About The Webinar
The term Rotator Cuff Related shoulder pain RCRSP was proposed by Lewis in 2016 to avoid uncertainties associated with scientifically outdated diagnoses such as subacromial impingement syndrome (SIS), and myriad pathoanatomical and potentially flawed clinical diagnoses such as bursitis and rotator cuff tears, and to help the patient make sense of their experience of shoulder pain and weakness (Lewis, 2016). A definitive diagnosis of RCRSP is not possible and it remains at best a clinical hypothesis. As such, following the physical assessment clinicians should inform patients that based on the interview and assessment it is likely that they have RCRSP, what this means, and what the management options are.
Another term that has emerged to replace SIS is subacromial pain syndrome (SPS). The use of this term is problematic as online searches (Google™, Google Scholar™) that may be conducted by patients and other interested people continue to associate this term with the outdated term SIS. SPS refers to an anatomical location that is not readily understood, and by definition excludes the acromion and the coracoacromial
ligament (CAL) which may be directly related to symptoms. In addition, the term subacromial has no appreciable lower border and is confusing and imprecise.
Diagnostic reductionists may argue that the term (non-specific) shoulder pain/strain is more appropriate than both RCRSP and SPS, analogous to use of the term ‘non-specific low back pain’ for symptoms experienced by people with lumbopelvic region
pain. While there may be merit in this argument, we contend that it lacks utility both in clinical practice and for research purposes. Most people who seek care for musculoskeletal shoulder conditions present with varying combinations of shoulder pain, weakness, and loss of movement. It is the role of the clinician employing clinical reasoning skills and working metaphorically as a clinical detective to make sense of the combination of symptoms. Although it is arguable that it would be clinically expedient to lump all presentations under the umbrella of (non-specific) shoulder pain, this is arguably a retrograde step.
This webinar will present the Shape-Up-My-Shoulder (#SUMS) for #RCRSP.
