Course Description

In this 2 hour NCBTMB approved course, Dr. Robert Gerwin, Professor of Neurology at John’s Hopkins University Medical Center and Pioneer in research and treatment of myofascial pain syndrome due to trigger points, will discuss myofascial causes of shoulder pain. We will also be learning about "TOS" or "Thoracic Outlet Syndrome". After carefully examining all the possible causes, Dr. Gerwin will identify how the neurogenic cause of thoracic outlet syndrome is rare, and how the myogenic cause of thoracic outlet syndrome is far more common. Dr. Gerwin will outline all the muscles, that when harboring trigger points causing myofascial dysfunction, can be involved in this commonly misdiagnosed shoulder problem.

In closing, Mary Biancalana will review trigger point referred patters that, in key muscles, can mimic the sensation that could be mistaken for TOS, or thoracic outlet syndrome. Upon successful completion the learner will earn (2) NCBTMB approved CE's good for license renewal. 

This is a pre-recorded video-based lecture and interactive study guide, with a quiz at the end.

Learning Objectives

The Student will:

  1. Recognize how the patient will present when they have complaints that can be diagnostically proven to be true Thoracic Outlet Syndrome (TOS) or when there could actually be muscular symptoms mimicking TOS.

  2. Know the anatomy involved in the brachial plexus.

  3. Know how to manage this condition within the scope of practice.

  4. Explain how muscles can be involved in true TOS and common myofascial mimicking of signs and symptoms of thoracic outlet syndrome.

Course curriculum

  • 1

    Introduction to the Course - Mary Biancalana

    • Introduction Video

  • 2

    Study Guide for the Class

    • Thoracic Outlet Syndrome - Dr. Bob Gerwin - Study Guide

  • 3

    Course - Dr. Bob Gerwin

    • The Neurogenic vs Myogenic Causes for Thoracic Outlet Syndrome - Dr. Gerwin

  • 4

    Outro with Mary Biancalana

    • The Neurogenic vs Myogenic Causes for Thoracic Outlet Syndrome - Outro

  • 5


    • Final Exam

FAQs and Important Course Information

Will this class provide me with NCBTMB continuing education hours?

Absolutely yes. Muscle Health, LLC, Mary Biancalana, and all of our listed instructors are NCBTMB approved providers of Continuing Education and our approved provider # is 451298-10. 


 Will I receive a continuing education certificate upon completion of this course?

We will be sending an email to you with the PDF of your Continuing Education Certificate attached within 5 business days. At the completion of the course, you will receive a PDF of your CEU Certificate attached to an email.  

Be sure to save this certificate, as we will charge you $20.00 if you need another copy of it at a later date. 

Course Expiration:

Once you pay for this online course, you have one year to complete it. Then at the end of one year, the link will shut down and you will not be able to retrieve the course.

NCBTMB Course Approval:

This course and the provider; Muscle Health, LLC (owned by Mary Biancalana) is an NCBTMB approved provider of continuing education. Our Provider number is 451298-10 

On her website, Mary Biancalana identifies her many seminars as falling under the title of Advanced Trigger Point Seminars. Mary also teaches live, hands-on seminars under the same NCBTMB Approved Provider status, so contact us if you are interested in live, in-person training courses. 

[email protected]  773-628-7654

Copyright Note: 

The material within this course and the way in which it is organized and taught as well as the image and videos of Mary Biancalana and the voice of Mary Biancalana are copyright by Muscle Health, LLC. The videos, Mary’s voice, or the description of any of the particular techniques taught in this way by Mary Biancalana cannot be taught within other for-fee seminars unless permission is requested of us and granted by Muscle Health, LLC and Mary Biancalana.  Many of our videos are for personal and public use on our YouTube channel;   Chicago Center for Myofascial Pain Relief.

Disclaimer Note:

This online training course should in no way serve as a substitute for qualified medical care. If you have pain or discomfort in any of the areas described, it is your responsibility to seek the advice of a qualified medical professional. Muscle Health LLC, Mary Biancalana, and other instructors will take not any liability for any injuries or discomfort acquired during the application of these techniques. It is your duty as the student to make your choice together with your healthcare provider as to whether or not you are healthy enough to participate in the application of these techniques included but not limited to trigger point pressure release.


In alignment with the AMTA’s online refund policy, Muscle Health, LLC will not offer any refunds to our online courses.