Systematic Evaluation and Treatment of TOS CTJ Chicago IL Oct 2023

UE Track Courses

Course Description

15.25 Contact Hours

CTJThe TOS/CTJ course will give each participant the ability to perform a concise clinical exam and develop manual therapy skills to address soft tissue and joint limitations at the 1st & 2nd ribs, glenohumeral joint, AC and SC joints, and upper thoracic spine. Participants will gain an understanding of how to prescribe specific neural flossing techniques. Therapists will be able to differentiate between thoracic outlet syndrome and cervical nerve root problems. Participants will learn clinical tests used to identify disputed neurogenic TOS, how shoulder mechanics influence thoracic outlet syndrome and the best exercises to address scapular dyskinesia in patients with TOS.

Cancellation Policy

Pre-approved in the following states

Arkansas, Alabama, Connecticut, Idaho, Iowa, Maine, Mass, Missouri, Nebraska, New Hampshire, Washington, Georgia, Hawaii, Indiana, North Carolina, North Dakota, Tennessee, Vermont, Wyoming, Nevada, New Jersey

Contact to request approval in your state.

Objectives and Goals

At the end of the presentation, participants will: 1. Describe the 3 main passageways that can be involved with TOS: scalene triangle, costoclavicular space, and thoraco-coraco-pectoral space. 2. Be able to identify the two different types of TOS clinical presentations: “compressors”: those who experience intermittent traction on the brachial plexus with overhead activity and “releasers”: those who experience more of their symptoms at night. 3. Perform a clinical examination involving the following special tests: Roos test (Elevated Arm Stress Test), Cyriax release test, & Cervical Rotation Lateral Flexion test. 4. Demonstrate ability to test and treat 1st rib limitations associated with TOS. 5. Identify scapular faults that can contribute to TOS problems and develop an understanding of how to best address them. 6. Perform assessment and treatment of posterior glenohumeral capsule limitations related to TOS. 7. Develop an understanding of the importance of the sympathetic nervous system and its role in treatment of TOS.


Dupage Medical Group
801, Ogden Avenue, Lisle, Illinois, 60532, United States


Ann Porretto-Loehrke

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Jamie Bergner

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Check In

October 14, 2023 7:30 am

Instruction Hours

October 14, 2023
8:00 am – 6:30 pm

October 15, 2023
8:00 am – 3:00 pm


I understand it is my responsibility to confirm the IAOM-US has CCUs approved for this course in my state and/or inform IAOM-US what is required to obtain CCU approval.