Advanced Musculoskeletal Training

Hand therapists workshop

Currently this workshop is awaiting accreditation with the WA hand therapist committee. as soon as I have dates I will post them (30-11-16)

The contents are:

This workshop is designed to provide a global approach to looking at injuries to the upper limb from the shoulder to the hand.
The workshop is designed to allow the therapist upon returning to work to apply the techniques learnt and have a successful outcome.
Not only will we cover standard 'direct injuries to tissues' but also postural problems that lead to chronic upper limb injuries.
The Workshop will cover 'hands-on' techniques as well as 'dry needling techniques' from the trapezius muscle to the small muscles of the hand.
The topics covered are:
9 point flexibility scale. What does it mean and how to use it.
MET- Muscle Energy Technique. What is it how to use it to lengthen shortened muscles. This technique can be used to lengthen any muscle or muscle group.
Dry Needling: some history; safety precautions; where to and not to use the acupuncture needles; how to use them; how to use different length needles; disposal; bleeding etc.
We will dry needle the following muscles: Trapezius; deltoid; triceps; biceps; supinator; common extensors; common flexors; pronator teres; ulnar deviators; radial deviators; the intrinsic muscles of the hand and others if time allows.
Acupressure points for headache- extremely effective for all headache sufferers.
Compression neuropathy of the upper limb.
Nerve entrapments of the Upper Limb:: Overview
Trapezius muscle tests and length tests and treatment.
Supraspinatus tendinitis - tenomuscular junction - how to locate and treat- 2 techniques
A/C joint dysfunction- diagnosis and treatment
Cervical muscles dysfunction -diagnosis and treatment.
Levator scapulae dysfunction- diagnosis and treatment.
Several spray and stretch techniques to cervical and neck muscles
The conoid ligament- how to find and treat.
Shoulder muscle firing dysfunction- how to find and treat.
A/C joint dysfunction- how to detect and treat.
Three tests for thoracic outlet syndrome
Shoulder dysfunction: Bankhart lesions; O'Brien's test; sulcus sign; Apprehension tests; rotator cuff lesions- the role of age.
Shoulder pain in general.
Home exercise for the shoulder
Home exercises for the hand and fingers.
Conneely's tennis elbow technique involving: Mills procedure; dry needling; wrist and elbow mobilisation using the 'good-day' technique.-works every time!
As you can see this is a busy workshop.

DRY NEEDLING TECHNIQUES. "Hand therapist workshop- from shoulder to fingers”.
Day 1.
Start 8.30 Registration. Collect Workshop workbook/badge. General House Keeping.
9.00 Each participant gives a brief ‘outline’ of what they do, where they come from etc. Presenters also give same information.
What the participants can expect from the Workshop
9.15 This section deals with the history and definitions of dry needling over the past 130 years. Those who made the discoveries and how and what they mean for us as therapists. What to tell the patient, the importance of the hand example for every patient. The difference between their pain and needle pain. Measurement of pre and post needling ranges of motion.
There are over 70 definitions as to what is a Trigger Point, Taut Band. Referred muscle pain along myotomes.
Things discussed include: Muscle Physiology. Different Muscle types. Methods for palpation of taut bands. How to hold the muscle being treated from moving.
Needle insertion, trigger point deactivation, needle removal, Spray and stretch technique and heating of the affected muscle(s).
The last section is related to ‘Do’s and Don’ts. Included is how to prepare the skin, use needles of different sizes, needle removal method, safe disposal of needles, what to tell the patient, when not to use the needles. Side effects and how to avoid them.
For many it will be their first attempt at dry needling- we all needle ourselves- to remove the rear and phobia that is common in every workshop.
 Any questions?
10.15 Dry needling to the Biceps, Triceps, Deltoid and Any Questions?
10.45 Morning Tea.
11.05. The trapezius muscle: needled and specific stretches that patients like.
             Supraspinatus tendinitis-diagnosis and treatment, conoid ligament
12.15: Discussion on papers that I have included. The pro’s and con’s of papers.

1.00 Lunch Break.
2.00  forearm ( flexors and extensors) along with hand muscles are examined and treated. Home exercises for the hand and fingers.
3.00 Afternoon Tea.
3.20  shoulder motion, abnormal firing pattern of shoulder abduction and forward flexion- how to detect and treat along with home exercise
4.10. MET= Muscle Energy Technique- what is it, how to use it and its 8 variations.
9 point flexibility test- how to perform it- what does it mean in relation to joint motion present versus expected.
Review of procedures, referred muscle pain patterns.
Any questions.
Finish 5.00pm.
Day 2
Start 9.00 Review of day 1. Reinforcement of deficiencies found on day 1. The importance of a tidy workspace and not to use more than 5 needles at a time.
Demonstrations of dry needling by participants upon my person. The participant is expected to be able to perform dry needling to a high standard. They are not only judged by myself and my assistant, they are also judged by their peers. Those who perform below standard are taken aside throughout the day and asked to re-demonstrate the procedure until they have reached a high standard. Any Questions?
10.00 Infraspinatus muscle. The third most needled muscle. The 4 main trigger points. Any Questions?

11.00 Morning Tea
11.20 Tennis Elbow treatment protocols. This includes how to diagnose the condition, inspect the muscles that are commonly involved finding their trigger points and deactivation of them. Spray and stretch follows and then heat the treated area(s).
Next the Mills’ procedure, followed by the “gooday” technique for wrist and elbow joint mobilisation. Referred muscle pain patterns.
Participants are asked to explain what they tell patients regarding what to expect to outcomes.

12.30 Lunch

1.30 Muscle referred pain patterns. Different quizzes relating to examination and treatment is conducted. How to use a needle are demonstrated by participants.
Muscle dysfunction between the trapezius and rhomboid. Diagnosis and treatment will be discussed as well as looking for trigger points in these muscles. Home treatment for this dysfunction will be discussed and demonstrated.
Shoulder dysfunction and tests- Bankhart lesions; O'Brien's test; sulcus sign; Apprehension tests; rotator cuff lesions- the role of age with rotator cuff degeneration. Shoulder pain in general.
Home exercise for the shoulder.

3.00 Afternoon Tea
3.20 The danger muscles: Pectoralis minor muscle latissimus dorsi.

 4.00 Review, any questions, participants retested in dry needling techniques.
4.45 Summary. 
4.50 What’s next.
4.55 Certificate and Tax Receipt issuing. 
5.00 Finish.

This is a full two day 'hands-on' Workshop. There will be all day coffee, tea, biscuits and sweets.

The Workshop will include detailed notes that are individually made on receipt of payment and enrollment in the Workshop.

Contact: Dr. Paul Conneely on



To visit the Talus Biomechanics Page- click here

To visit the Lower Limb Dry Needling Workshop page- click here

To visit the Radiology workshop page- click here

To visit the pelvis workshop page- click here

To visit the upper Body dry needling workshop - click here