Nerve Compression Syndromes of the Elbow and Forearm

presented by Ann Porretto-Loehrke

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How can I differentiate my patient’s nerve complaints at the elbow and forearm? Sharpen your skills with evaluating and treating conservative and post-operative management of peripheral nerve compressions at the elbow and forearm! This course provides therapists with evidence-supported evaluation and treatment tools to address cubital tunnel syndrome, radial tunnel syndrome, pronator syndrome, and Wartenberg’s syndrome.

Meet Your Instructor

  • Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT

    Ann Porretto-Loehrke is a skilled clinician and dynamic instructor. She is the therapy manager of a large department at the Hand to Shoulder Center. Ann is a Certified Hand Therapist (CHT) and a Certified Orthopedic Manual Therapist (COMT) for treatment of the upper quadrant through the International Academy of Orthopedic Medicine (IAOM). She has extensive training in the evaluation and treatment of the upper quadrant. Ann completed a post-professional Doctorate in Physical Therapy (DPT) degree from Drexel University with a specialty in hand and upper quarter rehabilitation. Most recently, Ann has become certified in dry needling through Myopain Seminars, as a Certified Myofascial Trigger Point Therapist (CMTPT). She previously served as the Vice-Chair of the Examination committee for the Hand Therapy Certification Commission (HTCC). Ann also previously served as the Northeast District chair for the Wisconsin Physical Therapy Association from 2004 to 2008. She is a lead instructor who developed the Hand & Upper Extremity Track through IAOM, a set of six manual therapy courses designed specifically for hand and upper extremity specialists. Ann has presented at American Society of Hand Therapists (ASHT) annual conferences, Canadian Hand Conferences, Philadelphia meeting, and Teton Hand Conference.

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Chapters & Learning Objectives

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  1. Principles of Conservative and Post-Operative Management

    1. Principles of Conservative and Post-Operative Management

    This chapter provides an overview of the principles of conservative and post-operative management of neural compression syndromes as well as instruction in how to perform a proximal screen. This is important to rule out other pathologies prior to evaluating the localized symptoms.

  2. Cubital Tunnel: Conservative & Post-Operative Management

    2. Cubital Tunnel: Conservative & Post-Operative Management

    Cubital tunnel is the second most common nerve compression syndrome in the upper extremity. Understanding the anatomy of the cubital tunnel and principles of conservative and post-operative management can greatly benefit your patients! This chapter covers the sites of potential ulnar nerve compression at the medial elbow, provocative tests, and guidance with both conservative and post-operative management.

  3. Radial Tunnel and Wartenberg’s Syndrome: Conservative Management

    3. Radial Tunnel and Wartenberg’s Syndrome: Conservative Management

    How do you differentiate between radial tunnel and Wartenberg’s syndrome? This chapter covers the sites of potential nerve compression at the elbow and forearm, provocative tests, and guidance with both conservative and post-operative management for radial tunnel and conservative management for Wartenberg’s syndrome.

  4. Pronator Syndrome: Conservative and Post-Operative Management

    4. Pronator Syndrome: Conservative and Post-Operative Management

    How can I discern median nerve symptoms coming from the carpal tunnel versus more proximally in the forearm? This chapter covers the sites of potential median nerve compression at the elbow and forearm, provocative tests, and guidance with both conservative and post-operative management for pronator syndrome.