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Level 4


  • Kaatza Health Clinic 58 Cowichan Ave Lake Cowichan Canada (map)

This course is the final session in the series of 4 courses teaching a therapeutic approach for chronic pain care known as myoActivation. myoActivation combines release of muscles in sustained contraction, fascia in tension and relevant scars with the aim to resolve pain.

Participants will review clinical anatomy, practice new assessment techniques, and treat different regions of the body covered through the four levels of  this course. Emphasis has been placed on practical, hands-on skills.  Participants will be expected to practice on each other.

The scope of the Level 4 course has been carefully structured to provide solutions for common chronic pain presentations in treatment areas requiring more precision than techniques learned in Level 1.

* Requires completion of Levels 1, 2 & 3

  • Physicians & nurse practitioners who have completed the courses for Levels 1, 2 and 3 and want to learn myoActivation treatment approaches for chronic pain presentations in specific anatomical areas and for certain complex conditions, not addressed in the first three levels.   

    Participants must be licensed to deliver injections and hold liability insurance for their scope of practice.

  • WORKSHOP DAY 1

    Relevant BASE tests, anatomy, palpation techniques and skills practice for:

    Pain in and dysfunction of facial structures, ears, sinuses, mouth, and pharynx

    Assessment and treatment of neuropathies

    Assessment and treatment of pain in complex conditions such as:

    • CRPS

    • Lyme disease

    • Thoracic outlet syndrome

    • Multiple sclerosis

    • Parkinsonism

    • Traumatic brain injury

    • Cerebral palsy


    WORKSHOP DAY 2

    Relevant BASE tests, anatomy, palpation techniques and skills practice for:

    • Pain in and dysfunction of hands, fingers, and thumb

    • Pain in and dysfunction of foot and toes

    • Bunion pain

    • Pain in the genitalia

    Novel pain related concepts in:

    • Gross anatomy

    • Embryology

    • Soft tissue biomechanics

    Pain presentations in special populations, such as:

    • Children and youth

    • Wheelchair bound

    • Marginalized First Nations

    • Athletes

    • Residential care

    Review and evaluation

  • Level 4 training delivers adaptive, innovative content and on-site learning.  

    Part 1: Self-Study
    Learners complete knowledge modules prior to on-site learning. Estimated time needed is up to 1 hour.

    Part 2: Hands-on Clinical Skills Building

    A two-day on-site clinical workshop, including practice and case studies. 

    Maximum class size: 16 learners

    Instructor:learner ratio: 1:4

  • This portion of the course should be completed before the 2 day clinical workshop.

    The online portion covers the fundamentals of myoActivation from principles through practice, delivered via an e-Learning platform.

    Estimated time required: up to 2  hours.

    In addition, participants should review myofascial anatomy of the torso and major muscles of the leg using their preferred anatomy textbook or App.

    Recommendations:

    Text:  Biel, Andrew, Trail Guide to the Body, revised 5th edition, 2014

    App: Visible Body Muscle Premium

    Optional: Myofascial Pain and Dysfunction: The Trigger Point Manual, 3rd Edition




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February 22

Level 1

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April 26

Level 2