The Shoulder

César Fernández-de-las-Peña PT, PhD, DrMedSci, is full professor at Universidad Rey Juan Carlos (URJC), Madrid, Spain, where he is also leader of the Clinical Pain Research Group on Manual Therapy and Exercise. He combines his research activity with clinical practice as Head, Division of Physical Therapy Department, at the University Physical Therapy Clinic. He received a bachelor's degree in physical therapy from URJC, a first PhD from Aalborg University in Denmark on the subject of headaches (2007) and a second PhD in Spain (2008). He obtained his Doctoral Degree in Master Sciences in Aalborg in 2012 on the topic of central sensitization in chronic pain syndromes. He has received several awards for his research and clinical practice. Cesar has published around 550 peer-reviewed publications and is the first-named author of approximately 250. His research activities are concentrated on the neuroscience of pain. He has more than 200 peer-reviewed papers on upper quadrant pain syndromes, including shoulder pain conditions. His personal interest is the integration of manual therapy, dry needling and exercise interventions for the management of chronic pain conditions of the upper extremity. In his clinical practice Cesar treats patients with chronic pain disorders, particularly neck and shoulder pain. His clients include professional sport players whose activities involve the upper extremity, such as climbers, boxers, and basketball players. His premise is: "integrating clinical practice with research is the key for our patients" Cesar is often invited to present keynote lectures at international conferences, and he has taught workshops in over 20 countries. He is the main editor of 10 textbooks on manual therapy for chronic musculoskeletal pain including Temporomandibular Disorders, also published by Handspring Publishing. He is one of the Editors of the third edition of Travell, Simons & Simons' Myofascial Pain and Dysfunction: the Trigger Point Manual and is the co-editor of Trigger Point Dry Needling: an evidence and clinical-based approach. Jeremy Lewis PhD FCSP is a consultant physiotherapist in the Central London Community Health Care Trust (UK National Health Service) and is also Professor of Musculoskeletal Research at the University of Limerick in the Republic of Ireland. He was born in New Zealand, trained in Australia, and lived there for some time before moving to the UK. Jeremy is acknowledged as an eminent clinician in his profession and has been awarded a Fellowship of the Chartered Society of Physiotherapy, the highest award the CSP can offer. His clinical practice and research have focussed on musculoskeletal conditions involving the shoulder. He has also completed an MSc (musculoskeletal physiotherapy), and has postgraduate diplomas in sports physiotherapy, and biomechanics. He is qualified as an Independent (non-medical) Prescriber, and as an MSK sonographer, and uses these skills to perform ultrasound guided shoulder injections, to complement his clinical practice.

Part I:  Musculoskeletal Shoulder Problems



Chapter 1    Our Stories: living with shoulder pain



Chapter 2    The Evolution of the Human Shoulder and Upper Limb Function



Chapter 3    The Burden of Shoulder Pain and Disability



Chapter 4    Shoulder Anatomy and Function



Chapter 5    Lifestyle Factors



Chapter 6    Integrating a Biopsychosocial Approach



Chapter 7    Pain Neurosciences: where is my shoulder pain coming from?



Chapter 8    Red Flags, Inflammatory Conditions and Sinister Shoulder Pathology



Chapter 9    The Past, Present and Future of Shoulder Surgery



Chapter 10  Clinical Uncertainties: what do and don't we know about the shoulder?



 



Part II:  Assessment and Management   



Chapter 11    Communicating with People experiencing Shoulder Pain



Chapter 12    What Shoulder Outcomes to Assess and How to Measure Them



Chapter 13    Clinical Reasoning, Behavioral Changes and Shared Decision-Making



Chapter 14    The Role of Imaging, Blood Tests, EMG and Nerve Conduction



Chapter 15    Assessing and Classifying Musculoskeletal Shoulder Conditions



Chapter 16    Not a Shoulder



Chapter 17    The Unstable Shoulder: assessment and management



Chapter 18    The Stiff Shoulder



Chapter 19    The Weak Shoulder



Chapter 20    Posture



Chapter 21    Neurodynamics related to Shoulder Pain



Chapter 22    Hemodynamics and the Shoulder



Chapter 23    Injection Therapy in the Management of Shoulder Pain



Chapter 24    Shoulder Trauma



Chapter 25    The Pediatric and Adolescent Shoulder



Chapter 26    Biceps Tendinopathy



Chapter 27    Calcific Tendinopathy



Chapter 28    Reconsidering Assessment and Management of Proprioceptive Impairment



Chapter 29     When to Consider Surgery?



Chapter 30     The Role of Virtual Reality in the Management of Shoulder Conditions



 



Part III Manual Therapy, Needling, Modalities and Taping



Chapter 31    Hands-On (Manual) Therapy in the Management of Shoulder Conditions



Chapter 32    Needling in the Management of Musculoskeletal Shoulder Conditions



Chapter 33    Electrophysical Modalities in the Management of Shoulder Conditions



Chapter 34    Bracing and Taping in the Management of Shoulder Conditions



 



Part IV: Rehabilitation



Chapter 35    Musculoskeletal Shoulder Rehabilitation: motor control or strengthening?



Chapter 36    Shape-Up-My-Shoulder (SUMS) Rehabilitation Program



Chapter 37    Rehabilitation for the Unstable Shoulder



Chapter 38    Rehabilitation of Throwing-Related Shoulder Injuries



Chapter 39    Rehabilitation in Swimmers



Chapter 40    High Performance Rehabilitation of the Climbing Athlete



Chapter 41    Rehabilitation after Shoulder Surgery



Chapter 42    T'ai Chi in Shoulder Rehabilitation



Chapter 43    Yoga Therapy in the Management of Musculoskeletal Shoulder Conditions