This two day hands on intensive seminar is designed to develop clinical assessment and treatment skills in advanced concepts of pain management and dysfunction in the upper quadrant. This course will combine an efficient examination process to effectively differentiate between musculoskeletal and neurological sources of pain in order to identify and sequence a custom treatment plan tailored to the dysfunction. Hands on lab sessions will further facilitate proper examination and treatment interventions involving evidence based special testing, neuromobilization, manual therapy, orthotic interventions and exercise prescription. Finally, case scenarios will be incorporated to pair clinical reasoning to situations that are encountered in the clinical setting. The purpose of this seminar is to allow the clinician to move from protocol derived treatment to professional assessment and treatment of the nervous system and the interfacing musculoskeletal system. The emphasis is on creative solutions to difficult problems by integrating neuroanatomical, neurophysiological and kinesiological principles creating a fresh approach to difficult patient problems resulting in improved functional outcomes and patient satisfaction.

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Course Dates & Locations

  • Mar 25, 2023 – Mar 26, 2023

    7101 Jahnke Road, Richmond , VA 23225

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    Chippenham Medical Center
    7101 Jahnke Road, Richmond , VA 23225

    Course Location

    Chippenham Medical Center
    Kraus Auditorium
    7101 Jahnke Road
    Richmond , VA 23225

    Course Location: The course will take place in the Kraus Auditorium on the campus of CJW Medical Center – Chippenham Hospital Campus. Note: The Kraus Auditorium has recently changed locations. The new Kraus Auditorium is located on the 2nd floor of the Levinson Heart Hospital. After parking in the Parking Deck across the street from Levinson Heart Hospital, enter the Emergency Room Entrance across the street from the parking deck. Once inside, veer toward the right into the Levinson Heart Hospital Lobby. You will see 2 elevators in the lobby. Please take the elevators to the 2nd floor. When you exit the elevators, veer to the left down a short hallway, then turn right at the first hallway and Kraus Auditorium will be on your left.

    Parking: Free parking is available in the parking deck across the street from the Levinson Heart Hospital entrance and the Emergency Room. Please park in the UPPER LEVELS of the deck as the lower levels are for the Emergency Department and Visitors.

    Area Accommodations
    Sheraton Hotel - 804-323-1144
    9901 Midlothian Tpke, Richmond, VA
    (3.00 miles away)

    Hyatt Place - (804) 560-1566
    201 Arboretum Pl, Richmond, VA 23236
    (3.00 miles away)

    There are NO room blocks or discounts available at the mentioned hotels.
    Please visit the hotel chain website for “Best Rates”

    Kraus Auditorium
    7101 Jahnke Road
    Richmond , VA 23225

    View Google Maps for Location and Nearby Accommodations

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Educational Credit

A certificate of attendance for 15 Contact Hours will be awarded to each participant. All Therapy Network Seminars are pre‐approved for CEUs in the state where the course is conducted when required for PT, OT, ATs & Assistants.

Therapy Network, Inc. (BOC AP#: P2563) is approved by the Board of Certification, Inc. to provide continuing education to Certified Athletic Trainers. Our seminars are eligible for a maximum of 15 Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.

AOTA Approved Provider of Continuing Education # 3073 Category 1 Domain of OT. The assignment of AOTA CEUs does not imply endorsements of specific course content, products, or clinical procedures by AOTA


This course is intended for PTs, PTAs, OTs, OTAs and ATs

NOTE: Nothing in this course is to enable or permit the learner to apply techniques outside of the scope of practice in their individual state and discipline.


  • Identify complex neurophysiological sources of pain and distinguish between acute, chronic, referred and neuropathic pain conditions
  • Demonstrate an effective Upper Quadrant Screening that will locate proximal pain generators.
  • Demonstrate soft tissue and joint mobilizations, exercise prescription and activity adaption germane to resolving issues of the thoracic outlet.
  • Identify neuraldynamic theory as applied to the integration of nerve assessment and intervention designed to resolve difficult pain issues. The participant will move beyond “nerve gliding” to understanding mechanical interface dysfunctions, neural tension and transverse sliding disorders.
  • Identify rehabilitation strategies for upper quadrant pain conditions that considers the client’s cultural, social and environmental context enabling the individual client to return to maximum functional independence.


  • Day 1

    8:00 Continental Breakfast and Sign In
    8:30 The ABC’s of behavioral medicine
    Ultrastructure of peripheral nerve
    Physiology of the peripheral nerve
    Biomechanics of the peripheral nervous system
    Pain propagation and relationship to central nervous system processing
    10:00 BREAK
    10:15 Lab 1: Cervical spine screening/Periscapular assessment and soft tissue mobilization
    Lab 2: The Thoracic Outlet: Brachial Plexus Compression: Assessment and traditional intervention strategies
    12:00 Lunch (on your own)
    1:00 Lab 3: Proximal Compressive Neuropathies/Assessment traditional strategies/soft tissue and neural mobilization.
    Median Nerve.
    3:00 BREAK
    3:15 Lab 3 Cont…
    Ulnar Nerve.
    Radial Nerve.
    5:30 Q & A and Adjourn.
  • Day 2

    8:00 General Principles of Neurodynamics
    9:00 Neurodynamics of the Upper Quadrant/Neuropathology/Neuropathic Pain
    10:00 BREAK
    10:15 Musculoskeletal vs. Neural Dysfunction
    Assessment and treatment planning concepts.
    11:30 Lab 1: Physical examination and neuro orthopedic assessment
    12:00 Lunch (on your own)
    1:30 Lab 1 Cont…
    2:00 Lab 2: Neuro orthopedic intervention for compressive neuropathies of the upper extremity
    3:00 BREAK
    3:15 Lab 3: Musculoskeletal intervention for pain syndromes of the upper extremity
    5:00 Questions and Adjourn.

Cancellation Policy

Registration fee less a $75 administrative charge is refundable if cancellation received 14 days prior to program date. No refunds will be given after that time. Therapy Network, Inc. reserves the right to cancel a seminar and will refund in full the registration fee only. TNI is NOT responsible for registrants nonrefundable airfare, accommodations or fees.