Rehab of the Complex Shoulder and Elbow

Post-Surgical and Non-Surgical Strategies to Implement Immediately

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Rehab of the Complex Shoulder and Elbow - Elite Livestream

Instructor: Rick Daigle, PT, DPT, CF-L1, STMT

Length: 5 hours | Tuition: $199 - This course is FREE for Elite Passport Members (learn more)

Benefits to Attending:

  • Comprehensive exercise prescription strategies for all patients
  • Learn how manual therapy sets the stage for the importance of movement/exercise
  • Review numerous post-surgical rehab protocols to determine relevance
  • Hands-On Labs with extensive demonstration and practice


  • Explain differential diagnostics of the shoulder region
  • Appreciate the relationship between the thoracic spine and the shoulder complex
  • Describe various post-surgical rehabilitation protocols and their place as a guide
  • Develop exercise programs for the shoulder and upper quarter based on stages of rehab
  • Identify efficient and competent examinations of the shoulder
  • Implement plans of care for the shoulder and elbow region specific to the patients’ needs


In the United States, it’s been reported that there are over 10 Million physician office visits per year for the shoulder and elbow alone. This combined with the ever-expanding landscape of Direct Access for Physical Therapy, makes it even more imperative for clinicians to have a strong grasp on the Upper Quarter both from a non-surgical rehabilitation standpoint and post-surgical rehabilitation. The Shoulder and Elbow can be daunting to evaluate and treat, but it does not need to be this way.

In this course clinicians will have an opportunity to revisit evidence-based examination and evaluation procedures meant to streamline and pinpoint the needs of the individual patient. Using case studies you will focus on manual therapy and exercise progression for both common non-surgical cases and some of the more complex, yet commonly seen post-surgical cases. You will learn why manual therapy cannot be overlooked in the comprehensive treatment of the upper quarter. We’ll dive into manual therapy treatment rationale in a way that is outside of the box and drives movement/exercise strategies. Discussion on tissue loading principles will be the foundation for exercise progression and home exercise progression. Expect to leave this seminar with a refreshed viewpoint of the upper quarter and fully prepared to implement new strategies in the clinic immediately.



Anatomy Review of the Shoulder and Elbow

  • Soft Tissue and Joint Arthrokinematics
  • Relationship of T-Spine and Shoulder

Examination and Evaluation of the Non-Surgical Shoulder and Elbow

  • ROM, MMT and Special Tests
  • Differential Diagnostics
  • Why pain is not indicative of damage

Post-Surgical Management of the Shoulder and Elbow

  • Rotator Cuff Repairs
  • Labral Pathology
  • Cartilage Saving Procedures
  • Complex Elbow Fractures
  • Tommy John/UCL Reconstruction

Manual Therapy of the Shoulder and Elbow

  • Soft Tissue
  • Joint Mobilizations
  • Neurodynamic Techniques

Exercise Progressions for the Shoulder/Elbow/Thoracic Spine

  • Proper theories of tissue loading
  • Progressions and Regressions
  • Home Exercise Development

Case Study Discussion and Questions/Review