Clinical Edge - The Shoulder Steps to Success Clinical Edge - The Shoulder Steps to Success

The Shoulder Steps to Success

Your steps to success with shoulder pain

Learn the skills, strategies and tools you need to confidently and successfully treat shoulder pain.

Master the skills to grow your clinical practice and treatment sessions into an enjoyable, rewarding experience, whether you are a new graduate or an experienced practitioner.

Shoulder pain is challenging!

When patients present with shoulder pain, it can be very difficult to assess and diagnose accurately. Within the shoulder, our patients may have a range of atraumatic pathology, including rotator cuff tendon pathology, frozen shoulder, cuff tears, bursal effusion, labral lesions and more. Patients may have a traumatic history, with a fall onto their arm or a football tackle, or have serious pathology, traumatic or atraumatic instability. How can we test and diagnose the involved structures? Do we need to diagnose? When do we need to take the nature of the injury into consideration for management?

In the free video series with Jo Gibson, Jo took you through the special tests you may incorporate into your assessment, and when these tests help your understanding of your patients pain. Jo revealed a framework for assessment of shoulder pain - is your patient's shoulder torn, stiff, irritable, or strong enough to do what it needs to do? Each of these presentations will require a different treatment. How can you tailor your treatment to meet the needs of your patient? Whether you are a new graduate, work part-time while looking after kids, work in public healthcare, are an experienced practitioner, or treat elite sportspeople, one thing is for sure -

Treating shoulder pain successfully is a rewarding, enjoyable experience.

That is what Jo Gibson and I are going to help you accomplish today

You can love treating shoulders!

After treating shoulder pain for more than 20 years, having a thorough knowledge of the research, and applying this knowledge in her full time clinical practice as a Clinical Specialist Physiotherapist with shoulder pain patients, Jo loves treating shoulder pain, and wants to help you learn to love treating shoulder pain too!

The Shoulder: Steps to Success online course will help you accelerate your growth, achieve extraordinary results and save you years of trial and error.

Here's what you'll get with The Shoulder: Steps to Success online course

Whether you want to take your results with your shoulder pain patients to a new level, treat swimmers or elite athletes with shoulder pain, or are just starting out, The Shoulder: Steps to Success online course gives you all the essential elements you need for success.

Knowledge

Improve your knowledge of shoulder pain assessment, diagnosis, recent research, and the most effective evidence-based treatment.

Structure

Feel empowered using a simple and structured approach to every patient who presents with shoulder pain. Discover how to approach the assessment and treatment of irritable, torn, stiff shoulders, and shoulders that are not strong enough to cope with their current demands.

Clinical application

Discover how to apply your new knowledge and clinical reasoning to all of your shoulder pain patients, with explanations and video demonstrations of techniques, skills, movement retraining strategies, manual therapy, taping, exercises and exercise progressions.

Guidance

Receive step by step guidance to develop your approach to shoulder pain with an expert clinician.

Confidence

Feel confident in your assessment and management, with the knowledge that your treatment is targeting exactly what your patient needs.

Results

Use the simple steps in the course so you can successfully treat shoulder pain and achieve extraordinary outcomes.

What will you achieve with The Shoulder: Steps to Success online course?

When you apply the skills and strategies from The Shoulder: Steps to Success online course with your patients, you can reach your potential and IMMEDIATELY improve your treatment results. You will feel confident , motivated and eager to see your next shoulder patient- excited to see the results of your new knowledge and skills. The practical tools and focus of this course will set you up from the start to improve your patients pain. You will have the depth of knowledge you need to answer all of your patient's questions, understand your treatment options, and know exactly how to choose the best treatment option and apply it with the patient in front of you. Your patient satisfaction will increase with every successful treatment, and you will build your reputation and confidence with shoulder pain.

Patients NEED therapists like you!

Shoulder pain can be debilitating, and YOU can make a huge impact on your patient's shoulder pain, ability to participate in the activities they love and their enjoyment of life.

Presenters

Jo Gibson

Jo Gibson MCSP MSc

Jo Gibson is a Clinical Physiotherapy Specialist who has specialised in rehabilitation of the Shoulder since 1995 and works at the Liverpool Upper Limb Unit and in private practice. She is a Consultant to several elite sports teams regarding shoulder rehabilitation. Jo is an Associate Lecturer at Liverpool University, has published in Peer-reviewed journals and has written several book chapters. She is currently a Board member of the European Society of Shoulder and Elbow Rehabilitation (EUSSER), Chair of the Education Committee (EUSSER) and is Co-Editor of the Educational Section of the Journal of Shoulder and Elbow. Her research interests are complex instability, accelerated rehabilitation and the role of the kinetic chain in shoulder rehabilitation.

Liverpool, UK

Recording exercises & rehab for the course - what could possibly go wrong?

Jo Gibson and I had a great time filming The Shoulder: Steps to Success online course, with a lot of fun moments.

The course is full of practical exercises and progressions you can use with your patients. Enjoy treating shoulder pain as much as we enjoyed filming the course.

Bonus infographics when you enrol today

Enrol on The Shoulder: Steps to Success online course today to receive exclusive infographics to help you with your shoulder pain assessment & treatment. Your infographics include:

  • Rotator cuff & scapula assessment summary
  • When is the cervical spine the culprit?
  • AC joint assessment
  • Communication - getting it right from the start (you can see some of this one below)
  • Stiff shoulder diagnosis
  • The stiff shoulder: assessing the GHJ capsule
  • Do I really need a scan for my shoulder (an infographic handout to give your patients)

The Shoulder Steps to Success

What is The Shoulder: Steps to Success online course?

The Shoulder: Steps to Success online course is an interactive video-based training program that teaches effective shoulder assessment and treatment strategies to health professionals who want better results with shoulder pain patients.

The Shoulder: Steps to Success online course gives you access to

The Shoulder: Steps to Success online course will be available whenever it suits you, and will give you access to:

Practical videos

Jo Gibson and I spent a week in Verbier, Switzerland recording videos taking you step-by-step through all of the practical aspects of shoulder assessment and treatment. You will receive full access to videos containing:

  • Assessment. Discover the assessment you need to perform. You will be able to perform an assessment to identify exactly what your patient needs. Demonstrations of each of the assessment tests recorded from multiple angles will show you exactly how to perform each test. You will understand how and when to use each test, and what the results mean for you and your patient

  • Treatment. You will know how to treat each patient presentation - whether your patient presents with a stiff shoulder (eg frozen shoulder or OA), torn (eg rotator cuff or SLAP tear), irritable (eg every movement hurts) or isn't strong enough to do what your patient needs their shoulder to do

  • Rehabilitation - video demonstrations of specific exercises and exercise progressions that are based on the information from your assessment.

  • Education. Be able to answer your patient's questions, educate and dethreaten their pain, and know exactly what your patient is able to do and what they should avoid or limit.

  • Taping and manual therapy. Discover when, where and how to apply well-reasoned and judicious manual therapy and taping.

Lectures & additional info

Develop a thorough understanding of shoulder pain. You will explore the latest research around the shoulder, imaging, communication and more, explained in a simple way that allows you to help your patient with each of these aspects.

Case studies

Explore case studies of shoulder pain patients, how the principles and strategies of Shoulder: Steps to Success online course are applied with real life patients. Receive access to video recordings of live patient assessment and treatment sessions so you know how exactly how to apply it with your patients for great results.

How practical and easy to access is the course? A sneak peek...

Here's a quick glimpse inside Module 3 of the course, with Jo Gibson discussing assessment of stiff shoulders.

To improved outcomes

Are you frustrated by suboptimal outcomes with shoulder pain patients, and the challenge of recurrence? If you work in (or want to work in) a musculoskeletal or sports setting, and would like to increase your knowledge and confidence in assessing and treating people with shoulder pain, you will love The Shoulder: Steps to Success online course.

Whether you are a new graduate or an experienced practitioner, The Shoulder: Steps to Success online course will challenge you, help you develop, and inspire you to greater heights of shoulder success.

Testimonials

Module summary

The Shoulder: Steps to Success online course is made up of 9 core modules. All course materials, including streaming videos and lectures, demonstrations, handouts and resources are available within our online course portal.

Summary of the course modules

Here is a quick summary of the modules you will get access to immediately when you enrol on The Shoulder: Steps to Success online course.

Here is a quick summary of the modules you will get access to immediately when you enrol on The Shoulder: Steps to Success online course.

For additional information, see the sections below

Module 1: Your Steps To Success with shoulder pain

Discover a ‘keeping it simple for the shoulder’ approach that guides rehabilitation.

Module 2: The Rotator Cuff & The Scapula: Partners in good times and bad?

Should you target the rotator cuff or the scapula in your treatment? How can you identify this with your assessment to give you the best results with your treatment of shoulder pain? Discover how to implement a shoulder assessment that immediately informs exercise selection.

By the end of Module 2 you will have a simple structured approach to assessment of the rotator cuff and scapula to immediately inform your exercise prescription.

Module 3: Torn, stuck or just irritable? What stops the rotator cuff doing its job?

Does your patient have any torn structures and does it matter? Is it stiff? How stiff is too stiff, how can we diagnose the cause of stiffness, and how can we treat it?

Is it irritable and if it is why? How can you assess and treat a reactive tendon due to overload or a painful shoulder due to calcific tendinitis or a developing frozen shoulder?

What will you learn in this module?

  • The factors impacting pain and disability in rotator cuff tears
  • The relevance of trauma in a patient’s history and how it may impact assessment
  • Differential diagnosis of the stiff shoulder
  • Simple treatment interventions to address shoulder stiffness
  • Assessment & treatment of acute shoulder pain

Discover how to assess and treat torn, stiff and irritable shoulder pain

Module 4: Movement matters - Using the kinetic chain to enhance outcomes

Incorporating the lower quadrant and trunk enhances our exercise prescription and improves rehabilitation. You will discover simple assessment tools to enable you to immediately improve shoulder pain, and identify when to incorporate the kinetic chain in your rehab program. You will explore simple and easy kinetic chain adaptations you can incorporate with your shoulder exercises.

What will you learn in this module?

  • Simple assessment skills to identify the contribution of the kinetic chain in shoulder pathology
  • Improve rehabilitation by incorporating the trunk and lower quadrant in shoulder exercises

By the end of this module you will know when and how to incorporate the kinetic chain in your shoulder pain rehab.

Module 5: Setting the system up for success - Getting the best from exercises

Explore how to apply key exercise prescription principles & the latest evidence in rehabilitation.

By the end of this module you will know how to incorporate the key aims of exercise prescription, enhance the sensorimotor aspects of your exercises, and achieve great results with shoulder pain.

Module 6: Rotator cuff: Challenges, controversies & how we can do better

What do we know about shoulder pathology and how does that help us decide on the best treatment option for our patients?

In this module you will discover how to treat 3 key subgroups of rotator cuff related pathology:

  1. The Irritable shoulder - acute onset pain or pain that you are unable to change
  2. The Non-irritable shoulder - improving our results with this large group of shoulder pain patients, and making exercise fun. Should exercises hurt, and how can we improve our rehab?
  3. The Degenerative shoulder - Patients with a structurally deficient rotator cuff or massive cuff tear. Which exercises offer best value? Discover optimal exercise prescription with these patients

By the end of this module you will have a comprehensive tool kit to employ in management of the irritable shoulder, chronic shoulder pain, degenerative shoulder and massive rotator cuff tears.

Module 7: Stuck on the hard shoulder? Barriers to success & what to do about them

Do you have any shoulder pain patients that you have difficulty helping to improve? This module takes you through how to identify and treat barriers to treatment progress, and address common factors including the cervical spine, thorax, and AC joint.

What will you learn in this module?

  • The role of the cervical spine in shoulder pathology and its impact on outcome following surgery or injury
  • The potential role for manual therapy and current understanding regarding mechanisms of action
  • The role of the thorax and how it is impacted in shoulder pain
  • How to incorporate the thorax in your shoulder exercise prescription
  • Understand the potential role of the ACJ in shoulder stiffness
  • Treatment and exercise prescription to specifically target ACJ pathology

By the end of this module you will understand the role of the cervical spine, thorax and ACJ as potential barriers to successful outcomes and crucially will have simple strategies to address these.

Module 8 : Time to listen. Keys to great outcomes with your communication

Has the biopsychosocial pendulum swung too far towards the psycho-social side of the model at the expense of the bio? Discover what a true biopsychosocial model actually is, and how to use this in your treatment. You will receive simple tools to assist you in your patient interactions.

This module will look at key aspects of communication and how very simple steps can make a big difference to our patients and increase our ability to facilitate their rehabilitation journey.

What you will learn in this module:

  • The real meaning of the biopsychosocial model and what it means to our rehabilitation
  • Psycho-social factors affecting outcome and how we can structure our communication to address these
  • The basics of good communication
  • The clinician qualities that patient’s value most
  • The power of language in influencing patient’s pain experience and engagement with rehabilitation
  • Factors impacting adherence and how this influences our interventions

Module 9: Real-life applications. Making it real – how does this look back in the clinic?

This module will help you put into practice everything you have learnt so far and consolidate your learning. This module will summarise the key learning points from the Steps to Success course and reinforce how you can develop a simple, easy to apply approach to your management of shoulder pathology. By the end of this module you will be confident in the application of the course content and how it informs your rehabilitation interventions. We will be adding further patient case studies following patient journeys from start to finish.

Additional modules - available exclusively with the The Shoulder: Steps to Success online course

The Frozen Shoulder

Jo will help you explore simple, easy to apply treatment strategies for your frozen shoulder patients.

What will you learn in this module?

  • Understand the pathophysiology of frozen shoulder
  • Appreciate how the different stages of frozen shoulder and the predominant symptom direct intervention
  • Understand the patient experience
  • Key evidence based treatment approaches and how to apply them

By the end of this module you will have a comprehensive understanding of frozen shoulder and all the factors influencing rehabilitation and exercise prescrption.

The Post-operative Shoulder

In these additional webinar module, you will discover simple strategies to enhance your management of patients after shoulder surgery.

By the end of this module you will be equipped with strategies to identify those patients at risk of developing stiffness or persistent pain postoperatively and importantly what you can do to minimise those risks, together with tools to enhance your postoperative outcomes in all shoulder surgery patients and set your patients up for success. Proactive not reactive! :)

Module 1: Your Steps To Success with shoulder pain

This introductory module considers the current state of play with respect to assessment and rehabilitation of patients with shoulder pain and the challenges and dilemmas that face clinicians. It highlights the current evidence regarding prognostic factors, the reality about reported outcomes and the factors most associated with successful outcomes and patient satisfaction. By understanding these key issues we set the scene for what really matters in our patient interactions and introduce a ‘keeping it simple for the shoulder’ approach to assessment that guides rehabilitation.

What you will learn in this module:

  1. Factors associated with successful outcomes in shoulder pathology
  2. Key features of successful physiotherapy interventions in patients with shoulder pain
  3. The challenges we face in terms of diagnosis
  4. Why the evidence underlines the importance of basing our treatment in the Biopsychosocial Model

By the end of Module 1 you will have a clear understanding of the current dilemmas we face as clinicians and the factors contributing to a ‘complete’ rehabilitation intervention.

Module 2: The Rotator Cuff & The Scapula: Partners in good times and bad?

Whilst there is general agreement that exercise is the key to successful interventions in patients with shoulder pain it can be difficult to extrapolate which exercises are most appropriate for the patient in front of us. In addition the current controversies regarding the poor reliability of many of our special tests poses the question what assessment approaches give us the best value in planning treatment? By considering what we currently understand regarding rotator cuff function and how it is impacted in pathology this module will illustrate a simple structured approach to rotator cuff assessment that immediately informs exercise selection.

The current literature consistently challenges the relevance of scapula dyskinesia in shoulder pathology so how do we as clinicians make sense of what is relevant to the patient in front of us and crucially how does it impact our assessment and exercise prescription? This module will look at what is relevant in terms of the scapula and scapula muscles and crucially how using a series of simple improvement tests that can quickly identify where to start with our exercise selection.

What you will learn in this module:

  1. The role of the rotator cuff shoulder function and how it is impacted in pathology
  2. A simple assessment strategy to evaluate rotator cuff function
  3. Understand the limitations of dynamic and static measurements of the scapula
  4. Application of simple improvement tests to inform exercise selection

By the end of Module 2 you will have a simple structured approach to assessment of the rotator cuff and scapula to immediately inform your exercise prescription.

Module 3: Torn, stuck or just irritable? What stops the rotator cuff doing its job?

Is it torn and does it matter? Increasingly evidence challenges the relevance of structural pathology identified on a scan and its relevance in a patient’s pain experience. So how can we as clinicians decide when it is relevant and when patients may benefit from a surgical opinion? This module will consider key factors in the patient’s history and the individual themselves to help guide decision-making.

Is it stiff? How stiff is too stiff and what can we do about it? This module will also considers causes of stiffness, the importance of differential diagnosis in the stiff shoulder and when imaging has a role. It will also illustrate simple assessment and treatment techniques to inform exercise selection in the patient with significant stiffness.

Is it irritable and if it is why? How can we decide whether a patient presents with a reactive tendon due to overload or a painful shoulder due to calcific tendinitis or a developing frozen shoulder? What are the key subjective factors that will help you identify where to start with your patient. This module introduces these factors.

What will you learn in this module?

  1. The factors impacting pain and disability in rotator cuff tears
  2. The relevance of trauma in a patient’s history and how it may impact assessment
  3. Differential diagnosis of the stiff shoulder
  4. Simple treatment interventions to address shoulder stiffness
  5. An introduction to the causes of acute pain in patients with shoulder pain

By the end of this module you will have a clear understanding of factors impacting rotator cuff function and crucially how they may impact your management decisions.

Module 4: Movement matters - Using the kinetic chain to enhance outcomes.

There is emerging evidence to support the relevance of the kinetic chain in shoulder pathology. The bottom line is we rarely use our shoulders in isolation! Incorporating the lower quadrant and trunk has the potential to enhance our exercise prescription and facilitate rehabilitation. There is also increasing interest in the role of the kinetic chain both in performance output of the upper quadrant and also its potential role in injury. This module will demonstrate simple assessment tools to enable you to identify potential contributors to shoulder problems distal to the upper quadrant and how this informs exercise selection. It will also illustrate simple and easy kinetic chain adaptations to shoulder exercises and consider the mechanisms underlying their inclusion.

What you will learn in this module:

  1. The role of the trunk and lower quadrant in shoulder performance
  2. The association of lower quadrant injuries with shoulder pathology
  3. Simple assessment skills to identify the contribution of the kinetic chain in shoulder pathology
  4. The potential to facilitate rehabilitation by incorporating the trunk and lower quadrant in shoulder exercises

By the end of this module you will understand the relevance of considering the kinetic chain in your patients with shoulder pain and the exciting opportunities it offers to facilitate rehabilitation.

Module 5: Setting the system up for success: Getting the best from exercises

So having learnt what matters with respect to shoulder muscles and pathology what are the key principles to consider in exercise prescription and how do we optimize the sensorimotor value of our exercise prescription? This module will summarise the key aims of rehabilitation and how to apply an evidence-based approach to exercise prescription.

What you will learn in this module:

  1. Principles underpinning exercise prescription in terms of rotator cuff function
  2. How to enhance the proprioceptive value of your exercises

By the end of this module you will have consolidated the key aims of exercise prescription in patients with shoulder pain and how to enhance the sensorimotor aspects of your exercises.

Module 6: Rotator cuff: Challenges, controversies & how we can do better

Negotiating the maze of diagnostic labels and what to tell our patients is the root of their problem is challenging , particularly in the face of so much uncertainty. So what do we know with respect to pathology and crucially how does that help us decide what the best available treatment options are for our patients? Experts in tendon pathology have suggested sub-classifications to guide our management but what does this really mean to treatment?

In this module we will consider 3 key subgroups of rotator cuff related pathology:

  1. The Irritable shoulder

When a patient presents with acute onset pain or pain that you can’t change what are the potential drivers in terms of pathology and what does this mean in terms of management options?

  1. The Non- Irritable shoulder

This is a group of patients where the evidence suggests we can do better! Are high recurrence rates, ongoing symptoms and poor outcomes with our interventions something we have to accept or does the evidence offer some insight? It will also look at the potential to increase the cortical effects of our exercises by manipulating the sensory system in a way that is meaningful to the individual patient. Exercise should be fun!

This module considers developments in the neurosciences, current controversies such as the strength versus movement debate, whether exercises should hurt and crucially considers how we can enhance our interventions.

  1. The Degenerative shoulder

In a group of patients where we know we have a structurally deficient rotator cuff, which exercises offer best value? This module considers the evidence in terms of what differentiates patients with massive rotator cuff tears who have pain and those that don’t and what insights this offers in terms of our exercise prescription.

What will you learn in this module?

  1. Differential diagnosis of the irritable shoulder
  2. Key treatment strategies in management of the irritable shoulder
  3. Understand factors impacting recurrence and chronicity in shoulder pain
  4. How to increase the cortical value of your exercise prescription
  5. The importance of movement education and transfer to function
  6. Whether exercises should hurt or not
  7. Exercise interventions for patients with massive rotator cuff tears

By the end of this module you will have a comprehensive tool kit to employ in management of the irritable shoulder together with strategies to enhance your exercise prescription and improve outcomes in chronic shoulder pain.

Module 7: Stuck on the hard shoulder? - Barriers to success & what to do about them.

Whilst simple approaches to assessment and rehabilitation of the shoulder offer good outcomes in many patients there are some factors that have the potential to impact the efficacy of rehabilitation. This module considers factors that may affect our ability to change patients symptoms or limit progression and crucially demonstrates what we can do about it.

Involvement of the cervical spine in shoulder pathology has consistently been demonstrated to have a negative impact on outcomes and potentially reduce the success of surgical interventions. So what does this mean to us as clinicians? Does manual therapy still have a role? This module will reflect on what is understood regarding the role of the cervical spine in shoulder pathology, the potential to enhance rehabilitation and consider whether manual therapy still has a role to play in the management of shoulder pathology.

The role of the thorax in shoulder function is well recognized however commonly clinicians consider stiffness as a key issue and exercise prescription and manual therapy traditionally focus on improving range. This module will take a fresh look at the thorax and question whether stiffness really is the issue. It will offer simple treatment options and exercise solutions that reflect the role of the thorax in shoulder function.

The Acromio-clavicular joint can be a cause of movement restriction and shoulder pain and long-term outcomes suggest that persistent issues are more common than previously reported. Increasing knowledge of kinematics and dynamic stability around the ACJ offer opportunities to optimise our rehabilitation interventions. This module will look at simple treatment techniques and specific exercises to target the AC joint.

What will you learn in this module?

  1. The role of the cervical spine in shoulder pathology and its impact on outcome following surgery or injury
  2. The potential role for manual therapy and current understanding regarding mechanisms of action
  3. The role of the thorax and how it is impacted in shoulder pain
  4. How to incorporate the thorax in your shoulder exercise prescription
  5. Understand the potential role of the ACJ in shoulder stiffness
  6. Treatment and exercise prescription to specifically target ACJ pathology

By the end of this module you will understand the role of the cervical spine, thorax and ACJ as potential barriers to successful outcomes and crucially will have simple strategies to address these.

Module 8 : Time to listen Keys to great outcomes with your communication

Modern healthcare places the Biopsychosocial model (BPSM) at its core but its application has been lost in translation and there are frequent criticisms that the pendulum has swung too far towards the psycho-social side of the model at the expense of the bio. This module will look at the true purpose of the BPSM and discuss simple tools to assist clinicians in their interactions.

There is no doubt that the therapeutic alliance is one of the most influential aspects of our interventions and there is clear evidence as to which factors matter most to patients in our interactions. However the current lack of consensus with respect to terminology and the continued use of imaging can make life challenging when addressing patients beliefs and understanding of their condition. This module will look at key aspects of communication and how very simple steps can make a big difference to our patients and increase our ability to facilitate their rehabilitation journey.

What you will learn in this module:

  1. The real meaning of the Biopsychosocial model and what it means to our rehabilitation
  2. Psycho-social factors affecting outcome and how we can structure our communication to address these
  3. The basics of good communication
  4. The clinician qualities that patient’s value most
  5. The power of language in influencing patient’s pain experience and engagement with rehabilitation
  6. Factors impacting adherence and how this influences our interventions

Module 9: Real-life applications - Making it real – so how does this look back in the clinic?

So now its time to put Steps to Success into action! In this module you will be given 3 different patient scenarios with some key clinical information to help you plan their rehabilitation. This is an opportunity to put into practice everything you have learnt so far and consolidate your learning. Once you have considered what you would do you can see what actually happened with each of the patients and how their rehabilitation journey progressed.

This module will summarise the key learning points from the Steps to Success course and reinforce a keeping it simple, easy to apply approach to the management of shoulder pathology.

What you will learn in this module:

  1. The real meaning of the Biopsychosocial model and what it means to our rehabilitation
  2. Psycho-social factors affecting outcome and how we can structure our communication to address these
  3. The basics of good communication
  4. The clinician qualities that patient’s value most
  5. The power of language in influencing patient’s pain experience and engagement with rehabilitation
  6. Factors impacting adherence and how this influences our interventions

Enrol now to receive these exclusive bonuses!

Bonus module - The Frozen Shoulder

Can we really help or is it just a waiting game?

Does frozen shoulder really get better over time and does rehabilitation have a role or do we just make things worse? What do we understand about the pathophysiology of the condition and what opportunities does this present for rehabilitation interventions? This bonus module will take a closer look at what we really know about this condition and what matters to patients. It will provide you with options for intervention and simple easy to apply strategies for this patient group.

What will you learn in this module?

  1. Understand the pathophysiology of frozen shoulder
  2. Appreciate how the different stages of frozen shoulder and the predominant symptom direct intervention
  3. Understand the patient experience
  4. Key evidence based treatment approaches and how to apply them

By the end of this module you will have a comprehensive understanding of frozen shoulder and all the factors influencing rehabilitation and exercise prescrption.

Bonus module - The Post-operative Shoulde

Surgical techniques have advanced significantly over the last few years but the evidence would suggest there has been little change in recommended postoperative rehabilitation protocols. Is this really true? What are the factors that can make the biggest difference to your patient’s outcome after surgery? Can we predict those patients who are likely to do less well and if so what can we do about it?

You will discover simple strategies to enhance your management of patients after shoulder surgery.

What will you learn in this module?

  1. What factors can contribute to poor outcomes?
  2. What factors are related to surgical failure
  3. What are the advantages of early mobilisation and what are the risks?
  4. How can we enhance our postoperative interventions?

By the end of this module you will be equipped with strategies to identify those patients at risk of developing stiffness or persistent pain postoperatively and importantly what you can do to minimise those risks, together with tools to enhance your postoperative outcomes in all shoulder surgery patients and set your patients up for success. Proactive not reactive! :)

Questions about the course

Can I do the course in my own time, or do I need to be available at a certain time?

You can enjoy the course at whatever pace suits you. You can complete it over the period of a couple of days, or savour it and complete it in 5 or 10 minutes intervals between patients, over coffee (or tea, or any beverage of your choice).

Can I get stuck into the course straight away?

Yes, it's ready for you right now! You can immediately start enjoying the course when you enrol.

How will I improve my practical skills with the course?

We made sure when recording this course that it would contain all the practical elements you could want or need. The course is full of practical video demonstrations of assessment, exercises and exercise progressions, manual therapy, and practical treatment you can use, filmed from multiple angles so you know exactly what to do.

Will this work with my shoulder pain patients?

Yes, Jo covers how to treat all sorts of shoulder pain, from run-of-the-mill shoulder pain, massive rotator cuff tears, stiff, irritable, post-op and frozen shoulders, along with all sorts of other types of shoulder pain you will encounter in your clinical practice.

What is different to the physical course The Shoulder: Steps to Success?

We have the opportunity to give you more of the info you need than we would have time for on a weekend course. This online course incorporates all of the information and practical aspects of The Shoulder: Steps to Success face-to-face course, and also incorporates bonus modules, material and bonuses not available with the physical course. The online course also gives you the opportunity to watch the material whenever it suits you, and on an ongoing basis. You can also interact with and ask Jo Gibson questions in Live Q&A's and in the exclusive Facebook group.

Is The Shoulder: Steps to Success online course good value?

The Shoulder: Steps to Success online course is a unique course, giving you all you need to successfully treat all kinds of shoulder pain and injury. We are extremely proud of it, and think you will absolutely love it. Imagine how satisfied you will be with all the shoulder pain patients you be able to help. We believe the course offers an extreme amount of value, and a huge opportunity to help you in your clinical practice.

How much is the course?

Course enrolment prices depend on the level of access you choose. You can see the prices on the Course page above

Do I really get access to ALL future updates to the course with Platinum & Diamond enrolment?

You sure do!

Will I get access to the course as part of my Clinical Edge membership?"

No, Clinical Edge membership is separate to The Shoulder: Steps to Success online course, and you will need to enrol on the course to access The Shoulder: Steps to Success online course. Your Clinical Edge membership gives you access to a large library of online education, and new videos are added every month to this library, and this is separate to the course. We do have a special offer available for Clinical Edge members.

Course enrolment

How long will the course be open for enrolment?

Course enrolment will close in 1 week.

I am trying to enrol on the course, and my payment is not going through. What should I do?

This is generally due to 1 of the following issues relating to your credit card: 1. Your bank isn't approving it or 2. Insufficient funds 3. Incorrect credit card details We would suggest using a different credit card, calling your bank (fraud services) to get them to approve payments to Clinical Edge on your credit card and check that you have sufficient funds on your credit/debit card. Then try the following 1. Visit https://www.clinicaledge.co and login using the email you tried to register with and the associated password you created and then sign up from within your user profile for The Shoulder: Steps to Success online course in the training programs section of yoUr account. If you have not created an account yet then you will not need to login first, you can register via the training program/The Shoulder: Steps to Success online course section via register button for the ticket that you would like. 2. If these steps don’t work, please let us know so we can help sort it out. You can email us on info@clinicaledge.co

When do I pay for my course enrolment?

At the time of enrolment.

Are there student discounts on course enrolment?

Yes! We provide significant discounts on course enrolment for students. For specific information on the student discount or to take up the student offer please email a copy of your student registration/university enrolment details to info@clinicaledge.co and let us know what ticket you are interested in for The Shoulder: Steps to Success online course registration and we will send through a discount coupon and further instructions. This offer is available for undergraduate students only and is only available at the time of registration. The discount does not apply if you have already registered without using the student discount.

What does the price of my course enrolment go towards?

To ensure the highest quality presenters and material are provided for course attendees, all Clinical Edge course presenters are paid for the presentations. More than 12 months of preparation, work and costs are involved in the research, organisation and preparation to provide you with this opportunity, and for a fully featured online course of such a high standard. Unlike physical courses and conferences, your course enrolment provides you with access to the course presentations for 12 months or on an ongoing basis, allowing you to watch presentations whenever it suits you, as many times as you like. You save hundreds, if not thousands of dollars, on travel time, travel costs and accommodation, while accessing the course from the comfort of your home or clinic. All of this for less than the price of one physical course!

Can I share my Shoulder: Steps to Success online course access with my friends or workmates?

Each course enrolment will provide access for one person to the course, and one Certificate of Attendance for your CPD Record. Please be honest with your course login. We really appreciate your honesty in keeping your course access to yourself so that we can continue to organise education like this for you, and depend on your honesty to be able to do this.

Payment and technical questions

What are the computer requirements to be able to view the Shoulder: Steps to Success online course?

You will need a Broadband connection eg ADSL or ADSL2 to view the videos on a computer at the clinic or at home. Dial-up may work as well. If you are not sure, signup for a free membership, and you will be able to test it on your computer. You can watch the videos on your mobile or iPad via your 3G or 4G service. The video host automatically detects your internet connection speed, and provides the appropriate quality of video dependent on your connection speed. eg with ADSL2, you will get an incredibly high quality picture, and with slower speeds, the picture clarity will be varied to provide smooth streaming of the video. Streaming over 3G on your mobile is generally very clear and smooth. We recommend that you use Google Chrome, Firefox or Safari browsers when accessing the Clinical Edge website resources and conference materials.

In what currency are the conference fees charged?

All membership, conference and course prices listed are in Australian Dollars (AUD).

What is the cost of The Shoulder: Steps to Success online course tickets in other currencies?

You can see the estimated price in different currencies in the register section of the course page.

  1. Click on the ticket you are interested eg Platinum
  2. You will see a currency converter on the right hand side of each ticket page.
  3. Click on your currency eg GBP and the page will display an estimate of the course fee in your currency. This is an estimate based on current exchange rates, your bank may charge different conversion fees or charges.

The following video takes you through these steps

Can I pay for the Shoulder: Steps to Success online course in a different currency other than Australian Dollars?

No. The Shoulder: Steps to Success online course registration fees are only available in Australian Dollars (AUD).

Is the online payment secure?

Yes. The security of your purchase is ensured by an EV SSL 256 bit encryption via GeoTrust, and a fully secure Stripe payment portal (www.stripe.com).

Course access and information

How long do I have access to the course for?

The Shoulder: Steps to Success online course gold ticket enrolment will provide you with 12 months access to the current version of the course.

If you choose a Platinum or Diamond course enrolment, you will have access to the presentations on an ongoing basis, including all future updates.

When new research or assessment and treatment techniques emerge, will I receive access to course updates?

Gold enrolment includes access to the current version of the course. Platinum and Diamond enrolments include access to ALL FUTURE UPDATES to the course.

What are the audio downloads?

Platinum and Diamond course enrolment provides you with audio downloads of the course presentations. These will be available to download to your Computer, Phone or iPod, to listen to whenever it suits you. When the course is updated, you will be able to download the updated audio files as well with the platinum and diamond The Shoulder: Steps to Success online course ticket.

Will there be course handouts?

There sure will be. You will be able to download the full course handouts from within your dashboard in the training program section after registration is complete.

How many hours CPD does the Shoulder: Steps to Success online course have?

20 hours of CPD as well as links to research articles and other resources.

You will need to check with your individual professional body as to the requirements for recording CPD.

The Shoulder: Steps to Success online course videos will be logged in yoru individual Clinical Edge CPD record for you to print out and you will receive a certificate later in the year to include in your CPD portfolio.

When can I access the course modules and bonus materials?

You will receive immediate access to the course materials

Will I have access to the pre-course videos on assessment of shoulder pain patients?

Yes. These vidoes will be available for you to view when you enrol. You can view them in the training program section of your Clinical Edge account under The Shoulder: Steps to Success online course section- module title "Bonus: Shoulder special tests".

Clinical Edge members information

I am a Clinical Edge member. Will recordings of these videos be available for Clinical Edge members without enrolling on the course?

No, the Shoulder: Steps to Success online course is separate to the Clinical Edge membership resources. You will not have access to any of the course presentations as part of your membership. If you would like to view the Shoulder: Steps to Success online course resources you will need to purchase a ticket for the Shoulder: Steps to Success online course.

I am a Clinical Edge member. Do I receive any deals with my Shoulder: Steps to Success online course registration?

Yes! Clinical Edge members will receive 1 month free membership with registration on the Shoulder: Steps to Success online course. Simply enrol on the Shoulder: Steps to Success online course with your existing Clinical Edge membership account and we will add 1 month free to your next month. You need to login to your Clinical Edge account first and then register for the Shoulder: Steps to Success online course from within your existing account to receive the 1 month free membership.

This only applies to current Clinical Edge finanical members. If you are on a free trial your free month will be added after the initial payment has been processed.

The free month membership will be at the same level as your current billed account eg gold or platinum. If you are on an annual membership the free month will be added to yoru account also.

I am a Clinical Edge member. How do I enrol on the course?

Login to the website by clicking on Sign In (at the top of the page), and entering your email address and password. Go to “Training Programs” at the top of the website, choose Shoulder: Steps to Success online course, and select the course enrolment of your choice here (on this page).

Do I have to be a Clinical Edge member to enrol on the Shoulder: Steps to Success online course?

Course enrolment is open to members and non-members. You will have to enter an email address and password, so all of your invoices and CPD records are kept together.

Do I need to login before I enrol on the Shoulder: Steps to Success online course?

If you are a Clinical Edge member, OR have enrolled on a previous course, conference or waiting list, you will need to login before you enrol on The Shoulder: Steps to Success online course. If you have not previously made a purchase on the Clinical Edge website, you will create a login with your enrolment.

I am already a Clinical Edge member, but would like to sign up for the Diamond Course enrolment. How does this work?

Your membership will be updated to give you your choice of an extra year of Platinum member access or access to the 2017 Clinical Edge Sports Injuries virtual conference. Please email us following registration with your choice.

The Shoulder Steps to Success