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Ankle Measurement

Lower extremity physiological bony development and its clinical ramification in the pediatric and adult patient.

Instructor: Daryl Hochman


Osteopathic Manual Practitioners, Student of Osteopathy, Physical therapists, Athletic Therapists

Toronto, Ontario

Dates: Nov.3-5, 2023 


Early Bird: $895 plus HST (extended to Aug.31, 2023)

Regular Pricing: $995 plus HST

Time: 9am to 5:30pm 

Venue Location: Sutherland Chan School

15 Gervais Dr Suite 308, North York, ON M3C 1Y8

Toronto, ON

(This course is not part of Sutherland Chan School but the venue is being utilized for this course) 

Course Outline:


The lower extremity of a child goes through bony ontogey changes through the first decade of life.  If these physiological developmental changes do not transpire during the first decade of life, will this predispose the adult to specific pathologies in their lower extremities?


There is scientific evidence to show that the lower extremity pathologies we see daily in our adult patients can stem from incomplete physiological bony ontogeny during childhood. For example, the literature states that patellofemoral issues can result from a lack of complete femoral torsional development. In addition to patellofemoral issues such as osteoarthritis (OA) and chondromalacia patella, some other common adult pathologies include but are not limited to hip osteoarthritis, hip labral tears, and adult acquired flatfoot. 


As such, the aim of this course is to help the manual practitioner :

(1) understand the physiological  progression of lower extremity bony ontogeny  especially in the first decade of life

(2) learn to assess whether the presenting pathology stems from lack of physiological bony ontogeny

 (3) Understand how bone concepts and bony ontogeny can be implemented into clinical practice for both the pediatric and adult population


Course goals:


  •  Review the bony ontogeny of the lower extremity (i.e. femur, tibia, calcaneus, talus) and present what is “normal”(physiological)

  • Learn to assess and differentiate between femoral and tibial torsions and femoral version and how these conditions can influence pathology in the adult population

  • Learn  clinical assessment of the pediatric patient including  angular and rotational issues, gait development which will also benefit your specific/appropriate  assessment of the adult population

  • Gain knowledge of how to assess the child as well as how to use these assessment tools when considering the adult pathologies of the lower extremity.

  • Provide clinical assessment tools that will allow the practitioner to gain understanding of how to differentiate lower extremity conditions and be more specific in your treatments.

  • Learn about different foot types and how to assess them  including their  biomechanical effects , and how they can contribute to pediatric and adult lower extremity pathologies

  • Review various pediatric hip, knee, tibial, and foot conditions that can be precursors  to adult pathology and  eventually present themselves clinically  in the adult population 

  • Learn manual therapeutic normalizations of the lower extremity bones that can be beneficial in your approach when treating both the pediatric  (with growth plates) or the adult population.

  • Review clinical conditions acquired during childhood and its continuation into adulthood such as pediatric flatfoot and adult acquired flatfoot and developmental dysplasia of the hip (DDH) and its relationship to labral tears and OA of the hip

About Daryl Hochman

DPM, D.O.M.P., D.Sc.O., MSc


Daryl Hochman received his training in podiatric medicine and surgery in Illinois and has been in clinical practice for over 30 years emphasizing  sports medicine, orthopedics and biomechanics for both the pediatric and adult populations. 

He also has trained as an Osteopathic manual practitioner in Ontario and has been in practice for 20 years.

He has been lecturing on many topics in both professions for over 25 years.  

Foot Massage

Cancellation/Refund policy


100% refund will be provided up to 30 days before the 1st day of the course (less a $50 non-refundable registration fee)


75% refund will be provided up to 15 days before the 1st day of the course (less a $50 non-refundable registration fee)


50% refund will be provided up to 7 days before the 1st day of the course (less a $50 non-refundable registration fee)


No refunds will be provided within 6 days prior to the 1st day of the course.


Any refunds provided will be paid in the same method of the original payment.


If not enough participants are registered then the course will unfortunately have to be cancelled due to lack of participation.  If we have to cancel there will be full refunds minus the $50 non-refundable registration fee.


Osteopathic Manual Practitioners, Student of Osteopathy (4th year and up), Physical therapists, Athletic Therapists

Toronto Location Costs: 

Early Bird: $895 plus HST (extended til August 31, 2023)

Regular Pricing: $995 plus HST

Instructor: Daryl Hochman

New dates due to postponement: Nov.3-5, 2023

Venue Location: Sutherland Chan

15 Gervais Drive 
Toronto, ON

(This course is not part of Sutherland Chan school but the venue is being utilized for this course) 

Toronto Registration

If you missed the payment button on the registration form:  You can either e-transfer to (FYI banking information shows up as Doniri Investments inc. in your records)

Or you can pay here: 
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