|Dr. Clifford M. Shooker, DC, DABCN, PA
The upper extremity program involves common entrapment syndromes (thoracic outlet, arm, forearm and
hand). The program begins with a general orientation to neurology, and what peripheral entrapment means. A
basis for understanding symptoms is laid out, along with the basics for communicating with other professionals
and general principles of managing these conditions. Specifics of when and how to use soft tissue manipulation,
and when not to use soft tissue manipulation are addressed. What follows is a general orientation to the nerves
of the extremity.
neurological supply to the extremity. The subject matter is broken into easily recognized patterns.
involves review of anatomy that the therapist is
familiar with, and information (that may be new to
some) regarding where nerves run. General
concepts of which nerves affect which areas are
With the basics in place specific common entrapment
syndromes are introduced. Here the common
terminology used within the field is employed, and the
therapists learn the vocabulary to match the
concepts already introduced.
A variety of learning techniques are employed
including video dissection presentation, and hands
on experience. Again building on the basics
introduced in the beginning of the program specific
soft tissue techniques in approaching the nerve
entrapments are demonstrated and students have
the opportunity to practice on each other.
Finally the programs address specifics regarding
documentation along with providing some time saving
techniques for fast, efficient documentation.
The subject matter is challenging, and for most
participants encompasses a great deal of new
information. As such a combination of learning
strategies are utilized with continual reinforcement of
concepts. The course simplifies very challenging
information giving therapists a strong initial
background to build on. Participants leave with tools
to utilize the next day in the office.