This article consolidates current knowledge on the diagnosis, treatment and rehabilitation of shoulder impingement. It is packed full of practical implementation resources including videos of assessment tests, printable quick reference algorithms and a set of three phased patient exercise rehabilitation leaflets. Register below for access to the shoulder impingement diagnosis algorithm and the key take home messages from this
This article is the eighth from our Manual Therapy Student Handbook (see the ‘Contents panel’ for further details) and it describes how to assess and treat common shoulder complaints. As well as listing a comprehensive... Read More
This content consists of a 11 minute video presentation professionally produced and presented at the Fisic Conference 2015.
This content consists of a 12 minute video presentation professionally produced and presented at the Fisic Conference 2015.
This content consists of a 10 minute video presentation professionally produced and presented at the Fisic Conference 2015.
Professor Simon Bell is Head of the Upper Limb Unit, Orthopaedic Department at Monash Health Moorabbin, and A/Professor in the Department of Surgery, Monash University. He holds a PhD in shoulder surgery, and specialises in shoulder, elbow and sports injuries (Mayo Alumni Association, Schulthess Klinik, Zurich).
Professor Bell is internationally renowned for his clinical research and dedication to excellence in patient outcomes and has published widely in his field. He is also a reviewer for the BJSM, JSES, JBJS (AM) and S&E.
He is a former President of the Shoulder and Elbow Society of Australia (SESA), current President of the Victoria Shoulder and Elbow Society and a corresponding member of the Shoulder & Elbow Societies of Europe and U.S.A. He supervises two AOA accredited Shoulder and Elbow Fellowships for qualified orthopaedic surgeons, and an Upper Limb Research Department with several publications concerning instability in contact athletes.
He is involved in supervising candidates for Master in Surgery and BMedSc., plus registrar training, physiotherapy and undergraduate teaching. He has been the surgeon for Melbourne Storm (Rugby League), The Australian Ballet, The Australian Olympic Swimming team and AFL clubs Richmond, Collingwood and Geelong.
This content consists of a 8 minute video presentation professionally produced and presented at the Fisic Conference 2015.
Dr Lionel Neyton is a French fellowship trained shoulder surgeon. He qualified in 1989 and his surgical training was undertaken at hospitals in Lyon and Nancy. After completing his residency program, he ran a one year shoulder fellowship with Gilles Walch in 2003. He then joined Pascal Boileau's department in Nice, France, for three years of practice.
Since 2006, Dr Neyton is full time shoulder surgeon at Centre Orthopédique Santy and Hôpital Privé Jean Mermoz in Lyon, France. Dr Neyton completed the ASES-SECEC shoulder travelling fellowship September 2014. His practice is fully dedicated to shoulder surgery, arthroscopy and arthroplasties. He is shoulder referral physician for Lyon rugby team (LOU rugby) and football (OLYMPIQUE LYONNAIS).
Dr Desmond Bokor is an Orthopaedic Surgeon with a sub-speciality interest in shoulder and elbow surgery. He graduated from Monash University in Melbourne with Honours and completed his Orthopaedic Training in Sydney on the Australian Orthopaedic Association Training Programme.
Dr Bokor completed fellowships in Sports Medicine/Knee Surgery in Sydney and then spent time at the University of Western Ontario, Canada, as a Fellow training in Shoulder Surgery. Dr Bokor has a Masters of Higher Education (Medical) from Macquarie University. He is currently the Associate Professor and Chairman of the Department of Orthopaedics in the Faculty of Medicine and Health Sciences at Macquarie University, Sydney, NSW and Macquarie University Hospital.
He is a founding member of the Shoulder and Elbow Society of Australia and has held the positions of both Secretary and President. Dr Bokor is also a Corresponding member of the American Shoulder and Elbow Surgeons Society, and a member of the Australian Orthopaedic Association, the Australian Medical Association and Sports Medicine Australia
He is a Sub-Editor for the Journal of Shoulder and Elbow Surgery.
This content consists of a 9 minute video presentation professionally produced and presented at the Fisic Conference 2015.
Professor Lennard Funk qualified in medicine at the University of Witwatersrand, in Johannesburg, in 1990. He earned his FRCS and FRCS (Tr & Orth) at the Royal College of Physicians & Surgeons, Glasgow and completed a Fellowship at the Reading shoulder Unit. In addition to his surgical qualifications, he holds a BSc in Sports Physiology and an MSc in Orthopaedic Engineering.
Professor Funk specialises in arthroscopic and minimally invasive surgery of the shoulder and elbow, dealing in complex and tertiary referral cases. He routinely treats elite and professional athletes. His research interests and activities include sports injuries of the shoulder, surface replacement arthroplasty, arthroscopic simulator training, strain responses of rotator cuff tissue, orthobiologics in shoulder surgery and 3D MRI.
Professor Funk holds Honorary Professorships at Salford University and at the University of Bolton. In addition to his surgical qualifications, he is a Fellow of the Faculty of Sports and Exercise Medicine UK and is involved in developing and running Postgraduate degrees for surgeons, therapists and sports clinicians in Orthopaedics. He lectures nationally and internationally on shoulder surgery, sports injuries and medical informatics. He is published widely in medical journals and a member of many international and national professional organisations. For more details visit www.shoulderdoc.co.uk
This content consists of a 17 minute video presentation professionally produced and presented at the Fisic Conference 2015.
Mr Ali Narvani completed his medical training at Guys and St Thomas' Medical school in 1996. His higher surgical training in trauma and orthopaedics was on the North West Thames rotation working at hospitals including Chelsea & Westminster, Royal National Orthopaedics and St Mary's Hospitals.
Following this, he undertook two fellowships in Shoulder & Elbow surgery. The first of these was under Andrew Wallace as the Paul Calvert fellow. The second was at the renowned Reading Shoulder Unit working under Stephen Copeland and Ofer Levy.
In December 2010, he was appointed consultant orthopaedic surgeon at Ashford & St Peter's NHS Foundation Trust.
Mr Narvani's clinical interest areas include open and arthroscopic shoulder and elbow surgery including tendon repair, stabilisations, trauma and arthroplasty (joint replacement).
He has completed an MSc (Distinction) in Sports Medicine and has membership of Faculty of Sports and Exercise Medicine (UK). Mr Narvani has published extensively in fields of orthopaedics and sports medicine and has authored a text book in sports medicine.
This content consists of a 14 minute video presentation professionally produced and presented at the Fisic Conference 2015.
Mr Steve Corbett qualified from St Thomas' Hospital, London in 1990. He undertook surgical training, both in the UK and France, and was awarded a Doctor of Philosophy (PhD) for his work on fracture healing. In 2003, he was appointed as Consultant Orthopaedic and Trauma Surgeon at Guys and St Thomas' Hospitals, London, specialising in Upper Limb Surgery.
Mr Corbett is a named reviewer and expert opinion for medical journals and is an editor/contributor of several leading text books. His research interests include clavicle fractures, acromioclavicular joint injuries, shoulder dislocation, rotator cuff tears and the treatment of 'tennis elbow'.
Mr Corbett is a surgeon to sports professionals in rugby, cricket, football and athletics. His primary interest is arthroscopic shoulder and elbow surgery, and the reconstruction of complex shoulder and elbow injuries. In the past he was a very keen sportsman and now enjoys trying to help patients to successfully return to their chosen activities
This content consists of a 13 minute video presentation professionally produced and presented at the Fisic Conference 2015.
Dr Ian Horsley has been a physiotherapist for over twenty five years. In that time he has spent a considerable amount of time working with sportsmen and women.
He worked as a physiotherapist for England Rugby Union, for 14 years, in with various teams, and spent the last 6 years working with the Elite Playing squad, as a physiotherapist to England 'A'. Dr Horsley has worked as a part of the HQ medical team for Team England at the 2010 and 2014 Commonwealth Games, as well as having been a member of the Team GB HQ medical team at the 2012 Olympic Games.
His clinical interests are management of acute musculoskeletal trauma and rehabilitation, having a specific interest in the shoulder. Dr Horsley has completed a Master's degree in Sports Physiotherapy. As part of his PhD, he conducted research on the musculoskeletal causes of shoulder injuries within professional rugby. He is currently reviewing the role of physiotherapy within the management of musculoskeletal injury.
Dr Horsley is an associate lecturer at Salford University having produced more than 20 peer-reviewed publications and is a member of EUSSER Education Committee.
Mr Andrew Wallace graduated from medical school at the University of New South Wales in 1987, gaining a PhD at the University of Edinburgh in bone healing and a Diploma in Biomechanics from the University of Strathclyde.
He returned to Sydney to complete his orthopaedic training, graduating with Fellowship of the Royal Australasian College of Surgeons followed by Fellowships in Shoulder and Elbow surgery in Sydney and in Calgary in Canada.
Mr Wallace was appointed Consultant Orthopaedic Surgeon at Charing Cross Hospital and St Mary's Hospital, and Senior Lecturer in Musculoskeletal Surgery at Imperial College London in 1999. In 2002, he was the Travelling Fellow of the European Society for Surgery of the Shoulder and Elbow to the USA. In 2005 he assumed fulltime practice at the Shoulder Unit at the Hospital of St John & St Elizabeth, joining Fortius Clinic in 2011.
Mr Wallace's professional interests include arthroscopic teaching and training and research on the biomechanical aspects of arthroscopic shoulder reconstructive techniques. He led the Shoulder and Elbow team for the 2012 London Olympics and provides specialist services to the Rugby Football Union, the Football Association and the England and Wales Cricket Board.
As well as numerous articles on basic sciences, Mr Wallace has published on shoulder instability, acromioclavicular reconstruction, rotator cuff repair and shoulder joint replacement.
He is an active member of European Society for Surgery of the Shoulder and Elbow and the British Elbow and Shoulder Society, and founder of the Watanabe Club, a UK-based forum for teaching and dissemination of new arthroscopic techniques in shoulder surgery. Mr Wallace is a Fellow of the Royal College of Surgeons of England 'ad eundem' and a member of the Faculty of Sports and Exercise Medicine (UK).
Mr Andy Richards graduated from St. Mary's Hospital in London in 1996, with a Bachelor of Medicine and Surgery Degree and an Honours Degree in Physiology.
He undertook his specialist orthopaedic training on the South West Thames rotation where he developed specialist interests in shoulder and elbow surgery and in complex trauma. He was then privileged to spend a year at the world-renowned John Hopkins Hospital in the USA where his research, on tears of the rotator cuff, led to the award of a Master of Surgery degree.
Mr Richards has also received specialist fellowship training in complex trauma and reconstructive surgery at the Rowley Bristow unit in Surrey and in arthroscopic techniques in the shoulder and elbow at Guy's and St. Thomas' Hospital in London.
In 2009 Mr Richards was appointed as a consultant at Guy's and St. Thomas' Hospitals, with a specialist interest in shoulder and elbow surgery and complex traumatic injuries of the upper limb. Mr Richards' clinical interests are arthroscopic shoulder and elbow surgery particularly in treating sports injuries.
At Guy's and St Thomas' NHS Foundation Trust, Mr Richards has a tertiary referral practice dealing with the most difficult of cases, including the surgical reconstruction of complex shoulder and elbow injuries.
This content consists of a 5 minute video presentation professionally produced and presented at the Fisic Conference 2015.
This case study on Elbow pain walks us through the assessment dynamics of local elbow dysfunction and how the soft tissues of the upper extremity above the elbow predispose to the overall condition. Stuart demonstrates treatment protocols based on clinical reasoning from the physical assessment which results in resolution of the condition. If you thirst for advanced clinical reasoning in your assessment and treatment these case study videos are unlike any educational series, taking you into the treatment room and picking apart the assessment and treatment rationale (1 hour video).
This patient information leaflet covers exercises and advice for stretching the neck and shoulders and trunk. The leaflet includes a short overview, along with specific strengthening and stretching exercises and repetition guidelines (which can be changed by practitioners where appropriate). Each exercise includes an image and description.
The double sided A4 (prints as a 4pp folded A5) full colour leaflet in PDF format is designed to be printed out and handed to your clients and can also be used on your website as part of a "call to action" document download (for more information read our article "Physical therapy website design: 10 homepage essentials for getting new clients"). You can purchase the leaflet individually, as part of the patient information section or as part of a full site subscription. To see a sample of the leaflet please click on the image icon in the media contents box.
Our Co-Kinetic patient advice leaflets are written and reviewed by a multi-disciplinary team of medical and fitness professionals. Every leaflet is peer-reviewed at the very minimum by a professional in each of the following disciplines: physical therapy, manual therapy and exercise/fitness. Where appropriate we may also ask a recognised national charity to review and approve the content.
2 sided A4 (prints as a 4pp folded A5) full colour leaflet in PDF format designed to be printed out and handed to your clients. The leaflet includes an overview of the injury along with specific strengthening and stretching exercises and repetition guidelines (which can be changed by practitioners where appropriate). Each exercise includes an image and description. To see a sample of the leaflet please click on the image icon in the media contents box.
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