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

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 re...
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Michael T. Gross
Full Day
Audio and Video
Jun 21, 2017


  • 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?






  • 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



Michael T. Gross, PH.D., PT, FAPTA Related seminars and products: 4

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.