This chapter covers the specific bony and ligamentous anatomy of the elbow to provide a foundation for understanding the arthrokinematics of the HUJ and PRUJ. This is critically important to understand when initiating joint-specific treatment for the elbow complex.

Knowing exactly where to place your hands when performing manual therapy techniques for the elbow is critical. This chapter covers the bony surface anatomy of the elbow to gain an appreciation of where these structures lie below the skin.

Through lecture and demonstration, this chapter covers specific joint mobilization techniques in a step-by-step fashion to address limitations with elbow flexion and extension. This information is critical to know when faced with a patient with a significant limitation at the HUJ.

Through lecture and demonstration, this chapter covers specific joint mobilization techniques to address limitations with forearm pronation and supination. These techniques are so valuable when addressing a patient with limitations at the PRUJ.

Having an appreciation for the interosseous membrane and the interplay between the proximal and distal radioulnar joints is imperative when determining what structure is limiting forearm rotation. This chapter covers the anatomy of the forearm, including the interosseous membrane and key structures about the distal radioulnar joint, as well as the kinematics with forearm pronation and supination.

How do I know if my patient’s DRUJ is stable and in good alignment? This chapter reviews the testing of key ligamentous structures at the triangulofibrocartilage complex (TFCC) and provides guidance with appropriate treatment intervention.

Most distal radius fractures occur as a result of a fall on an outstretched hand. Increased loading of the radial head can sometimes result in stiffness at the PRUJ. This chapter covers how to manually assess the PRUJ, which can contribute to stiffness with forearm rotation.

This chapter covers the specific bony anatomy of the wrist to provide a foundation for understanding the arthrokinematics of radiocarpal and midcarpal joint motion.

Knowing exactly where to place your hands when performing manual therapy techniques for the wrist is critical. This chapter covers the bony surface anatomy of the dorsal and volar aspect of the wrist to gain an appreciation of where these structures lie below the skin.

Through lecture and demonstration, this chapter covers testing for a capsular pattern of the wrist as well as joint-specific testing of the radiocarpal and midcarpal joints. Joint-specific mobilization techniques will be presented to address a capsular pattern at the wrist. Manual therapy techniques will be covered in a step-by-step fashion to improve mobility at both the radiocarpal and midcarpal joints.

Through lecture and demonstration, this chapter covers the intricate anatomy of the thumb CMC joint, including the arthrokinematics of the saddle joint which provides a foundation for performing joint mobilization to this region. This chapter also covers the clinical reasoning of why the radial column is important to address in patients with limitations at the thumb CMC joint.

Knowing exactly where to place your hands when performing manual therapy techniques for the thumb and radial column is critical. This chapter covers the bony surface anatomy of the radial side of the wrist and thumb to gain an appreciation of where these structures lie below the skin.

Through lecture and demonstration, this chapter covers specific joint mobilization techniques for the thumb CMC in a step-by-step fashion to readily apply in the clinic! Techniques to address limitations with both radial and volar glide at the CMC will be covered.

Through lecture and demonstration, this chapter covers specific joint mobilization techniques to address limitations of the scaphoid-on-radius and trapezoid-on-scaphoid. This is critical to restore full thumb retroposition, as well as maximize motion at the midcarpal joint.

This chapter provides an overview of the anatomy in the lateral elbow including the humeroradial joint, lateral ligamentous support, musculotendinous structures, and radial nerve. Having a solid understanding of these structures and their location will give better insight of the involved structure when performing the clinical examination.

This chapter covers the pathomechanics of tendinopathy, articular, ligamentous, and neural issues at the lateral elbow.

This chapter provides a systematic approach to differentiating between musculotendinous, articular, ligamentous, and neural issues at the lateral elbow. An analysis of recognizing special tests needed and performing these will be showcased.

This chapter covers treatment for a musculotendinous issue at the lateral elbow using transverse friction massage, and rhythmic stretching, in addition to providing an overview of the literature regarding strengthening.

This chapter provides treatment methods to address issues at the humeroradial joint: manual techniques to address both hypomobility and hypermobility, which can contribute to lateral elbow pain.

This chapter provides additional special tests to determine if a radial nerve irritation is present, followed by a treatment proposal consisting of neural flossing, addressing underlying mechanics at the HRJ, and a brief overview of ergonomic considerations.

This chapter covers the anatomy of the thoracic outlet and the types of thoracic outlet syndrome (TOS). It is important to differentiate vascular versus neurogenic TOS to identify the most appropriate therapy intervention.

This chapter identifies key information to glean from the patient history, as well as instruction on how to perform a cervical screen and clinical testing for disputed neurogenic TOS. Therapists will develop an understanding of a cluster of tests needed to confirm the diagnosis of TOS.

This chapter covers the mechanics of the 1st and 2nd ribs, reviews how motion occurs at both the costovertebral and costotransverse joints, followed by instruction in how to assess 1st and 2nd ribs mobility. This is critical for TOS patients, as an elevated 1st rib can contribute to brachial plexus irritation at both the scalene triangle and costoclavicular space.

Poor scapular alignment and limited mobility in the upper extremity elevation chain can contribute to TOS, especially with compressors. This chapter covers how to assess resting scapular position and dynamic control as well as performing the Passive Elevation Test to determine if further joint-specific testing is indicated at the acromioclavicular joint (ACJ) or sternoclavicular joint (SCJ).

Posterior glenohumeral joint (GHJ) tightness can contribute to poor scapular mechanics. In addition, end-range GHJ limitations can contribute to TOS “compressor” symptoms. This chapter covers how to assess posterosuperior and posteroinferior GHJ with the arm at the side as well as how the Passive Elevation Test can determine if further joint-specific testing is indicated at the GHJ at end-range.

Stiffness in the upper thoracic spine can be a culprit with poor scapular mechanics and brachial plexus issues. This chapter covers how to assess upper thoracic extension and rotation mobility.

This chapter covers the manual therapy techniques to address limitations at the 1st and 2nd ribs. This is critical for TOS patients, as an elevated 1st rib can contribute to brachial plexus irritation at both the scalene triangle and costoclavicular space.

Poor scapular alignment and limited mobility in the upper extremity elevation chain can contribute to TOS, especially with compressors. This chapter covers how to address poor resting scapular position and dynamic control with scapular taping techniques and therapeutic exercise.

TOS patients who experience their symptoms with overhead motion can sometimes present with clavicular dysfunction. This chapter covers joint-specific techniques to address limitations at the sternoclavicular joint (SCJ) or acromioclavicular joint (ACJ).

Posterior glenohumeral joint (GHJ) tightness can contribute to poor scapular mechanics. In addition, end-range GHJ limitations can contribute to TOS “compressor” symptoms. This chapter covers how to treat posterior GHJ tightness and limitations at end-range.

Stiffness in the upper thoracic spine can be a culprit with poor scapular mechanics and brachial plexus issues. This chapter covers how to address upper thoracic extension and rotation limitations.

Patients with TOS often present with longstanding issues. Nerve gliding must be performed cautiously to avoid an exacerbation of the patient’s symptoms. This chapter covers neural flossing techniques and chronic pain considerations with TOS.

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.

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.

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.

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.