MedSport Continuing Education

Shoulder pathology is prevalent in both athletic and non-athletic individuals. Shoulder pain is among the most common form of musculoskeletal pain. The point prevalence of shoulder pain varies from 7 to 26% in the general population, increasing with age. Without proper care, individuals with shoulder pain have shown to be subject to persistent pain over time.

There has been a recent focus on proper classification of shoulder pathologies in attempts of focusing treatment. The complexity of proper classification requires understanding of various shoulder pathologies, examination procedures, imaging examination, etc. Additionally, it requires proper understanding and relevance of diagnostic accuracy.

Treatments have been variably described across the current literature. More recently, there have been newly published practice guidelines, consensus papers and sytematic review/meta-analyses on various shoulder pathologies relative to examination and treatment.

In this course you will learn a detailed, systematic, evidence-based examination process to differentially diagnose shoulder pathology. You will learn evidence-based methods of screening other potential regions of pain generation (e.g. cervical spine), as well as screening for serious pathology. You will also learn various assessment methods to differentially diagnose intra- from extra-articular pathology; as well as specific pathology differentiation.

In this course you will also learn about the most common shoulder arthroscopy surgical procedures and general post-operative considerations. The rehabilitation aspects of this course detail progression principles, monitoring of patient response to an intervention (biologically, psychologically and socially). Additionally, this course covers multiple primary exercises and progressions/regressions for the pathologies discussed in the examination.

This course utilizes a great deal of demonstration of the various assessments and movements, including activity and sport-related movements. The clinical utility of these assessments and exercises is also presented in a manner that is easily understood and usable the next day in the clinic.

DAY 1  

8:00-8:10: Introduction to Course 

8:10-8:45: Subjective Examination 

8:45-9:15: Red Flag Examination 

9:15-10:00: Rule Out Cervical & Thoracic Spine 

10:00-10:15: Break 

10:15-12:00: Examination  

• Subjective reports 
• Patient Reported Outcome Measures 
• Screening & Triage 
• Special Testing (Pathology relevance) 

12:00-1:00: Lunch 

1:00-3:30: Clinical Assessment 

• Motion Assessment 
• Muscle Performance & Functional Performance Assessment 

3:30-3:45: Break 

3:45-5:45: Assessment of Contextual Factors 

• Case Introduction and lab assessments 
• Day 1 Review 

DAY 2  

8:00-8:30: Review of Cases

• Lab Re-assessments 

8:30-9:30: Surgical Procedures 

9:30-10:00: Rehabilitation Principles 

• EPIC Return Principles 

10:00-10:15: Break 

10:15-12:00: Rehabilitation 

• Non-Surgical Rehab 
• Guiding Principles of Rehab 
• Exercise Considerations of Various Exercises Based on Exam Findings 

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Pending 12 CEU approval through the BOC and APTA-MI

Modern clinical practice requires clinicians to bring together many diverse elements from a wide range of areas. This can often be confusing, overwhelming, and leaving many feeling unprepared by previous education.

This course looks to bring together these elements in a cohesive and evidence-based framework that gives clinical reasoning skills to reduce the confusion and burden that is often present. This allows both new grad and experienced clinicians to be more confident, relaxed, and ultimately more prepared for this challenge.

We move away from the biomedical model, that has failed many patients, to a more comprehensive Biopsychosocial approach. This is not about a bunch of exercises that you could have just watched on YouTube, its understanding research better, improving communication, up skilling clinical reasoning and trimming away the unnecessary fluff. It goes way beyond just sets, reps & technique that often don’t apply well to treating people with pain anyway.

This course has been taught on 5 continents, 30+ countries and 100s of clinicians & coaches with a whole bunch of discussions, laughs, and movement experiences. 

What you will get 

• A brand-new streamlined pain science approach. Lose the complex neuroscience explanations 
• Psychologically informed communication & interviewing strategies to help people ‘make sense’ of painful problems
• BPS exercise ‘prescription’ model that moves beyond just the tissue
• An ability to confidently navigate uncertainty in diagnosis and treatment
• Appreciate movement variability and dynamic systems theory to forget “good/bad” movement/exercise models
• Gain comprehensive back pain knowledge that will help you understand, explain, assess & treat back pain from a truly evidence-based position 
• Learn an exercise dosing model that redefines pain & exercise 
• Simple ready to use strategies for common back pain problems

Day 1

9am - Intro and key course concepts & intro to understanding EBP 

10am – Pain science & the BPS model in 2024 

10:45am – Break 

11am – The clinical conversation. Improving communication & subjective Ax 

11:30am – Pain & exercise. How does it help/ not help? 

12:30pm – Lunch 

1:30pm – What do you want exercise/movement to do? Clinical reasoning tools for clinic 

2:15pm – Practical movement class – Creating a movement experience 

3pm – Break 

3:15pm – Exercise dosing – the secret to success 

4pm – Movement snacks 

5pm – Finish 

DAY 2 

Will have shorter breaks and lunch to allow you to get home earlier! 

9am – Understanding lower back pain

10:30am – Serious (red flags), specific & non-specific back pain. What’s the difference? 

11am – Break 

11:15am – Back pain assessment workshop (Subj and obj) 

12:30am – Lunch 

1pm – Treatment (Advice & education and exe3rcise workshop) 

2pm – Exercise for back pain 

3pm – Close   

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