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The Inside-Out Paradigm© - The Aspiration to Prevent Hip, Knee & Shoulder Replacements

America’s aging population wants to stay active!!!  Especially in Florida.


We can help them if we have the skill sets and the anatomical  understanding of how to recognize the early, middle and later stages of these 3 most common joint degenerations.


By 2030, it has been estimated that 3.4 million knee, 572,000 hip and 60,000 shoulder replacements will be performed.  In 2020 there were 1.7 million knee and hip replacement surgeries.  The momentum is escalating.


What an amazing contribution we might make as a profession if we could reduce those frequencies even by a small percentage.  Moreover, imagine the human suffering we might ease to assist clients to improve their function as well as to reduce their pain. And, consider how our profession’s image might be transformed as we assist the quality of life for our country’s baby boomers.


Millions of people seeking a more active and healthier lifestyle is a significant demand that we have the opportunity to provide a supply for if we have the skill set training to do so. That is what this course aspires to offer you.


During This Workshop You Will Learn:


The “Sacs and Tubes Theory of Stress”


The hip and shoulder have an innate evolutionary pre-disposition to slip


To help the knee, one must begin with the hip


That there is a fascial linkage between the shoulders, hips and knees


That many chronic low back conditions can be helped by attention to these joints


That infections and pathologies may lurk in the background of joint degeneration


An assessment protocol for early detection of hip, knee and shoulder degeneration


Techniques will be demonstrated and practiced that:


Assist the femoral and humeral heads to recapture their joint space and the femoral condyles to find their tracking in relationship to the tibial plateaus within the knee


Assist the myofascial suspension and re-balancing of these and related joints


Mobilize the related viscera which co-participate in these degenerations


Mobilize the joints of the pelvis, lumbars and cervical spine to assist in distribution of strain


Reduce the systemic congestion which inevitably accompanies such degenerations


This course has organically grown out of Dale’s personal experience. In 1983 Dale and his step-son were hit head-on by a drunk driver. Both experienced orthopedic injuries. Dale’s right hip was shattered, the tibial plateaus were cracked, and his ankle broken along with additional facial and neck trauma.


An intrinsic understanding began to grow within his clinical awareness as more and more clients started to show up with varying degrees of hip, knee and shoulder degeneration.


What to Bring: Massage table, linens and 3 pillows.

Attire during technique practice exchange needs to allow access to the abdomen: sports bra and shorts or underwear. 

Light blanket to provide warmth as may be needed in A/C. Packed lunch, beverages and snacks to keep your blood sugar level.


Return to Workshop page.