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MASTERING THE SHOULDER™
SERIES

Introduction

MTS™ Level I is the complete diagnostic course for the shoulder and includes two common shoulder disorders covering examination, radiology and treatment recommendations based on over 1000 cases.

Day 1 begins with updates in applied anatomy and pathology of the shoulder, a critical look at the current academic findings and employing a reliable shoulder examination for screening pathology, injury and movement disorders.

Effective treatment and predictable outcomes begin with strong diagnostic skills.

We’ll cover preferred special tests, combinations and novel special tests. This includes specific examination skills for adhesive capsulitis and cuff tears. Learn the copycat disorders and explore the full list of MSK differentials for the shoulder.

Day 2 covers our first two key challenges - cuff tears (& repairs) and adhesive capsulitis.

Cuff Tears - learn correct imaging information along with radiological and functional cuff grading. Understand ideal physiotherapy management using exercise and manual therapy as primary options. As part of this topic, we'll also look at maximizing surgical outcomes in all phases of recovery. Over 1000 clinical cases to draw from in specialty practice.

Adhesive capsulitis - learn examination and grading severity, potential copycat disorders and the eight week recovery program that can shorten the disorder by over a year.

We’ll discuss steroid management, when it’s indicated and how it should be delivered. Over 2000 clinical cases to draw from in specialty practice.

All courses include lecture, case studies, group discussion and practical components.

For Physiotherapists

Introduction
Syllabus Outline
Learning Objectives
Questions / Discussion Points
Try A Clinical Case

Pre-requisites

Physiotherapy degree

Course Fee (Sat & Sun 8:30am-4:30pm)

$895 CAD Early (> 60 days)

$1095 CAD Regular (60-7 days)

Level I syllabus - FOUNDATIONS & FRUSTRATIONS

MTS™ Level I - Day I - FOUNDATIONS

CLINICAL DIAGNOSTICS I

KEY UPDATES - Applied Anatomy & Pathology of the Shoulder

ACADEMIA - Current findings in shoulder research

CLINICAL EXAMINATION
Using pain descriptors to assist diagnosis
Pain patterns of the shoulder
Clinical shoulder examinations
Understand examination combinations

Practical Session

CLINICAL DIAGNOSTICS II

SPECIAL TESTS
Recommended special tests of the shoulder
Combining special tests
Novel tests

DIAGNOSTIC CASE EXAMPLES - Cuff tears & Capsulitis including radiology and interpretation

Practical / Demonstration Session

COPY CAT DISORDERS

DIAGNOSTICS & DIFFERENTIALS - Understand differentials of the shoulder in MSK practice

MTS™ Level I - Day 2 - FRUSTRATIONS

TOPIC 1 - ROTATOR CUFF INJURIES

Clinical & Radiological Classifications
Functional Grading
Non-surgical vs surgical decisions
Injection options
Early - Mid - Late stage rehabilitation
Recommended protocols based on cuff tear size

Practical Session

TOPIC 2 - ADHESIVE CAPSULITIS (Frozen Shoulder)

Diagnosing adhesive capsulitis
Copy cat disorders for adhesive capusilitis
Capsulitis, Contracture and Diabetic Capsulitis
Grading severity - decisions for injection vs rehab
Patterns and variations in adhesive capsulitis
Key principles of successful treatment
MTS™ 8 week physiotherapy program

Practical Session

Learning objectives

Examination Skills

Update your knowledge of current shoulder anatomy and important variants, pathology and important x-rays for the shoulder joint.

Improve your workflow - learn rapid and comprehensive assessment skills for shoulder disorders.

Understand how to perform the recommended special tests and be able to explain the use and importance of combining special tests.

Diagnostic Accuracy

Understand the nuances of special tests, combining negative and positive tests and what it means for the diagnosis.

Communicate effectively with specialists and surgeons for injection requests and surgical recommendations.

Appreciate the diversity of over 50 shoulder disorders and ways to differentiate MSK conditions

Managing Cuff Tears & Maximizing Repairs

Understand the difference between US / MRI findings and functional grading of cuff tears for effective non-surgical rehabilitation

Appreciate the use of injection work including orthobiologics & prolotherapy

Understand the thresholds for surgical repair and pre-operative patient expectations

Learn when to refer for surgical assessment and clinical insights for successful outcomes

Be able to demonstrate the principles of post surgical recovery up to the 12 month rehabilitation goal

Identify characteristics of surgical complications and revision surgeries

Adhesive Capsulitis - The 8 week MTS™ program

Describe the different capsular pathologies and disorders that mimic capsular signs

Recognize the stages of capsulitis through serial examination and movement trends

Recall the correct uses of imaging and co-morbidities that reduce movement progress

Understand the principles of recovery and necessary progressions of treatment

Appreciate the selective use and timing of soft tissue release techniques

Determine the stages for injection assistance and effectively communicate with physicians

LEVEL I course QUESTIONS / DISCUSSION POINTS

Foundational Skills

Do posterior labral tears require surgery ?
What is a Buford complex ?
Why is the rotator cable so important ?
What implications does the rotator interval have ?
What are the key x-ray views for the shoulder and why?
What relevance are the updates in cuff anatomy dissection ?
Are SLAP tears capable of restricting motion ?
What should be documented on an MRI ? An US ? How do I know if the report is accurate ?

Diagnostic Accuracy

Can you separate a acute cuff tear from a bursitis ?
How do you define a grade III vs grade IIIB vs grade V ACJ separation?
What does a positive Yocum test, but negative spin test mean ?
Are SSC tests accurate ?
Does a 2.6cm AP SSP FT cuff tear make sense ?
What are the sensitive measures for mild symptomatic GHJ OA ?
What types of tendinopathy are painful ? How do I measure it ?
What special tests are clinically useful ?
What clusters should I use ? How accurate are they ?

Managing Cuff Tears & Maximizing Repairs

How are tears graded surgically vs radiologically ?
What are functional grades ?
When should I start strength exercises ? Indirect or direct ?
When should I refer for surgery ?
What are the surgical indications, risks and late complications ?
How do I treat a massive cuff tear ?
What is a ceiling effect in non-surgical tears ?
How long should I rehab a cuff tear for ?
What are the ideal post surgical methods and principles ?
Should I use rotator cuff exercises in the long term ?

Adhesive Capsulitis - The 8 week MTS™ program

What are the diagnostic signs and symptoms for capsultis ?
What disorders copy a capsular pattern ?
Does severity matter and how is it measured ?
How do you treat a capsulitis in the initial stages ?
When should I begin movement, in what direction and with how much force ?
How do you achieve recovery in 8 weeks ?
When do you decide to inject ?
How many injections and at what dose / interval ?
When is it safe to start manual therapy ?

MTS™ CLINICAL CASE

37 y/o male, post traumatic fall onto hand

A patient sees you for advice and exercise regarding a recent shoulder injury sustained during a fall. He has restricted movement, strength and moderate pain on shoulder height movement. Dominant arm, night pain. Restrictions to work and sport.

He presents an US for you to read and based on the injury, devise a program of exercise progressions to help with regaining movement. He also wants to know if he should consider surgery and what are the factors to consider.

US demonstrates a broad partial thickness (mid grade) articular sided tear to SSP, SASD bursitis and a 'wet' posterior GH joint line.

Some points to consider ?

What is the difference of articular vs intrasubstance to bursal sided cuff tears ?
How might this change your treatment for pain ? for movement ? for strength ?
Should you expect movement loss due to a cuff tear ? When would this settle ?
Is this a surgical problem ?
Will they get worse with cuff exercises ?....

MASTERING THE SHOULDER™
SERIES

FOUNDATIONS & FRUSTRATIONS

MTS™ LEVEL I

Introduction

For Physiotherapists

Level I syllabus - FOUNDATIONS & FRUSTRATIONS

MTS™ Level I - Day I - FOUNDATIONS

MTS™ Level I - Day 2 - FRUSTRATIONS

Learning objectives

Examination Skills

Diagnostic Accuracy

Managing Cuff Tears & Maximizing Repairs

Adhesive Capsulitis - The 8 week MTS™ program

FALL 2025 REGISTRATION

LEVEL I course QUESTIONS / DISCUSSION POINTS

Foundational Skills

Diagnostic Accuracy

Managing Cuff Tears & Maximizing Repairs

Adhesive Capsulitis - The 8 week MTS™ program

MTS™ CLINICAL CASE

37 y/o male, post traumatic fall onto hand

Keep me updated

MASTERING THE SHOULDER™ SERIES

FOUNDATIONS & FRUSTRATIONS

MTS™ LEVEL I

Introduction

For Physiotherapists

Level I syllabus - FOUNDATIONS & FRUSTRATIONS

MTS™ Level I - Day I - FOUNDATIONS

MTS™ Level I - Day 2 - FRUSTRATIONS

Learning objectives

Examination Skills

Diagnostic Accuracy

Managing Cuff Tears & Maximizing Repairs

Adhesive Capsulitis - The 8 week MTS™ program

FALL 2025 REGISTRATION

LEVEL I course QUESTIONS / DISCUSSION POINTS

Foundational Skills

Diagnostic Accuracy

Managing Cuff Tears & Maximizing Repairs

Adhesive Capsulitis - The 8 week MTS™ program

MTS™ CLINICAL CASE

37 y/o male, post traumatic fall onto hand

Keep me updated

MASTERING THE SHOULDER™
SERIES