Red Flags & Referrals

Recognition and Management of Serious/Urgent Medical Conditions

With Instructor Anthony Von der Muhll, L.Ac., DNBAO, FAIPM

Next offering: TBA. Please let us know of your interest in a distance-learning class.

Check back for next live class date, or contact us to be notified by email


 Course Goals and Content
On-Demand/Home Study Class

  • Over 30 “easy-to-miss” urgent/serious conditions relatively likely to present in acupuncture practice without prior diagnosis
  • Symptom-based format and case studies: test your ability to rapidly and accurately identify red flags
  • The art of making referrals and building relationships with other health professionals: enhance patient safety, while you increase your practice volume!

Recognition and management of urgent/serious medical conditions

  • L.Ac.’s role as primary health-care profession
  • Condition incidence and/or prevalence in outpatient acupuncture practice
  • Risk factor/history/sign/symptom clusters
  • Pathomechanisms, natural progression and adverse outcomes
  • Stabilizing measures, referrals, consultations, and EMS
  • Documentation of assessment, stabilization and referral

General characteristics of pain as a red flag

  • Timing of pain
  • Post-traumatic and post-surgical pain
  • Atraumatic joint inflammation and degeneration
  • Bone pain and fractures
  • Pain with neurovascular and trophic signs and symptoms
  • Degree of disability
Spinal pain, sensory and motor problems
  • Radiculopathy
  • Cauda equina syndrome
  • Spinal cancer
  • Fractures: vertebral compression, ribs, spondylolisthesis
  • Shingles/herpes zoster

Upper extremity pain, sensory and motor problems

  • Rotator cuff tears
  • Shoulder, elbow, wrist dislocation
  • Fractures: radial head and neck; supracondylar; scaphoid
  • Severe peripheral neuropathy
  • Severe Raynaud’s disease
  • Complex regional pain syndrome: reflex sympathetic dystrophy, causalgia

Lower extremity pain, sensory and motor problems:

  • Avascular necrosis of the hip
  • Slipped capital femoral epiphysis
  • Vascular claudication
  • Ankle/foot fractures
  • Deep vein thrombosis/pulmonary embolism
  • Compartment syndrome

Headaches and oro-facial pain 

  • TIAs, strokes and aneurysms
  • Temporal arteritis
  • Bacterial sinusitis
  • Acute closed-angle glaucoma
  • Non-traumatic subarachnoid hemorrhage
  • Severe sore throat

Organ pain

  • Chest and respiratory pain
  • Abdominal and digestive pain
  • Urinary and reproductive systems pain

Systemic and Psycho-Social Complaints

  • Limb swelling and pulse abnormalities
  • Fatigue and changes in weight
  • Dizziness and altered mental function
  • Substance abuse, depression and suicidality
  • Signs and symptoms of abused and neglected patients

Making and Building Referrals

  • The art of building referral relationships to enhance patient safety and volume.
  • Protocols for effective and timely referrals
  • Documentation of management and referrals


Student Ratings and Comments

from evaluations as required by California Acupuncture Board

Respondents: 8 of 13 enrolled

Average rating:  5/5

Comments:

“Awesome class as usual, great guest presenters!” –Marian Blum, L.A.c

Next offering: TBA. Please let us know of your interest in a distance-learning class.

View full program schedule and register for classes

Stabilizing and Mobilizing Joints With Prolo-Acupuncture

With Instructor Anthony Von der Muhll, L.Ac., DAOM, DNBAO, FAIPM

Next offering: TBA. Please let us know of your interest in a distance-learning class.

Check back for next live class date, or contact us to be notified by email

Ligaments, or 韧带 rèndài

join bones to bones, and may be considered part of the 经 筋 jīngjīn, or myofascial/sinew meridians. Yet assessing and treating ligament injuries is literally a “missing link” in much acupuncture training regarding musculoskeletal pain and disability. Simple and easily-learned techniques for needling ligaments can stimulate self-repair and improve outcomes by helping to:

  • Accelerate healing and reduce chronicity from acute sprains/strains;
  • Re-stabilize hypermobile joints, and restore normal joint tracking and biomechanics;
  • Slow and allow for reversal of joint degeneration that leads to osteoarthrosis;
  • Enhance the treatment of muscles, nerves, and other tissues and systems that contribute to chronic pain.

Ligaments and Joints Covered:

Shoulder, Arm and Hand

  • Acromio-clavicular joint: sprains, separations, chronic hypermobility
  • Gleno-humeral joint: sprains, AMBRI, TUBS and SLAP lesions
  • Transverse humeral ligament: bicipital tendon subluxations
  • Elbow collateral ligaments: sprains, subluxations
  • Wrist ulnar- and radio-carpal ligaments and the triangular fibrocartilage complex: sprains, tears, chronic hypermobility

Hip, Knee, Ankle and Foot

  • Knee patellar, collateral and cruciate ligaments: sprains, chronic hypermobility
  • Knee menisci and the tibio-meniscal ligament: sprains, degeneration
  • The superior and inferior tibio-fibular joints: sprains, chronic hypermobility
  • Lateral ankle/foot: ATF, CF, PTF and CC ligaments: sprains, chronic hypermobility
  • Medial ankle: hyper-pronation, deltoid and spring ligaments: chronic hypermobility

The Spine

  • Cervical and lumbar facet joints: sprains, dysfunction, chronic hyper- and hypo-mobility
  • Posterior sacro-iliac, ilio-lumbar and sacro-tuberous ligaments: dysfunctions, degeneration
  • Supraspinous ligament: whiplash, sprains

Anatomy and Patho-anatomy

  • Functional/clinical anatomy, patho-anatomy of the main and commonly-injured joints of the body, in AOM and standard contemporary medical terms
  • Common etiologies and prognoses for common injuries and pain of the major joints of the body, in AOM and standard contemporary medical terms

Assessment

  • Performing a physical exam for common injuries and pain of the major joints of the body, including observation, inspection, palpation and special orthopedic tests for joint range-of-motion, tracking and end-feel/stability
  • Red flags for serious/urgent joint injuries and pain that warrant referral to physician care

Treatment

Treatment for common joint injuries with acupuncture, including ligamentous prolo-acupuncture (“dry”) needling, electro-acupuncture, and 7-star needling.

Next offering: TBA. Please let us know of your interest in a distance-learning class.

View full program schedule and register for classes

Essentials of Integrative Acupuncture Orthopedics + Basics of Shoulder Injuries and Pain: 2017 ACCHS DAOM Videos

Content Video
DAOM Integrative Acupuncture Orthopedics Program Overview 1 Link
DAOM Integrative Acupuncture Orthopedics Program Overview 2 Link
DAOM, Shoulder Basics Intro Link
DAOM, Shoulder Basics Overview Link
DAOM, IAO / Shoulder Basics, Chronic Pain Overview Link
DAOM, IAO / Shoulder Basics, Degenerative Pain Cascade Link
DAOM, Shoulder Basics, Ergonomics & Posture 1 Link
DAOM, Shoulder Basics, Ergonomics & Posture 2 Link
DAOM, Shoulder Basics, Range of Motion 1 Link
DAOM, Shoulder Basics, Range of Motion 2 Link
DAOM, Shoulder Basics, Anatomy/Physiology 1 Link
DAOM, Shoulder Basics, Treatment Overview 1 Link
DAOM, Shoulder Basics, Treatment Overview 2 Link
DAOM, Shoulder Basics, Treatment Overview 3 Link
DAOM, Shoulder Basics, Anatomy Link
DAOM, Shoulder Basics, Physical Exam 1 Link
DAOM, Shoulder Basics, Physical Exam 2 Link
DAOM, Shoulder Basics, Physical Exam 3 Link
DAOM, Shoulder Basics, Physical Exam 4 Link
DAOM, Shoulder Basics, Physical Exam 5 Link
DAOM, Shoulder Basics, Physical Exam 6 Link
DAOM, Shoulder Basics, Physical Exam 7 Link
DAOM, Shoulder Basics, Treatment 1 Link
DAOM, Shoulder Basics, Treatment 2 Link
DAOM, Shoulder Basics, Treatment 3 Link
DAOM, Shoulder Basics, Treatment 4 Link
DAOM, Shoulder Basics, Treatment 5 Link
DAOM, Shoulder Basics (day 2) History & Physical Exam Link
DAOM, Shoulder Basics (day 2) History & Physical Exam 2 Link
DAOM, Shoulder Basics (day 2) Treatment 6 Link
DAOM, Shoulder Basics (day 2) Treatment 7 Link
DAOM, Shoulder Basics (day 2) Physical Exam Review Link

Shoulder, Arm, Hand — Review and Practicum Lab

has been added to your cart!

First time user? Your account will be automatically be created after purchase. Please note:

--Webinars require continuous attendance on the date(s) offered to receive PDAs/CEUs. If you cannot attend, please consider a self-paced distance-learning version instead, if available, or another class that you will be able to attend.

--Ebooks are included with class purchase--please do not purchase both. When purchased separately, Ebooks are for informational purposes only--no PDAs/CEUs.

Questions? Please visit our FAQ page. Thank you for your purchase!

Mon, January 8, 2024, 9:00-6:00 Pacific Time, 1600 Broadway, Oakland CA
8 PDAs approved
CAB CEUs available on request received prior to 12-08-2024


Course Content

  • Practice, apply, re-inforce and expand upon physical examination and treatment techniques taught in the associated didactic module.
  • Labs focus on areas of particular technical difficulty, and provide an opportunity for presentation, demonstration treatment and discussion of challenging cases.
  • Note: Practicum/Review Labs are open only to participants who have completed the prior associated didactic module: Shoulder Girdle, Arm, Hand.

Shoulder Girdle:

  • AROM/PROM, joint-play/end feel testing and prolo-acupuncture for the acromio- and sterno-clavicular and glenohumeral joints
  • Muscle strength and length testing for the shoulder girdle
  • Manual and exercise therapies and taping for the shoulder girdle

Elbow joint review:

  • Joint play and end-feel testing
  • Ligamentous prolo-acupuncture for joint stabilization

Elbow and forearm muscle review: manual strength testing, trigger point needling, and gua sha therapy

  • Triceps brachii and anconeus
  • Biceps brachii and supinator
  • Pronators teres and quadratus
  • Brachioradialis
  • Forearm extensors and flexors

Wrist joint review:

  • AROM measurement
  • Joint-play/end feel testing: ulnar-carpal, radio-carpal, and distal radio-ulnar joints

Hand and finger joint review:

  • AROM measurement
  • Joint-play/end feel testing: carpo-metacarpal, metacarpo-phalangeal, and interphalangeal joints

Hand and finger strength testing review: dynanometer measurement

  • Grip strength
  • Pinch strength
  • Manual testing

Case presentation/treatment demonstration and discussion

View full certification program and register for live and self-paced distance-learning classes.

Low Back, Core and Pelvic Girdle — Review and Practicum Lab

has been added to your cart!

First time user? Your account will be automatically be created after purchase. Please note:

--Webinars require continuous attendance on the date(s) offered to receive PDAs/CEUs. If you cannot attend, please consider a self-paced distance-learning version instead, if available, or another class that you will be able to attend.

--Ebooks are included with class purchase--please do not purchase both. When purchased separately, Ebooks are for informational purposes only--no PDAs/CEUs.

Questions? Please visit our FAQ page. Thank you for your purchase!

Monday, February 24, 2025, 8:30-5:30, at VUIM, 1980 Gallows Road, Vienna VA
8 NCCAOM PDAs approved

Contact Us > 1 month prior to class date to request CAB CEUs


Course Content:

  • Practice, apply, re-inforce, expand upon physical examination and treatment techniques taught in the associated didactic module.
  • Labs focus on areas of technical difficulty, and presentation & demonstration treatment and discussion of challenging cases.
  • Note: Practicum/Review Labs are open only to participants who have completed the prior associated didactic module: Low Back, Core, Pelvic Girdle.

Central Nervous System Exam

  • Upper motor neuron pathologic reflexes

Lumbo-Sacral Spine Exam

  • Lower extremity reflexes
  • Lower extremity sensory exam
  • Lower extremity myotome exam
  • Lumbar AROM assessment
  • Manual strength testing of gluteals, hip external rotators, and iliopsoas

Low Back, Core, and Pelvic Girdle Treatment

  • Prolo-acupuncture for lumbar facets, sacro-iliac and pubic symphysis joints, and iliolumbar and sacrotuberous ligaments
  • Soft joint mobilizations for lumbar facets, sacro-iliac and pubic symphysis joints
  • Trigger point needling, gua sha, and manual therapies for lumbar, abdominal and gluteal musculature, including quadratus lumborum and iliopsoas
  • Core strengthening therapeutic exercises

Case presentation/treatment demonstration and discussion

View schedule and register for classes

Head, Neck, Thorax — Review and Practicum Lab

has been added to your cart!

First time user? Your account will be automatically be created after purchase. Please note:

--Webinars require continuous attendance on the date(s) offered to receive PDAs/CEUs. If you cannot attend, please consider a self-paced distance-learning version instead, if available, or another class that you will be able to attend.

--Ebooks are included with class purchase--please do not purchase both. When purchased separately, Ebooks are for informational purposes only--no PDAs/CEUs.

Questions? Please visit our FAQ page. Thank you for your purchase!

Monday, April 14, 8:30-5:30, at VUIM, 1980 Gallows Road, Vienna VA
8 LIve NCCAOM PDAs approved

Contact Us > 1 month prior to class date to request CAB CEUs


  • Apply, practice, re-inforce, expand upon physical exam and treatment techniques taught in the associated didactic module.
  • Labs focus on areas of particular difficulty, and include presentation, demonstration treatment and discussion of challenging cases.
  • Note: Practicum/Review Labs are open only to participants who have completed the prior associated didactic module: Head, Neck, Thorax.

Head and Central Nervous System Exam

  • Cranial nerve exam
  • Central nervous system exam

Cervico-thoracic Spine Exam

  • Upper extremity reflexes
  • Upper extremity motor exam
  • Cervical and thoracic spine active range-of-motion assessment
  • Ribcage excursion assessment

Cervico-thoracic Spine Treatment

  • Tui na joint mobilization and prolo-acupuncture for cervical subluxations and facet joint arthropathy
  • Trigger needling, gua sha, and manual therapies for trapezius, levator scapula, scalenes, sternocleidomastoid, multifidi, and intercostal muscles

Case presentation/treatment demonstration and discussion

View full certification program and register for live and self-paced distance-learning classes.

Medical Documentation: Essential Best Practices – Class Notes & E-book

Class Content Notes
Guide to Interactive E-books: Read this first! Guide
Slideshow: Medical Documentation: Essential Best Practices View Slides
Appendix 1: Comparison of Paper vs. EHR Systems View Notes
Appendix 2: Patient Release and Records Transfer View Notes
Sample History of Present Illness/initial visit note View Notes
Sample follow-up visit progress or "SOAP" note View Notes
Basic Chart Note Review View Notes
Advanced Chart Note Review Checklist View Notes