Time & Location
About the Event
Continuing education is changing in alignment with modern day culture. Whilst some prefer to attend a workshop in person, others require a more flexible approach to learning. In addition, my time is also limited and I often struggle to travel to put on weekend shoulder workshops, whilst also working clinically and completing my PhD (not to mention my family and sporting pursuits!). To troubleshoot this situation, I have been working feverishly to compile my 1 and 2 day workshops into an online course to be released in 2020.
The course will be released in 4 instalments:
- The rotator cuff: Part 1
- This section will look at the background, anatomy, and epidemiology of rotator cuff pathology and potential risk factors that may be associated with the onset of rotator cuff patho-anatomy. What is the role of the scapula, age, genetics, and lifestyle factors in developing a rotator cuff tear? Does it matter? Can we alter these factors?
- We will then look at the anatomy of a rotator cuff tear, including; mechanism of injury, location, and size of tear.
- Are there any factors that predict improvement of pain and function or, conversely, why do some develop persistent shoulder pain? Are these factors biological, psychological, social or is it a trichotomy?
- Subacromial impingement. The elephant in the room. We look at the history of this condition, why it is on the way out and what we call it now? This section is a must for modern day musculoskeletal clinicians.
- Finally, we invesitgate pain! More specifically, pain in association with the shoulder. How does this inform our management? What even is pain?
2. The rotator cuff: Part 2
- You will now have a firm grasp on the concept of the rotator cuff, why it can become painful or pathological, and how we should view it in modern terms.
- We will then figure out how to best assess the rotator cuff; the clinical examination! What is the role of special orthopaedic tests, palpation, functional testing, and strength testing? Do you need gadgets or just your hands?
- How do we intervene and manage people with rotator cuff pain? We do a deep dive on the evidence. If you’re health care professional that treats people with shoulder pain, this knowledge is required to ensure you are an evidence-based practitioner. For example, what is the evidence behind: Exercise therapy? Injection therapy? Surgery? Manual therapy? Anything else?
3. Shoulder instability
- Often perceived as the most challenging shoulder presentation to manage. This doesn’t have to be the case!
- We look at the classification of shoulder instability; what model do we use? Are there different interventions for different presentations?
- What factors predict a redislocation after a primary dislocation? Are these factors modifiable?
- What structural factors are associated with a shoulder dislocation?
- How do we diagnose shoulder instability? How valid are special orthopaedic tests? Anything other testing we need to do?
- How do we manage someone who presents with an unstable shoulder? When do we refer to a surgical colleague? When do we trial conservative management? How long do we try conservative management for?
4. Frozen shoulder
- Often viewed as the last remaining enigma in musculoskeletal medicine. This is incorrect. We know rather well the pathophysiology of the condition, how to diagnose it and have some reasonable evidence for how to manage it.
- Who gets frozen shoulder and why?
- Why is differential diagnosis important?
- What is the natural history of the condition? This is a recently evolving concept.
- What is the gold standard way to establish a diagnosis of frozen shoulder? What is the role of imaging?
- What is the physical therapeutic approach to managing someone with a frozen shoulder?
- What is the role of injection therapy and surgery?