A Therapists Guide to Understanding Upper Extremity Myofascial Chains
Live Event

A Therapists Guide to Understanding Upper Extremity Myofascial Chains

Sat, Nov 19th, 2022
9:00am – 12:15pm US Eastern Time
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About the Event

This live, interactive webinar is focused on the clinical understanding of the diagnoses related to upper extremity myofascial chain. Starting from the anatomy of the fascia through to evidence based articles. This guide will help you understand a variety of “missed“ diagnoses related to myofascial restrictions and provide examples of treatment options and techniques. This webinar is a concise resource for the practicing clinician to solve those ”mystery” diagnoses due to vague symptoms that make it hard to pin-point the exact source. It may be an etiology anywhere along the chain mimicking the symptoms.

The participant should look forward to an energetic, interactive presentation with simplistic explanations of complex concepts and case studies with pop questions.

Live Event
This live online event will be held as a Zoom Webinar. Attendees will have the option to interact through features such as the Chat and Q&A, but cameras and microphones will not be enabled.

Live Event Instructors

Rina Pandya, PT, DPT, FHEA, PGLTHE

Rina Pandya, PT, DPT, FHEA, PGLTHE

Dr. Pandya is an MSK senior lecturer and Fellow, at the University of West England, Bristol, UK involved in both undergraduate and postgraduate studies. Dr. Pandya’s physical therapy career spans over 25 years, through the UK, the USA and the Middle East. She has worked in Nationalized Healthcare Services, American health care and self pay services in acute care, in-patient rehab, skilled nursing facility, home healthcare and outpatient clinic. In addition to being a clinician she has developed specialty programs based on evidence-based practice in her role as a project manager. She has also managed the Physical Therapy department in the capacity of Head of Department in a premier private hospital in Oman. Rina is an internationally published webinar presenter.

Dr. Pandya graduated from Manipal University, India in 2000 as well as University of Michigan, in 2018 with a Doctor of Physical Therapy. Rina conducts live webinars and is part of the continuing professional development teaching community with courses published in the UK, US, South Africa, Ireland and Australia. Rina is a member of APTA, HCPC-UK and OAP-Oman.

Rina Pandya

Rina Pandya

Dr. Pandya is an MSK senior lecturer and Fellow, at the University of West England, Bristol, UK involved in both undergraduate and postgraduate studies. Dr. Pandya’s physical therapy career spans over 25 years, through the UK, the USA and the Middle East. She has worked in Nationalized Healthcare Services, American health care and self pay services in acute care, in-patient rehab, skilled nursing facility, home healthcare and outpatient clinic. In addition to being a clinician she has developed specialty programs based on evidence-based practice in her role as a project manager. She has also managed the Physical Therapy department in the capacity of Head of Department in a premier private hospital in Oman. Rina is an internationally published webinar presenter.

Dr. Pandya graduated from Manipal University, India in 2000 as well as University of Michigan, in 2018 with a Doctor of Physical Therapy. Rina conducts live webinars and is part of the continuing professional development teaching community with courses published in the UK, US, South Africa, Ireland and Australia. Rina is a member of APTA, HCPC-UK and OAP-Oman.

Target Audience

This live interactive webinar is intended for Physical Therapists, Physical Therapy Assistants, Occupational Therapists, and Occupational Therapy Assistants. (PT, PTA, OT, OTA)

Learning Objectives

After taking this activity, you should be able to:

  1. 1 Differentiate between fascial vs myofascial pain.
  2. 2 Describe the pathology and differential diagnosis of myofascial pain.
  3. 3 Identify upper extremity myofascial chains.
  4. 4 Explain diagnoses case studies and research articles.
  5. 5 Apply evaluation and treatment techniques.

Ajimsha, M. S., Shenoy, P. D., & Gampawar, N. (2020). Role of fascial connectivity in musculoskeletal dysfunctions: A narrative review. Journal of Bodywork and Movement Therapies, 24(4), 423-431.

Bordoni, B., Sugumar, K., & Varacallo, M. (2018). Myofascial pain.

Bordoni, B., Marelli, F., Morabito, B., Cavallaro, F., & Lintonbon, D. (2018). Fascial preadipocytes: another missing piece of the puzzle to understand fibromyalgia?. Open access rheumatology: research and reviews, 10, 27.

Cerezo-Téllez, E., Torres-Lacomba, M., Mayoral-del Moral, O., Sánchez-Sánchez, B., Dommerholt, J., & Gutiérrez-Ortega, C. (2016). Prevalence of myofascial pain syndrome in chronic non-specific neck pain: a population-based cross-sectional descriptive study. Pain Medicine, 17(12), 2369-2377.

Chatchawan, U., Thongbuang, S., & Yamauchi, J. (2019). Characteristics and distributions of myofascial trigger points in individuals with chronic tension-type headaches. Journal of Physical Therapy Science, 31(4), 306-309.

Fernandes, S., Cruz, A. M., & Prabhu, A. (2020). The plausible role of Deep Cervical Fascia and its continuum in chronic craniofacial and Cervicobrachial Pain: A case report. Heliyon, 6(7), e04560.

Fricton, J. (2016). Myofascial pain: mechanisms to management. Oral and Maxillofacial Surgery Clinics, 28(3), 289-311.

Fricton, J. R., & Steenks, M. H. (1996). Diagnosis and treatment of myofascial pain. Nederlands Tijdschrift Voor Tandheelkunde, 103(7), 249-253.

Ganesh, G. S., Sahu, M. M., & Tigga, P. (2018). Orofacial pain of cervical origin: a case report. Journal of Bodywork and Movement Therapies, 22(2), 276-280.

Gerwin, R. D. (1997). Myofascial pain syndromes in the upper extremity. Journal of Hand Therapy, 10(2), 130-136.

Goshtigian, G. R., & Swanson, B. T. (2016). Using the selective functional movement assessment and regional interdependence theory to guide treatment of an athlete with back pain: a case report. International Journal of Sports Physical Therapy, 11(4), 575.

Hubbard, M. J., Hildebrand, B. A., Battafarano, M. M., & Battafarano, D. F. (2018). Common soft tissue musculoskeletal pain disorders. Primary Care: Clinics in Office Practice, 45(2), 289-303.

Jenzer, A. C., Jackson, H., & Berry-Cabán, C. S. (2018). Temporomandibular joint pain presentation of myocardial ischemia. Journal of Oral and Maxillofacial Surgery, 76(11), 2317-e1.

Saccomanno, S., Greco, F., De Corso, E., Lucidi, D., Deli, R., D’addona, A., & Paludetti, G. (2018). Eagle’s Syndrome, from clinical presentation to diagnosis and surgical treatment: a case report. Acta Otorhinolaryngologica Italica, 38(2), 166.

Vulfsons, S., & Minerbi, A. (2020). The case for comorbid myofascial pain—A qualitative review. International Journal of Environmental Research and Public Health, 17(14), 5188.

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CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity – including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests).

The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

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The planners of this activity have reported that they have no relevant financial relationships.

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There are no known relevant financial relationships to disclose.

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Florida Board of Physical Therapy

3 CE credit hours
Eligible until Nov 19th, 2022
CE Learning Systems, LLC is approved by the Florida Board of Physical Therapy to sponsor continuing education for Physical Therapists and Physical Therapist Assistants. CE Learning Systems maintains responsibility for this program and its content. Accreditation of this course does not necessarily imply the FPTA supports the views of the presenter or the sponsors. CE Broker Provider Number 50-315. FLBPT Approval Number:
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Florida Board of Occupational Therapy (FBOT)

3 CE credit hours
Eligible until Nov 19th, 2022
CE Learning Systems, LLC is approved by the Florida Board of Occupational Therapy to sponsor continuing education for Occupational Therapists and Occupational Therapist Assistants. CE Learning Systems maintains responsibility for this program and its content. CE Broker Provider Number 50-315
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3 CE credit hours
Eligible until Nov 19th, 2022
Impact CE, a service of CE Learning Systems, is approved by the Michigan Board of Physical Therapy (Provider # 50-315).
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3 CE credit hours
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CE Learning Systems (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider of continuing education for Physical Therapists and Physical Therapist Assistants.
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3 CE credit hours
Eligible until Nov 19th, 2022
This course is approved by the Ohio Physical Therapy Association for PTs and PTAs. OPTA approval number #####.
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Texas Board of Physical Therapy Examiners

3 CE credit hours
Eligible until Nov 19th, 2022
This activity has been approved by the Texas Board of Physical Therapy Examiners for 3 CCUs for PTs and PTAs. APS # 2805075TX. Accreditation Period: 6/1/25-5/31/28
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Event Agenda

Agenda times are listed in US Eastern Time. That is 3 hours later than US Pacific Time. The event starts at 6:00am US Pacific Time.

9:00am - 10:30am Lecture 10:30am - 10:45am Break 10:45am - 12:15pm Lecture and Q&A

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