulation for orthopedic conditions including when to consider its use. Detailed review of applying electroacupuncture/PENS in addition to static needles for regular and complicated cases including treatment of low back pain and dysfunction and other common conditions.
7. Module 3-1: Head and Neck, first day (8 hours) Regional anatomy of the head and neck including osteology, arthrology, nerve supply, angiology, muscles, and surface anatomy Normal physiology of muscles of the face, scalp, tongue, mastication, and neck. Function of muscles moving the head, neck, and shoulder Common disorders of the head and neck.
8. Module 3-2: Head and Neck, second day (8 hours) Assessment of the face and jaw including inspection, palpation, active, passive, and accessory movement, neurological assessment. Assessment of the cervical spine including resistive movement and functional assessment. Diagnosis and treatment planning for head, face, neck, and cervical spine. Management of head and face problems including TMJ mobilization, needling therapy, and EA/PENS for TMJ problems, facial pain, and facial paralysis. Management of cervical spine disorders including mobilization, needling therapy, and EA/PENS.
9. Module 3-3: Head, Neck, and Shoulder, third day (8 hours) Anatomy of shoulder including osteology, arthrology, neurology, angiology, surface anatomy, and mechanics of the shoulder Disorder in muscles moving the scapula. Problems affecting the shoulder including tendon lesions, bursitis, capsulitis, instability and nerve entrapment. Inspection and functional assessment of the shoulder. Active, passive, and resisted movements of the scapula.
10. Module 4-1: Shoulder and Upper Extremities, first day (8 hours). Passive and active (range of motion-ROM) movement of the shoulder and upper arm. Resisted strength measurements of the shoulder and upper arm. Accessory movements, auxiliary tests, neurological assessment, and palpation of the shoulder. Management of shoulder disorders including mobilization, needling therapy, EAC/PENS, and possible referral.
11. Module 4-2: Shoulder and Upper Extremities, second day (9 hours) Regional anatomy of the elbow and forearm including osteology, arthrology, mechanics, neurology, angiology, and surface anatomy. Problems affecting the elbow and forearm including musculotendinous lesions, ligament strains, joint lesions, and nerve entrapment. Examination of the elbow and forearm including inspection, functional assessment, and active movements. Resisted isometric assessment of elbow, accessory movements, auxiliary tests, neurological evaluation, palpation, and recommended other tests. Management of elbow disorders including mobilization, needling therapy, and EA/PENS.
12. Module 5-1: Trunk and Pelvis, first day (8 hours) Regional anatomy of the trunk and thoracic spine including osteology, arthrology, mechanics, neurology, angiology, and surface anatomy Problems affecting the thoracic spine including the ribs. Examination of the thoracic spine including inspection, functional assessment, active, and passive tests, Resistive movements of the trunk, auxiliary tests, neurological assessment, palpation, and other tests.
13. Module 5-2: Trunk and Pelvis, second day (9 hours) Management of thoracic spine disorders including mobilization, manipulation, traction, needling therapy, and EA/PENS Problems affecting the lumbar spine including intervertebral disc problems, joint lesions, and movement disorders. Examination of the lumbar spine regional anatomy including osteology, arthrology, mechanics, neurology, angiology, and surface anatomy. Management of lumbar spine disorders including mobilization, manipulation, traction, needling therapy, and EA/PENS.
14. Module 5-3: Trunk and Pelvis, third day (8 hours) Regional anatomy of the pelvis including osteology, arthrology, mechanics, neurology, angiology, and surface anatomy. Problems affecting the sacroiliac joint (SIJ) including inflammatory disease, infections, hypo mobility and hyper mobility lesions, degenerate changes, and osteitis. Examination of the SIJ including inspection, active and passive movements, auxiliary tests, neurological examination, and palpation. Management of SIJ disorders with mobilization, SIJ manipulation, needling therapy, and EA/PENS.
15. Module 6-1: Hip and Lower Extremities, first day (8 hours) Regional anatomy of the hip including osteology, arthrology, mechanics, neurology, angiology, and surface anatomy. Disorders of the hip including traditional problems, hip pain, soft tissue lesions, joint lesions, bone disorders, and nerve entrapment. Examination of the hip including inspection, functional assessment, passive, active, and resistive movements. Accessory movements, auxiliary tests, neurological assessment, palpation, and other tests for the hip. Management of hip and thigh disorders including mobilization, needling therapy, and EA/PENS.
16. Module 6-2: Hip and Lower Extremities, second day (9 hours) Regional anatomy of the knee including osteology, arthrology, mechanics, neurology, angiology, and surface anatomy. Problems affecting the knee including traditional, knee symptoms, soft tissue injuries, and joint disorders Examination of the knee including inspection, functional assessment, passive, active, and resistive movements, auxiliary tests, neurological evaluation, palpation, and other tests Management of knee problems including mobilization, needling therapy, and EA/PENS. Regional anatomy of leg and ankle including osteology, arthrology, mechanics, neurology, angiology, and surface anatomy. Problems affecting muscles moving the foot, and disorders of the ankle joint Inspection, functional assessment, active, passive, resistive, and accessory movements, auxiliary tests, neurological evaluation, and palpation for leg and ankle Management of leg and ankle problems including needling therapy and EA/PENS.
17. Module 6-3: Hip and Lower Extremities, third day (8 hours) Regional anatomy of the foot and toes including osteology, arthrology, mechanics, neurology, angiology, and surface anatomy Problems affecting foot and toes including general and localized conditions Examination of foot and toes including inspection, functional assessment, and passive, active movements. Resisted movements, auxiliary test, neurological evaluation, palpation, and other tests. Management of toe problems including mobilization, needling therapy, and EA/PENS.
18. Module 7: Systemic Disorders, first day (8 hours) Central nervous system (CNS), vascular, visceral, and metabolic disorders affecting muscles, joints, and bones Bone as a dynamic structure and the role parathyroid hormone (PTH) and bone cells in health and disease. Chinese vitalities and endocrine gland influence
on musculoskeletal system. Chinese and modern view of nutrition and its influence on musculoskeletal system. Influence of behavior, emotions, and modern stress and strain on the musculoskeletal system.
19. Module 7: Systemic Disorders, second day (9 hours) Peripheral vascular disease including intermittent and venous claudication. Neuropathy (microangiopathy) and vascular insufficiency in diabetes Atherosclerosis, hypertension, angina, and cerebral vascular accident (CVA) Uric acid metabolism and the clinical manifestations of gout. Manifestations and factors influencing osteoporosis. Manifestations of osteitis deformans (Paget’s disease). Manifestations of osteomalacia (Rickets) of alimentary and renal origin.
20. Module 7: Systemic Disorders, third day (8 hours) Manifestations of Parkinson’s disease. Rheumatic fever (wandering bi syndrome) (Sydenham’s chorea) by hemolytic streptococci affecting joints, heart, skin, and CNS. Osteitis fibrosa cystica (Albright’s syndrome) and (von Recklinghausen’s disease) Manifestations of metastatic bone disease. Lupus erythematosus (SLE), Raynauld’s disease, and sympathetic reflex dystrophy/ regional pain syndrome/ causalgia. Manifestations of postural orthostatic tachycardia syndrome (POTS) and chronic fatigue syndrome (CFS).
21. Module 8: Physical Modalities, first day (8 hours) Principles and application of exercise and movement therapy for flexibility, strength, and reconditioning. Kinesiology and exercises for muscles moving the head and neck Kinesiology and exercises for muscles moving the scapula Kinesiology and exercises for muscles moving the shoulder joint. Kinesiology and exercises for muscles moving the radioulnar joint. Kinesiology and exercises for muscles moving the wrist.
22. Module 8: Physical Modalities, second day (9 hours) Kinesiology and exercises for muscles moving the hands and fingers. Kinesiology and exercises for muscles moving the trunk and back. Kinesiology and exercises for muscles moving the hip joint. Kinesiology and exercises for muscles moving the knee joint. Kinesiology and exercises for muscles moving the foot, ankle, and toes. Dynamic resistive exercises for strength, conditioning, rehabilitation, and maintenance.
24. Module 8: Physical Modalities, third day (8 hours) Introduction to the principles and application of ergonomics. Application of ischemic pressure, tuina, myofacial release, and cupping. Application of radiant heat, heat packs, moxibustion, and ultrasound. Medical legal issues, medical necessity, case management, and report writing. Hands on demonstration on muscle strength measuring machines and use of exeercise equipment.
25. Module 9: Special Studies, first day (8 hours) Application and measurement accuracy of standard laboratory tests. Clinical implications, reference values, use, characteristics, and interpretation of laboratory tests. Routine blood chemistry parameters involving measurement of some 20 routine blood test profiles. Review of blood cell types and function and the complete blood count (CBC) panel and most common laboratory procedures. Review and use of routine urinalysis involving major constituents and characteristics of urine.
26. Module 9: Special Studies, second day (9 hours) Guidelines for other laboratory procedures that concentrate on specific areas of concern. Studies for further investigation of clinical manifestations that indicate a possible history of serious problems or systemic conditions. Diagnostic imaging services, patient selection, interpretation, reporting, and professional responsibilities. Principles and application of diagnostic plain film radiography. Principles and application of diagnostic video fluoroscopy. Principles and application of diagnostic plain film contrast examinations Principles and application of diagnostic computed tomography.
27. Module 9: Special Studies, third day (8 hours) Principles and application of diagnostic magnetic resonance imaging (MRI). Principles and application of diagnostic radionuclide scanning. Principles and application of diagnostic ultrasound. Utilization review of diagnostic imaging Physiological measurements including electro diagnostic tests, joint examinations, thermo graphic and other devices. Musculoskeletal functional measurements of position, movement, and strength.
28. Module 10a: Workers Compensation, first day (8 hours) Review of workers’ compensation law and responsibilities of participating physicians including need for detailed history, case management, and report writing. Principles in establishing a medical necessity in each case including thorough review of medical evidence, nature of injury or disability, history, records, and diagnostic tests. Principles and methods of conducting a neurological evaluation. Principles and methods of conducting a function capacity evaluation, interpreting results, and writing a report of findings.
29. Module 10a: Workers Compensation, second day (9 hours) Consideration of disability and permanent impairment evaluation when patient reaches maximum medical improvement MMI. Assessment of deficits in activities
of daily living (ADL). Conducting the physical examination to establish a complete medical and non-medical history of the condition. Disability assessment and impairment rating for the hand and wrist
30. Module 10a: Workers Compensation, third day (8 hours) Disability assessment and impairment rating for the shoulder and elbow. Disability assessment and impairment of the upper extremities due to peripheral nerve and vascular disorders. Disability assessment and impairment of the upper extremities due to bone and joint deformities, and musculotendinous disorders. Disability assessment and impairment of the upper extremities due to other disorders
31. Module 10b: Workers Compensation, first day (10 hours) Disability assessment and impairment of the hind foot. Disability assessment and impairment of the knee and hip. Disability assessment and impairment of the hip and lower extremities due to peripheral nerve and vascular disorders. Disability assessment and impairment of the hip and lower extremities due to bone and joint deformities, and musculotendinous disorders Disability assessment and impairment of the cervical spine. Disability assessment and impairment of the thoracic spine.
Disability assessment and impairment of the lumbar spine.
32. Module 10b: Workers Compensation, second day (10 hours). Disability assessment and impairment of the head and face. Disability assessment and impairment of the cranial nerves. Disability assessment and impairment due to disorders of the nervous system. Disability assessment and impairment due to disorders of the organs and other systems. Influence of chronic pain on disability assessment and impairment. Detailed disability assessment report preparation. Preparation and strategies for case defense.
33. Neuropathic Pain (8 hours) Fibromyalgia, irritable bowel syndrome, and Complex Regional Pain Syndrome (CRPS)/Reflex Sympathetic Dystrophy (RSD) will be presented as components of the pain experience. Neuropathic pain is “pain initiated or caused by a primary lesion or dysfunction of the nervous system”. The altered modulation of the pain response in patients with neuropathic pain causes a state of hyper-excitability and continuous pain signal output in the absence of tissue damage. Disease progression, terminology, pathologic and intervention mechanisms, as well as interdisciplinary treatment strategies are presented.
Physiological basis of Needle Therapy, blood circulation, vessel organization, and distribution of nodal sites. Understanding the mechanisms of needling therapy, interaction of blood coagulation and immune complement systems in tissue responses to needle stimulation. Activation of nociceptive afferent nerve fibers. Participation of the propriospinal system is producing propagated sensation and activating afferent proprioceptive nerve fibers. Descending control pathways from the brain to specific spinal cord segmental levels. Somatovisceral and somatotopic relationships of nodal sites to the internal organs and somatosomatic relationships with the skeletal muscles.
Longitudinal muscular organization and aspects of voluntary muscular control involving proprioceptive gamma loop. Detail review of the specific muscles in the twelve longitudinal distributions of upper and lower body. Pathology of the muscular distributions including the impact of diet, emotions, vitalities, and environmental factors. Rational basis of Needle Therapy application involving the selection of local and adjacent, distal, and proximal critical nodes. Guidelines on treatment planning Candidate critical node selection for orthopedic and pain conditions affecting various body regions.
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NEEDLE THERAPY,