Contact Hours: 2.5 contact hours (MN BPT Cat. 1) for each night

Rethinking Posterior Tibialis Tendinopathy within a Progressive Tendon Remodeling Paradigm

Course Description

Tendons are designed to carry tremendous and repetitive loads during functional activities. Tendon health and structure requires load. But what happens when that tolerance to load breaks down resulting in pain and dysfunction? Traditional treatments such as RICE, modalities and exercises are often not effective. An updated treatment paradigm is required, one which offers relative rest/unloading and progressive re-loading to remodel the tendon from within. This process has very little to do with inflammation and much more to do with tissue changes within the matrix of the tendon. This course will provide updates on the current model for tendon care based on available evidence with specific focus on the posterior tibialis tendon, including concepts surrounding different forms of exercise and manual therapy as well as various strategies to easily unload the tendon during the process. The 2.5 hour course will be approximately 75% lecture and 25% lab.

Course Objectives:

• Discuss current research related to general tendon rehabilitation
• Discuss current research related specifically to the posterior tibilais tendon
• Discuss and practice specific exercise interventions for tendons in general and specific to the posterior tibialis
• Discuss specific manual therapy interventions related to the posterior tibialis tendon
• Discuss and practice specific taping and unloading techniques for the posterior tibialis

Speaker Biographies

Bill Koch PT, DPT, OCS, FAAOMPT - 
Dr. Koch graduated from Marquette University with a Master’s in Physical Therapy (2001). He is Credentialed in Mechanical Diagnosis and Therapy through the McKenzie Institute International (2006), is board certified in Orthopedic Physical Therapy (2008) and completed a t-DPT (2009) and Manual Therapy Fellowship (2011) through Regis University in Denver, CO. He practices for Park Nicollet in Plymouth, MN and holds an adjunct faculty position at the University of Minnesota. He is an online course instructor for Evidence in Motion and a partner in 3 Fellows LLC which distributes TrackerTM Laser products and provides physical therapy related continuing education courses.

Chris Kramer PT, DPT, OCS, FAAOMPT - 
Dr. Kramer graduated from the University of Minnesota with a Bachelor’s of Science in Kinesiology and went on to earn a Masters of Science in Physical Therapy. In 2009, he graduated from Regis University with his transitional DPT. Dr. Kramer was board certified in Orthopedic Physical Therapy in 2008. Most recently he became a Fellow graduating in 2011 from Regis University’s Manual Therapy Fellowship program. He is a member of the American Physical Therapy Association and the American Academy of Orthopedic Manual Physical Therapists. He practices for Park Nicollet in Minneapolis, MN and holds an adjunct faculty position at the University of Minnesota and St. Catherine University.  He is an online course instructor for Evidence in Motion and a partner in 3 Fellows LLC, which distributes TrackerTM Laser products and provides physical therapy related continuing education courses.

Achilles Tendon Rupture: Surgical vs Non-surgical Management

Course Description 

Course Objectives

• Understand and interpret the most current evidence for Achilles tendon rupture management.
• Be able to progress patients through rehabilitation program after surgery and conservative treatments.
• Understand expected outcomes for return to activity and return to sports for surgery and non-surgical management.

Speaker Biographies

J.W. Matheson is a 1996 graduate of the Mayo Clinic of Health Sciences and a 2001 graduate of the first public American Physical Therapy Association (APTA) credentialed Sports Physical Therapy residency at Gundersen-Lutheran Sports Medicine in Onalaska, WI. He is both a board-certified specialist in sports physical therapy and a board-certified specialist in orthopaedic physical therapy. J.W. completed his transitional DPT degree from the Massachusetts General Hospital Institute of Health Professions in 2005. He has also maintained his certification as a strength and conditioning specialist since 2000.

Dr. Matheson is a respected author and clinical researcher and has authored and co-authored several peer-reviewed research articles on specific exercises for the spine, knee, and shoulder. J.W. integrates clinical outcomes and functional measurements into his daily clinical practice and is currently working with several partners on different models of reimbursement based on rehabilitation outcomes. He has presented at national conferences on the integration of patient reported and functional outcomes into clinical practice.

Dr. Matheson is co-owner and clinic director of Catalyst Sports Medicine. He is an active member of the APTA and serves on several legislative and research committees locally and nationally. J.W. is a strong advocate for science-based medicine and cost-effective solutions to treating common musculoskeletal conditions. He is committed and passionate about doing all he can to help individuals of all ages return to the sports and recreational activities they love

Scott Peterson received his Doctorate of Physical Therapy (DPT) from the University of Wisconsin-Madison in 2010. Prior to his DPT, he earned a B.S. in exercise science: movement science from Winona State University in Winona, MN in 2007. He is a board-certified specialist in orthopaedic physical therapy. He has been a certified strength and conditioning specialist through the National Strength and Conditioning Association since 2007. Scott is a member of the American Physical Therapy Association and the sports section of the APTA. He enjoys participating in continued education to improve his knowledge and skills as a practitioner to better treat his patients. Scott has been an active athlete throughout his life.  He has a strong interest in sports medicine and the general orthopaedics field of PT. Scott uses a variety of treatment techniques, focusing on individualized exercises to obtain optimal results. As a physical therapist, Scott enjoys helping people get back to the things they love to do.

Update on Advanced Medical Treatment for Tendinopathy: What’s Next When Therapy Is Not Enough?

Course Description

Dr. Scofield will review the current status of pharmacologic, biologic and minimally invasive percutaneous surgical treatments for various chronic tendinopathies, including PRP and stem cells, needle tenotomy, percutaneous tenotomy using an ultrasonic cutting tool, radiofrequency ablation and shock wave therapy. The session will include a demonstration of musculoskeletal ultrasound for diagnosis, and for the guidance of percutaneous injection and microsurgical techniques. Rehabilitation implications relating to the above procedures will be discussed.

Course Objectives

Upon completion of this course, participants will be able to: 

• Describe various pharmacologic, biologic, and minimally invasive procedures available to address chronic tendinopathy including:
  • PRP and stem cell injections
  • Needle tenotomy
  • Percutaneous tenotomy using an ultrasonic cutting tool
  • Radiofrequency ablation and shock wave therapy
• Describe the role of musculoskeletal ultrasound for diagnosis and treatment of tendinopathy
• Identify rehabilitation implications following above procedures

Speaker Biography

After practicing primary care and emergency medicine in remote northwestern Alaska for more than a decade, Dr. Scofield completed a fellowship in primary care sports medicine at the University of Minnesota in 2012. Shortly thereafter he began practicing non-surgical sports medicine through Summit Orthopedics. Musculoskeletal ultrasound, the use of orthobiologics, and the care of patients with tendinopathies are integral parts of his practice. He is the team physician for Concordia University St. Paul and former team physician for the Minnesota Swarm lacrosse team. Dr. Scofield is a runner, triathlete, Nordic skier and mountain biker, and enjoys nothing more than trying to get a sports injury himself.