MTS™ LEVEL 4

• Explain the clinical signs and symptoms of calcific tendinopathy

• Understand the lifecycle and grading methods of calcific tendinopathy.

• Appreciate the differences in managing calcific tendinopathy compared to non-calcific cuff tendinopathy.

• Recall the current literature comparing physiotherapy, shockwave and barbotage (UGPL) treatments.

• Learn methods for approaching full recovery post barbotage and how to monitor the effects.

• Recall the various x-ray views for the shoulder and explain what is the use / can be seen on each view.

• Appreciate novel views of the shoulder on x-ray

• Identify missing information on MRI and US reports

• Understand the importance of radiology reporting  quantifying pathology 

•  Recall what pathologies are prone to error on various imaging devices

• Appreciate the need for injection or similar testing when imaging is normal.

• Understand the indications and uses of EMG studies for the upper limb

• Appreciate the aspects of vascular and neurogenic TOS and the necessary workup required prior to surgical exploration and outcomes

• Demonstrate methods for improving shoulder function in the presence of peripheral nerve palsies

• Recall the signs and symptoms of various uncommon and rare disorders that affect the shoulder and management choices

• Demonstrate the neural provocation tests for the upper limb for both assessment and treatment

• List common symptom descriptors for mechanical, inflammatory and neuropathic pain

• Demonstrate a base understanding of common pharmacological choices for managing MSK disorders

• Recall the current approaches in sports medicine, physiatry and interventional radiology for treating shoulder pain

• Appreciate the history and examination components when deciphering complex pain patterns.

• Understand the recommended clinical sequences for long term pain recovery in complex pain patterns

Solving shoulder disorders can be complex. There are over 50 different shoulder disorders, multiple joint considerations and often more than one source of pain for any patient complaint. Patients are often seeking clinical management expertise when attending specialty MSK physio.

Mastering the Shoulder™ Series provides a complete training program in shoulder disorders with certification offered after successful examination and completion of MTS™ Levels 1-4.

The CASP designation (Certified Advanced Shoulder Practice) is offered to clinicians interested in demonstrating their advanced training in shoulder pathology, movement disorders and pain. 

Three distinctive skills of MSK practice make up the CASP designation:

• Reliable and accurate examination skills, including applied anatomy, pathology & radiology 

• Understanding common disorders, effective treatment strategies & applied problem solving skills

• Sports medicine and surgical knowledge to assist patients with treatment direction and procedures.

Over four weekends, we cover examination, multidisciplinary management and how to successfully treat more than 20 specific shoulder disorders. You'll learn the skills to problem solve, assess radiology, understand difficult disorders and develop exceptional clinical skills in your practice.

A final weekend is offered, Level V - The Spine, to incorporate key examination, treatment and multidisciplinary skills in solving complex shoulder pain and upper quadrant complaints.

Advanced practice certification is offered with the following benefits:

• Use of the CASP designation, demonstrating your advanced skills in managing shoulder / upper quadrant complaints.
• Wall certificate indicating your successful completion of the examination
• Complimentary access to Shoulder PT.ca - updates, clinical cases and new topics
• Access to THE SPINE course that adds cervical and thoracic techniques, including new stabilization training skills for collapsing many upper quadrant complaints.

After successful completion of the Level 4 course and examination, you will be invited to participate in the final course - THE SPINE, covering key technical aspects of cervical mobilization and stabilization, preferred thoracic treatments and solving complex upper quadrant pain patterns.

The final piece of the puzzle to solving many shoulder pain complaints that are amplified or generated from the upper spine.

ShoulderPT offers all physiotherapists  the option of staying up to date with specialty MSK skills. This includes new protocols, radiology pearls, surgical insights and new treatments being clinically tested in specialty MSK practice. 

ShoulderPT  has a unique multidisciplinary team of experts spanning radiology, sports medicine, physiatry, neurology and surgical fields to add to your multidisciplinary knowledge. 

 We'll offer concise, quarterly updates on clinically applied topics using case examples, recommended treatments for specific conditions,  MSK self tests and the opportunity for direct Q&A. 

We believe this is the best balance of new information, tested protocols and multidisciplinary knowledge for the busy clinician and the clinician looking for the best clinical results.