Finding Dysfunction: A Master Clinician’s Approach to Finding the Cause of Patients' Pain

This course will provide you with a unique yet systematic framework to finding the true cause of patients’ pain. You’ll learn to assess the body in a “global” way, looking beyond the local pain area to find dysfunctions elsewhere that could be causing the problem. The major focus points of this approach are the joint, muscle, fascial, and compensatory barriers a patient has (what we call the JMFC Framework) as well as the hypo-hyper compensation model, both in theory and on actual patient case studies. We know patients tend seek out therapists who have a great reputation for making a difference, and these simple frameworks will help you develop that reputation and help you get patients’ lives back. This course will cover how to identify key dysfunctions in the shoulder, elbow, wrist, hip, knee, ankle, and foot, as well as look at spinal referred pain.

Dates and Locations

2025

No more courses scheduled in 2025. See Finding Dysfunction course schedule for next year below!

2026

Saturday – Sunday

May 16-17, 2026

2 days, 9:00 AM – 5:00 PM

Great Lakes Seminars

2768 Centennial Road
Toledo, OH 43617

Approved for 16.5 CEUs in most states. Check state approval below.

Instructor: Kelly Poppaw

$650.00 incl. Tax

Saturday – Sunday

May 16-17, 2026

2 days, 9:00 AM – 5:00 PM ET

Live Hybrid

Live online via Zoom

Approved for 16.5 CEUs in most states. Check state approval below.

Instructor: Kelly Poppaw

$600.00 incl. Tax

Saturday – Sunday

August 1-2, 2026

2 days, 8:00 AM – 5:30 PM

TriStar StoneCrest Medical Center

300 StoneCrest Blvd, Suite 180
Smyrna, TN 37167

Approved for 16.5 CEUs in most states. Check state approval below.

Instructor: Kelly Poppaw

$650.00 incl. Tax

Saturday – Sunday

September 12-13, 2026

2 days, 8:00 AM – 5:30 PM

Valley Health Lifestyle Fitness Center

1400 MacArthur Blvd
Mahwah, NJ 07430

Approved for 16.5 CEUs in most states. Check state approval below.

Instructor: Kelly Poppaw

$650.00 incl. Tax

Saturday – Sunday

October 24-25, 2026

2 days, 8:00 AM – 5:30 PM

Bon Secours Physical Therapy and Sports Performance

The Sauer Center
2230 West Broad St, Suite 201
Richmond, VA 23220

Approved for 16.5 CEUs in most states. Check state approval below.

Instructor: Kelly Poppaw

$650.00 incl. Tax

At the completion of this seminar, the participant will be able to:

  • Synthesize data from a clinical exam to develop a master-level approach to finding the root cause of upper and lower extremity pain
  • Identify 4 pathological barriers to motion which can contribute to peripheral joint pain
  • Apply the Joint-Muscle-Fascia-Compensation Framework to justify single and multiple dysfunctions that can contribute to peripheral joint pain
  • Devise 1-2 pain pathways for upper and lower extremity joints in all 3 planes of motion
  • Apply the Hypo-Hyper Compensation Model, and as outlined in the manual, and identify 4 ways in which this model contributes to the origin of peripheral joint pain
  • Accurately describe the significance of applying the Test-Treat-Retest concept and justify the use of 1-2 manual therapy techniques for each pathological barrier to motion
  • Explain 2 mechanisms by which mechanical pain is perceived in the brain
  • Interpret 3 key pieces of the patient’s subjective history that give the clinician information by which to find dysfunction effectively and efficiently

At the completion of this seminar, the participant will be able to:

  • Synthesize data from a clinical exam to develop a master-level approach to finding the root cause of upper and lower extremity pain
  • Identify 4 pathological barriers to motion which can contribute to peripheral joint pain
  • Apply the Joint-Muscle-Fascia-Compensation Framework to justify single and multiple dysfunctions that can contribute to peripheral joint pain
  • Devise 1-2 pain pathways for upper and lower extremity joints in all 3 planes of motion
  • Apply the Hypo-Hyper Compensation Model, and as outlined in the manual, and identify 4 ways in which this model contributes to the origin of peripheral joint pain
  • Accurately describe the significance of applying the Test-Treat-Retest concept and justify the use of 1-2 manual therapy techniques for each pathological barrier to motion
  • Explain 2 mechanisms by which mechanical pain is perceived in the brain
  • Interpret 3 key pieces of the patient’s subjective history that give the clinician information by which to find dysfunction effectively and efficiently

Saturday


7:30am

Doors Open

8:00am

Lecture: Introduction, Overview of the Keys to Finding Dysfunction

9:30am

Lecture: Key Concepts – Discussion on Mechanical Pain

11:00am

Lecture and Lab: Key Concepts with Finding Joint Dysfunctions

12:00pm

Lunch (on your own)

1:00pm

Lecture and Lab: Key Concepts with Finding Muscle Dysfunctions

4:00pm

Review of Evidence-Based Literature for Today’s Topic’s

4:30pm

Review Questions and Self-Assessment

5:30pm

Adjourn

Sunday


7:30am

Doors Open

8:00am

Lecture: Review Questions

9:00am

Lecture and Lab: Key Concepts with Finding Fascial Dysfunctions

10:45am

Lecture and Lab: Key Concepts with Finding Compensation Dysfunctions

12:00pm

Lunch (on your own)

1:00pm

Lecture: Applying the Join-Muscle-Fascia-Compensation (JMFC) Framework (identifying key dysfunctions in hip, knee, ankle, foot, shoulder, elbow, and wrist regions)

3:15pm

Lecture: Case Studies and Speed Thinking using Pain Algorithms

4:45pm

Questions, Post-Test, Course Evaluation

5:00pm

Adjourn

Approved for 16.5 hours for PTs and PTAs: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, MD, MA, MI, MO, MT, NE, NH, NJ, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, UT, VT, VA, WA, WV, WI, WY

Approved for 16 hours for OTs and OTAs: AL, AK, AZ, AR, CA, CO, CT, FL, GA, ID, IN, IA, KS, MA, MI, MN, MS, MO, NE, NV, NH, ND, OR, PA, SC, SD, TX, UT, VA, WA, WV, WI, WY

Approved for 16 Category A hours by the BOC for Athletic Trainers.

If you do not see your state listed above, please contact us at info@glseminars.com for more information.

Click here for the state and discipline approval list for all courses.

What will I learn in this course?
You will learn a systematic framework for identifying the true cause of patients’ pain using a global approach. The course emphasizes the Joint-Muscle-Fascia-Compensation (JMFC) Framework and the Hypo-Hyper Compensation Model, giving you tools to assess dysfunctions in the shoulder, elbow, wrist, hip, knee, ankle, and foot, as well as spinal referred pain.

Who should take this course?
This course is designed for clinicians who want to refine their evaluation skills and develop a master-level approach to finding the root cause of peripheral joint pain.

What will I be able to do after the course?
You will be able to synthesize clinical exam data, identify pathological barriers to motion, apply the JMFC Framework, develop pain pathways in all three planes of motion, and apply the Test-Treat-Retest concept to justify manual therapy techniques for each barrier.

Are there any prerequisites?
There are no prerequisites, though a solid understanding of musculoskeletal anatomy and manual therapy techniques is recommended to get the most out of the course.

What course materials are provided?
You will receive a full printed course manual, as well as a post-course follow-up video from the instructor.

What should I wear to the course?
Wear comfortable athletic clothing that allows for full movement during hands-on labs.

Is this course mostly lecture or lab?
This course is about 75% lecture and 25% hands-on lab. The lecture sessions focus on teaching the JMFC Framework, the hypo-hyper compensation model, and case study analysis, while the lab portions give you the opportunity to practice applying these frameworks to assessment and treatment.

Course Instructors

Kelly Poppaw

PT, DPT, CIMT

Kelly holds a Doctorate degree in Physical Therapy from Grand Valley State University. She received her Bachelor’s degree from Eastern Michigan University, where she was a NCAA Division One athlete and captain of the women’s soccer team. As a Certified Integrated Manual Therapist (CIMT), Kelly is credentialed through Great Lakes Seminars to assess mechanical dysfunction from a holistic perspective, and is very comprehensive in her treatment approach. She uses a wide variety of manual therapy techniques, functional exercise, and patient education to provide people with an exceptionally high quality of care. She treats orthopedically across the entire age spectrum from birth to adult to geriatrics. She has a passion to teach clinicians how to think systematically; find the root of the patient’s problem on day-one, and eliminate the potential for misdiagnosis. Kelly is a Physical Therapist and Clinic Director at Probility Physical Therapy, a Trained Steward of the leadership methodology Intentional Energetic Presence (IEP) and uses her experience in these areas to create and sustain thriving businesses and cultures.

Finding Dysfunction CEU Course Instructor Headshot

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