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American Institute For Myofascial Studies, LLC

MyoRehab Seminar Series


Treating Myofascial Pain

505-872-3100
AIMS-LLC.ORG

Anyone can press on a muscle; Knowing where, how and why, and what happens when we do is the difference between good intentions and an appropriate treatment.
George S. Pellegrino and Victoria L. Magown

After 34 years as a physical therapist I felt I had maxed out my potential to help others. My career has been given a shot in the arm and I am no longer planning to take early retirement. I now have so much more to give my patients. My clinical productivity has increased as my patient attendance has improved. Patients are willing to wait the 2 to 4 weeks necessary for them to be seen for their first visit as they have heard about my new skills. My treatments are more timely and efficient as I can now go right to the problem rather than search for it. This seminar series is so invigorating that I often have to remind myself to inhale. I leave each workshop giddy with excitement. My heartfelt thanks and the thanks of my patients to Vicky and George. Jolinda Dallin, PT - Magdalena, New Mexico

TREATING MYOFASCIAL PAIN


The MyoRehab Seminar Series is an extraordinary training program specifically designed for professional healthcare practitioners treating pain patients. It is the intention of the series to add to and enhance the existing knowledge and experience of every clinician searching for the next level of excellence. Whether you are a recent graduate or a seasoned professional, the MyoRehab Seminar Series will infuse your practice with a comprehensive protocol that will enable you to experience unprecedented success when treating even the most complex pain patient. Each seminar is packed with practical knowledge you will find applicable in your treatment room the very next day. The MyoRehab Seminar Series is based on the work of Doctors Janet G. Travell and David G. Simons, co-authors of Myofascial Pain and Dysfunction: The Trigger Point Manual. The series is dynamic and continues to evolve with the contributions of luminaries including Jan Dommerholt, Andrew Fischer, Robert Gerwin, Karl Lewitt, Aaron Mattes, Thomas Myers, Bonnie Prudden and many others. Individual seminars can be taken to fulfill continuing education requirements. (See page 6) Or, take the entire seminar series and become eligible for participation in our National Certification Program for Manual Trigger Point Therapy. (See page 15).
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ABOUT THE PROGRAM DIRECTORS


George S Pellegrino, LMT, CMTPT, RMTI George is a Licensed Massage Therapist, Board Certified Myofascial Trigger Point Therapist, a Registered Massage Therapy Instructor and a graduate of the Academy for Myofascial Trigger Point Therapy in Pittsburg, Pennsylvania. He is CoDirector of Myofascial Rehabilitation Center, Ltd and Co-Founder of the American Institute for Myofascial Studies, LLC. George is a member of the American Academy of Pain Management, the International MyoPain Society, and the National Association of Myofascial Trigger Point Therapists. He has facilitated many courses focused on the treatment of myofascial pain and served on the faculty of the University of New Mexico School of Medicine, Continuing Medical Education Seminars and lectures on Advanced Myofascial Techniques. George has presented at the American Academy of Pain Management Annual Clinical meetings, National Association of Myofascial Trigger Point Therapists Annual Conventions and lectured to numerous medical groups and healthcare organizations. #2193 and I-0295 Victoria L. Magown, CMTPT, LMT, RMTI Victoria is a Board Certified Myofascial Trigger Point Therapist, Licensed Massage Therapist, a Registered Massage Therapy Instructor and a graduate of the Bonnie Prudden School of Physical Fitness and Myotherapy. She is the Founder and Co-Director of Myofascial Rehabilitation Center, Ltd and Co-Founder of the American Institute for Myofascial Studies, LLC. Victoria is a Clinical Associate of the American Academy of Pain Management, member of the International MyoPain Society, and a founding member and past president of the National Association of Myofascial Trigger Point Therapists. Victoria currently serves on the Board of Advisors to the American Academy of Pain Management and has served on the faculty of the University of New Mexico School of Medicine, Continuing Medical Education Seminars. She has presented at the American Academy of Pain Management Annual Clinical Meetings, National Association of Myofascial Trigger Point Therapists Annual Conventions and lectured to numerous medical groups and healthcare organizations. #4498 and I-0373

Passion and experience lovingly and clearly married to cutting-edge knowledge well presented. My clients were excited to hear that I was going to another seminar. They are getting increasingly deeper, longer lasting relief. They are telling me to keep learning this stuff! My practice is rocketing because of the results people are getting. It is always a rich and informative experience to be in an AIMS seminar. Thank you Vicky and George. Grant Gibbs, LMT - Anchorage, Alaska
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ELIGIBILITY AND ACCREDITATION


All licensed healthcare professionals are eligible. Participants may take individual seminars for Continuing Education or take the entire series and participate in our National Certification Program (See Testing and Certification, page 15 for details). The entire seminar series is accredited for Continuing Education by:
American Physical Therapy Association,

New Mexico Chapter


National Certification Commission for Acupuncture

and Oriental Medicine (NCCAOM)


National Certification Board for Therapeutic

Massage and Body Work (NCBTMB)


The National Association of Myofascial Trigger

Point Therapists (NAMTPT) Proof of attendance for CE Contact Hours will be issued and may be applicable for Continuing Education requirements in other professions. This course far exceeded my expectations (which were pretty high). This is the first course in many years where the physiology of the neuromuscular system has been so well and thoroughly explained and repeated. Thank you so much! I am on my way to practicing more effectively! You are both excellent teachers. Belinda Griego, PT - Albuquerque, New Mexico Especially in primary care medicine, these functional problems are so important: we live in and use our bodies. These are the best and most useful therapeutic skills Ive encountered in years. Thank you. Stephen Dunlap, MD - Santa Fe, New Mexico Youve opened up my mind and given me the greatest gift; your knowledge. Youve changed my life and my career. Your seminar series was absolutely amazing! Thank you both so much. Mary Smith-Fassler, RN, DOM- Albuquerque, New Mexico Very professional. Exceptionally well organized and geared to the needs of practitioners who are interested in being effective and in developing an active practice. Betsey Stilson, LMT, RN - Cedar Crest, New Mexico
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CURRICULUM
Lower Body September October November December Upper Body January February March April Practicum and Review May June *Lab: Clinical Applications *Seminar Series Review *National Certification Examination *Principles & Practices (UB-1) Upper Back, Chest and Shoulder *Principles & Practices (UB-2) Head, Neck and Jaw (UB-3) Elbow, Wrist and Hand *Advanced Techniques: Upper Body *Principles & Practices (LB-1) Mid and Low Back *Principles & Practices (LB-2) Hip, Buttock and Pelvic (LB-3) Knee, Ankle and Foot *Advanced Techniques: Lower Body

* Please Note:
*The Principles and Practices seminar is given on four dates. Attendance is required only once. LB-1, 2 and 3 are prerequisites for Advanced Techniques: Lower Body UB-1, 2 and 3 are prerequisites for Advanced Techniques: Upper Body Prerequisite for Lab: Clinical Applications - ALL Core and Advanced seminars Seminar Series Review is available to participants who have completed the entire Seminar Series. Highly recommended as a review for the AIMS National Certification Examination. National Certification Exam - Successful completion of the entire seminar Series and Tests

To register, see insert or visit www.AIMS-LLC.org and download a current Registration Form
See page 16 for additional information
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AN OVERVIEW OF THE SEMINAR SERIES


Myofascial Trigger Points (MTrPs) are frequently overlooked or misunderstood as a source of musculoskeletal pain. Studies have shown that as many as 93% of all pain patients seeking medical intervention presented with Myofascial Trigger Points. Our seminar series will give you the necessary tools to identify the source and successfully treat myofascial pain and its concomitant motor and autonomic dysfunction. In the MyoRehab Seminar Series, you will learn a complete treatment protocol that will be immediately applicable and empower you whatever your discipline. The Manual Trigger Point Therapy Treatment Protocol is based on the work of Doctors Janet G. Travell and David G. Simons, co-authors of Myofascial Pain and Dysfunction: The Trigger Point Manual. This protocol will enhance the way you practice by providing you with the insights, procedures and efficacy youve been hoping to find in other offerings.

Janet G. Travell

The series begins with Principles and Practices, the prerequisite for the entire series. You are required to take this seminar only one time. It will be given four times during the academic year to allow entry into the series at four junctures. Many participants review the Principles and Practices at least once during the series. Six Core Seminars focus on regional pain and dysfunction David G. Simons while the Advanced Techniques Seminars focus on the mechanical and neurological relationships of involved muscles and joints. The Lab: Clinical Applications seminar provides practical experience developing a treatment plan by employing scenario-based instruction.

This seminar series has had astronomical ramifications for me! The knowledge I have accumulated during the course of your series has enabled me to easily determine a treatment plan for every patient who walks in my door, including patients who need to be referred out. The most important part of this series reminds us to listen to our patients and have compassion for their needs. Barbara Knighton, DOM - Albuquerque, New Mexico
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PRINCIPLES AND PRACTICES


The Principles and Practices seminar (8 Contact Hours) will provide the foundation for all seminars in the series. It is available four times during the academic year. Attendance is required only once, prior to attending any Core Seminars. We begin with a brief history of the current understanding of Myofascial Pain Syndrome (MPS) and continue with an in-depth exploration of the physiology of muscle and fascia designed to provide participants with a deeper understanding of the pathophysiology of Myofascial Trigger Points (MTrPs). The elements of a comprehensive treatment protocol are explained in detail leaving the participant with a foundation for treating acute and chronic pain. The protocol will provide a fool-proof method for developing a sound clinical basis for treatment of Myofascial Pain. MPS can mimic the diagnoses of many common pain syndromes. Likewise, serious pathological syndromes can mimic myofascial pain. As a result, the concept of Differential Diagnosis will be addressed for most common pain complaints. The seminar concludes with a dissection of the Trigger Point Manuals (Vol. 1 & 2) written by Doctors Travell and Simons. These two comprehensive texts are an indispensable resource for the serious practitioner and required reading for those completing the entire seminar series.

Program Overview and Course Objectives


Upon completion of this seminar, participants will be able to:
Attend any Core Seminar in the MyoRehab Seminar Series Describe muscle physiology and the neurophysiology of MTrPs Recognize the most common factors that precipitate and

perpetuate MPS Identify Perpetuating Factors and apply Corrective Actions Develop a clinical impression essential to establishing a sound treatment plan Demonstrate Manual Techniques to successfully inactivate Trigger Points Understand the principles of the Home Exercise Program as an integral part of a functional treatment Expand your knowledge at your own pace by learning how to navigate confidently and effectively through Volume 1 and 2 of Myofascial Pain and Dysfunction: The Trigger Point Manual,
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CORE: LOWER BODY


F o l l o w i ng t h e P ri n c i p l e s a n d Practices, the Seminar Series continues with three Lower Body Core seminars followed by Advanced Techniques: Lower Body seminar. All Core and Advanced seminars are two-days (16 contact hours each) and consist of lecture and guided hands-on practicum.

Program Overview and Course Objectives


Review the detailed anatomy and function

of each muscle involved in lower body pain


Learn the locations of Trigger Points for

each muscle and how to identify them


Become familiar with the common symp-

toms involved in lower body Myofascial Pain Syndrome Be able to identify common Precipitating and Perpetuating Factors of lower body Myofascial Pain Syndrome and apply Corrective Actions Become familiar with Differential Diagnosis related to lower body pain and dysfunction Be able to identify and treat nerve entrapments, vascular and nerve compressions and other significant phenomena contributing to pain and dysfunction Learn evaluation techniques including Range Of Motion Testing for each muscle covered Learn specific methods for inactivating MTrPs and correcting fascial distortions Develop a specific Home Exercise Program to prevent the return of pain and dysfunction

This course has changed my perspective forever. We as therapists have medicine in our fingers, and with this technique we can actually release pain permanently. I now have tools I will use everyday. Mara Weber, LMT - Rio Rancho, New Mexico MyoRehab seminars produce results. Every time I take another one of your seminars, I learn tons of new stuff. The investment is better than running a business advertisement in the Yellow Pages. Barbara Knighton, DOM - Albuquerque, New Mexico
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ADVANCED TECHNIQUES: LOWER BODY


The Advanced Techniques: Lower Body seminar draws heavily from the three preceding Core Seminars. While the Core Seminars address a regional pain approach, the Advanced Techniques seminar emphasizes the functional, mechanical and neurological relationships between muscles and joints of the lower body. (16 contact hours)

Program Overview and Course Objectives


The Advanced Techniques: Lower Body seminar will include:
Quadratus Lumborum Stretch Technique ITB Release Protocol Wishbone Maneuver Protocol for Pelvic Dysfunction Knee Release Technique Ankle Release Technique Fore foot/mid foot Techniques

After inactivating Myofascial Trigger Points (MTrPs) in muscles that produce postural distortion, joints may remain dysfunctional. This may cause MTrPs to re-establish. You will learn Muscle Energy Techniques to restore normal joint function. This comprehensive expansion of the treatment protocol enables the body to maintain a neutral postural alignment. Identifying and addressing Perpetuating Factors can be the difference between success or failure of any treatment. We will explore the most common of these for the lower body. You will learn how to identify and eliminate them. Prerequisite for this seminar: LB-1. Mid and Low Back LB-2. Hip, Buttock and Pelvic and LB-3. Knee, Ankle and Foot
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CORE: UPPER BODY


Following the Advanced Techniques: Lower Body, the Seminar Series continues with three Upper Body Core seminars followed by Advanced Techniques: Upper Body. All core and advanced seminars are two-days (16 Contact hours each) and consist of lecture and guided hands-on practicum.

Program Overview and Course Objectives


Review the detailed anatomy and function of each muscle involved

in upper body pain


Learn the locations of Trigger Points for each muscle and how to

identify them
Become familiar with the common symptoms involved in upper body

Myofascial Pain Syndrome Be able to identify common Precipitating and Perpetuating Factors of upper body Myofascial Pain Syndrome and apply Corrective Actions Become familiar with Differential Diagnosis related to upper body pain and dysfunction Be able to identify and treat nerve entrapments, vascular and nerve compressions and other significant phenomena contributing to pain and dysfunction Learn evaluation techniques including Range Of Motion Testing for each muscle covered Learn specific methods for inactivating MTrPs and correcting fascial distortions Develop a specific Home Exercise Program to prevent the return of pain and dysfunction

This series is incredibly well organized and in-depth. I was impressed with your depth of knowledge and experience. Sheryl Roller, LMT, PT - Albuquerque, New Mexico The knowledge and experience of these two people is phenomenal and overwhelming. I feel like Ive learned so much and yet I havent even scratched the surface. George and Vicky are both so generous with their knowledge. Linda Sullivan, DOM - Albuquerque, New Mexico
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ADVANCED TECHNIQUES: UPPER BODY


The Advanced Techniques: Upper Body seminar (16 Contact hours) draws heavily from the preceding Core Seminars. While the Core Seminars address the regional pain approach, the Advanced Techniques seminar emphasizes the functional, mechanical and neurological relationships between the muscles and joints of the upper body.

Program Overview and Course Objectives


Advanced Techniques: Upper Body seminar will include: Costal Evaluation and Treatment Glenohumeral Joint Stretch Protocol Elbow Release Technique
Carpal, Metacarpal and Digit Release Technique Carpal Tunnel Protocol Barrier Technique for the cervical spine C1 Evaluation and Treatment Protocol

After inactivating Myofascial Trigger Points (MTrPs) in muscles that produce postural distortion, joints may remain dysfunctional. This may cause MTrPs to reestablish. You will learn Muscle Energy Techniques to restore normal joint function. This comprehensive expansion of the treatment protocol enables the body to maintain neutral postural alignment. Identifying and addressing Perpetuating Factors can be the difference between success or failure of any treatment. We will explore the most common of these for the upper body. You will learn how to identify and eliminate them. Prerequisite for this seminar: UB-1. Upper Back, Chest and Shoulder UB-2. Head, Neck and Jaw and UB-3. Elbow, Wrist and Hand
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LAB: CLINICAL APPLICATIONS


The seminar series concludes with Lab: Clinical Applications, a scenario-based application of the treatment protocol. Eligibility for this seminar requires completion of all prior seminars in the series within no more than two academic years. (16 contact hours) Upon completion, participants will be able to:
Design an effective treatment plan based on a complete Intake

Evaluation
Relate precipitating and perpetuating fac-

tors to the treatment plan and with corrective actions

address

Effectively explain the treatment plan to the

patient and create an ongoing partnership


Document objective findings and

patient

progress using SOAP note format


Identify significant findings relevant to communication with other

healthcare practitioners
Locate MTrPs for injection and treat patients

post-injection
Effectively perform the Spray and Stretch

Technique
Develop a multidisciplinary approach by

involving other healthcare practitioners Prerequisite for this seminar: All Core and Advanced seminars

I have been doing bodywork for over 16 years and this is now my preferred method of therapy. You are both great instructors and the materials and information you provide are priceless. Joanna DeMichele, LMT - Roswell, New Mexico These courses have been the best investment I have ever made! The specificity of this treatment protocol has allowed me to get results quickly with my patients and Im getting more and more referrals every day. Melissa Hernandez, LMT - Albuquerque, New Mexico Learning Myofascial Trigger Point Therapy has been like adding a focusing lens to the bodywork I do, creating clarity in evaluation and treatment from a previously blurry pain image. Jelani Allen, BA, LMT - Albuquerque, New Mexico
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TESTING AND CERTIFICATION


Tests are NOT required for Continuing Education Contact Hours.
Upon completion of each seminar, proof of attendance will be issued. Tests are only required for those who wish to receive a Certificate of Achievement for their studies in the treatment of Myofascial Pain and Dysfunction. Successful testing is required to sit for the National Certification Examination. Tests may be requested at registration or at any time during a seminar and will be issued at the completion of each seminar. A $30 late fee will be assessed for tests returned (postmarked) after the due date. (See page 7) Each open book test consists of multiple choice and true or false questions based on the material covered. The test for the Lab: Clinical Applications will be an essay exam. The testing fee is $50.00 per test. A minimum of 85% is required for a passing score. Your grade will be mailed to you. If a passing score is not achieved, tests may be re-taken at a cost of $50. To re-take a test, a request must be made within 30 days of the original tests due date. Tests for each seminar may only be taken twice within the academic year. If a participant fails to achieve a passing grade on the second attempt, the seminar must be retaken the next time it is offered. Participants will be allowed to progress to the next seminar, pass or fail. Upon successful completion of all tests, a Certificate of Achievement will be issued and qualify you to apply for the National Certification Examination. To be eligible to receive a Certificate of Achievement, all seminars must be successfully completed within no more than two consecutive academic years. Lost or misplaced CE Contact Hour verification cards or Certificate of Achievement can be replaced for a fee of $5 plus postage. Certification is a rewarding conclusion to the entire seminar series. If you are a healthcare provider licensed to treat independent of another providers license, and have successfully completed the entire MyoRehab Seminar Series (or other AIMS, LLC Qualified Program) within two academic years, you are eligible to apply for the AIMS National Certification Examination. Successful completion of the examination qualifies you to be registered as Certified in Manual Trigger Point Therapy (CMnTPT) for a period of 5 years. A declaration of certification, suitable for framing, will be mailed to you. A listing on the AIMS, LLC website will also be provided. The National Certification Examination will be offered twice a year, in February and June at dates and times posted on our website. The National Certification Examination application fee is $250.

For additional information and downloads, visit our website

www.AIMS-LLC.org.
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GENERAL INFORMATION
Registration
Full tuition is due at the time of registration. Early registration will end fourteen days before a seminar begins. An additional registration fee of $50 will be assessed for registrations occurring within the fourteen days prior to a seminar start date.

Tuition and Discounts


Select one of the following options: A. Two seminars - 5% discount B. Three or more seminars - 10% discount C. Individual seminars - Full tuition Use the REGISTRATION form found at www.AIMS-llc.org.

Reviewers
You may review the Principles and Practices for $90 (50% off regular tuition). The Seminar Series Review, all Core, Advanced and Lab seminars may be reviewed for full tuition.

Cancellation Policy
If you cancel your attendance in a seminar up to two weeks prior to that seminar, you will receive a refund of 80%. There is no refund or transfer of registration fees for cancellations less than two weeks prior to a seminar. The course directors reserve the right to cancel or reschedule seminars at any time without prior notice. If unforeseen circumstances occur and a seminar is canceled or rescheduled, tuition will be refunded or applied to a future seminar, if so desired. The instructors, the course directors, AIMS, LLC and MyoRehab Seminars will not be responsible for any expenses incurred by a registrant, including hotel and travel fees if an unforeseen cancellation or reschedule should occur.

Course Schedule
All courses will start on time. The time and duration of the breaks will vary at the discretion of the course directors. Light snacks will be provided during breaks. Lunch (beginning around noon) will be on your own. The actual time a seminar will complete at the end of each day or the time of the lunch break will vary at the discretion of the course directors. Courses may not conclude at the scheduled time in an effort to provide the maximum learning experience. Registration (first day of all courses) 7:45 AM. Course begins at 8 AM on the second day. Completion time will vary each day and will be approximately 5:30 PM

Sponsor a Seminar in Your City


At the American Institute for Myofascial Studies we are actively seeking new venues for presenting the MyoRehab Seminar Series or any of our other extraordinary educational opportunities. If you would like more information on sponsorship, contact us at 505-872-3100 or email to generalinformation@aims-llc.org 16

I-25

Carlisle Blvd

All Principles And Practices, Lab and Seminar Series Review


will be held at AIMS, LLC 4308 Carlisle NE Suite 208 N

Montgomery Blvd
Fiestas Restaurant

Carlmont Office Park

AIMS, LLC

All Core and Advanced Seminars


will be held at Southwest Acupuncture College 7801 Academy Rd NE Albuquerque NM 87109

I-25

Southwest Acupuncture College

San Mateo

Phone 505-872-3100
Email: generalinformation@aims-llc.org
Where To Stay
Intown Suites - Montgomery/I-25 Best Western Ex. Suites - Montgomery/I-25 Drury Inn & Suites - Jefferson/I-25 Holiday Inn - Jefferson/I-25 Nativo - San Mateo/I-25 505-342-2800 800-637-5956 505-341-3600 505-944-2222 505-798-4300

For additional information about New Mexico, the Land of Enchantment, visit www.nmtourism.org or www.abqchamber.com
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Wyoming

Academy Rd

INDEX 4 .............. About the MyoRehab Seminar Series 5 .............. About the program directors 6 .............. Eligibility and Accreditation 7 .............. Curriculum 8 .............. An Overview of the Seminar Series 9 .............. Principles and Practices 10 ............. Core: Lower Body 11 .............. Advanced Techniques: Lower Body 12 ............. Core: Upper Body 13 .............. Advanced Techniques: Upper Body 14 .............. Lab: Clinical Applications 15 .............. Testing and Certification 16 .............. General Information 17 .............. Maps and Where To Stay

If the registration form has been removed from this booklet, please visit www.AIMS-LLC.org for a downloadable version or call 505-872-3100
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AIMS,LLC 4708 Carlisle, NE Suite 108 American Institute Albuquerque, NM 87107 for Myofascial Studies, LLC 4308 Carlisle NE, Ste 208 Albuquerque, New Mexico 87107

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