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Evidence-Based Interventions for Osteoarthritis, Meniscal/Labral Lesions, Muscle/Tendon Strains, & Tendinitis

Michael T. Gross, PhD, PT, FAPTA
Full Day
Jun 21, 2017
PESI Publishing
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  • Protect articular cartilage from further damage, keep the original equipment & avoid total joint replacement
  • Comprehensive strategies to make sure repairs of meniscal and labral tears are successful
  • Superior techniques for treating first-time muscle strains so they don’t recur
  • Effective protocols for patients who have had many muscle strain recurrences
  • How to protect tendon pulley mechanisms from tensile stress, compressive stress & frictional abrasion

The content of this course will help clinicians with clinical decision-making to take your practice to an advanced level. Discussion topics are based on research that Dr. Gross has synthesized over the past 30 years of practice, research and teaching. You will leave able to determine the scientific basis to change practice patterns immediately as you return to patient care.

If you could confidently answer the questions below, imagine how it could impact your practice…

  1. What hand should be used for cane use if a patient has knee varus versus knee valgus?
  2. What are the appropriate clinical interventions for tendinopathies in instances where tendons wrap around tendon pulley mechanisms?
  3. What happens when excessive pressures are transmitted across epiphyseal plates?
  4. How do we help young patients prevent avulsion fractures of apophyses?
  5. How do we help our patients prevent muscle strain recurrences?
  6. What are the best detection methods for labral lesions at the hip or glenohumeral joints?
  7. What are the best detection methods for meniscus lesions at the knee?
  8. What are evidenced-based guidelines for interventions of knee meniscus lesions, as well as labral lesions of the hip or shoulder?



* Credit Note - ****

Save time and money off other submission methods – purchase & take the CE test online for $29.99. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before completion.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.  For speaker disclosures, please see the faculty biography.

Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

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Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.6 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Occupational Therapists - Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 6.3 self-study continuing education credits.

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Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.25 continuing competency hours.

Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.25 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.6 contact hours.

Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Michael T. Gross, PhD, PT, FAPTA Related seminars and products

Michael T. Gross, PhD, PT, FAPTA, has 37 years of experience as a licensed physical therapist, specializing in the areas of biomechanics and orthopaedic assessment and treatment. He has maintained a consistent clinical practice for all of these years, currently seeing patients 2 days per week at his faculty practice.

He is a professor in the PhD Program in Human Movement Science, and the Doctorate of Physical Therapy (DPT) program in the Division of Physical Therapy at the University of North Carolina at Chapel Hill. Dr. Gross has 70 refereed journal publications in such journals as the Journal of Orthopaedic and Sports Physical Therapy, Physical Therapy, and the Journal of Manual and Manipulative Therapy. He was an Editorial Review Board Member for the Journal of Orthopaedic and Sports Physical Therapy and serves as a reviewer for many other journals. Dr. Gross was awarded the Teaching Excellence Award from the University of North Carolina at Chapel Hill School of Medicine and the Margaret L. Moore Award for Outstanding New Academic Faculty by the American Physical Therapy Association.

He also was elected as a Fellow of the American Physical Therapy Association. He has given well over 300 regional, national, and international presentations, which have been highly rated by attendees for knowledge, skill, and humor.


Speaker Disclosures:

Financial: Michael Gross is a Professor, Division of Physical Therapy, at the University of North Carolina - Chapel Hill. He receives a speaking honorarium from PESI, Inc.

Nonfinancial: Michael Gross has no relevant nonfinancial relationship to disclose.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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  • Composition of articular cartilage
  • Mechanical properties of articular cartilage
  • The 3 main destroyers of articular cartilage
  • Exercise parameters that protect articular cartilage from frictional abrasion
  • Protecting your patient from impact loading
  • Strategies to alter contact pressures
  • Conservative and invasive repair attempts and how to manage them
  • The interplay between running shoes and foot strike pattern
  • So, you thought you knew what hand to use with a cane for knee varus/valgus?


  • Changing your thinking about post-scope meniscectomy
  • Improving meniscus repair response
  • Detecting SLAP lesions – what will be the patient’s story?
  • Detecting SLAP lesions – the best special tests
  • Basics of SLAP lesion rehab based on lesion type/repair of the lesion
  • Detecting hip labral lesions
  • Rehabilitation of hip labral lesions
  • Joint instability models and effect on meniscus
  • Improving the repair response
  • Meniscus transplantation


  • Why the weekend warrior is prone to muscle-tendon juncture injuries - at the microscopic level
  • The Jarvinen Approach to treating muscle strain injuries
  • Factors that explain why patients have
  • recurrent muscle strains – how to end the vicious cycle
  • Dealing with compartment injuries
  • Apophyseal injuries in the young
  • Avulsion injuries among older adults


  • Tendon structure in healthy tendon and in tendon with chronic tendinosis
  • Treating acute tendinitis versus chronic tendinosis
  • Tendon pulley mechanisms – the triple whammy
  • Strategies to decrease compressive stress in tendon pulley mechanisms
  • Strategies to decrease frictional abrasion in tendon pulley mechanisms
  • Application of tendon pulley mechanisms to the shoulder, wrist, and ankle
  • The “Wringing Out Effect” of Rathbun and McNab and its applications




  1. Plan strategies for protecting articular cartilage from further damage, keeping the original equipment, and avoiding total joint replacement.
  2. Analyze comprehensive strategies that ensure repairs of meniscal and labral tears are successful.
  3. Implement superior techniques for treating first-time muscle strains so they don’t recur.
  4. Evaluate treatment protocols for patients who already have had many muscle strain recurrences so that they have no additional recurrences.
  5. Select interventions to protect tendon pulley mechanisms from tensile stress, compressive stress, and frictional abrasion.
  6. Implement effective strategies for rehabilitating chronic tendinosis and acute tendinitis.

Target Audience

Athletic Trainers, Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals.


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We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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