Shoulder Impingement: A Postural Model

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A postural model from Dr Don Hunter

Presented By

Dr Don Hunter, PhD


May 19, 2024 from 8:30 am to 4:00 pm

Suited To

Osteopaths , Physiotherapists , Chiropractors , Myotherapists

Shoulder Impingement Treatment

Shoulder pain can be one of the most complex presentations a therapist will see. It can be difficult to understand, frustratingly slow to improve and limit the patient’s quality of life considerably. If you find shoulder impingement treatment tricky then this is the course for you.

Shoulder Impingement anatomy. CPD for Chiropractic, Osteopathy and PhysiotherapyShoulder complaints are the third most common musculoskeletal cause of visitation to a general practitioner[1] with at least half of these persisting beyond 12 months[2]. Shoulder Impingement Syndrome (SIS) is the most common cause of shoulder pain[3] and a recent systematic review of interventional treatment for Shoulder Impingement Syndrome concluded the effectiveness of surgical or conservative therapies targeting the shoulder joint are limited.[4]

Don Hunter completed his PhD (University of Newcastle) in 2022, providing evidence that a relationship between thoracic posture and shoulder impingement syndrome (SIS) exists. Using a randomised control trial he established an evidence-based clinical approach to treating SIS using simple osteopathic techniques. In addition, as part of his PhD, Don provided an anatomical model describing why SIS occurs, which lends itself to the treatment of other upper limb conditions such as tennis elbow and wrist pain.

Shoulder Impingement: A Postural Model will review the normal anatomy and function of the shoulder complex as well as the pathophysiology of SIS, then explore the most common differential diagnoses and their key clinical signs and symptoms. Don will demonstrate the latest clinical testing for SIS and describe why thoracic posture is so important in addressing SIS and other upper limb conditions. He will also explain the anatomical model from his PhD that provides an explanation for the occurrence of SIS and how this model can be utilised to treat tennis elbow and other upper limb conditions.

Learning Outcomes

  • Revise the functional anatomy of the shoulder complex and how this relates to pain presentations
  • Update your understanding of shoulder pain based on the latest medical literature including the main contributors to impingement and why a whole-body treatment approach can help your patient's recovery
  • Confidently diagnose impingement syndrome using an evidence-based clinical examination of the shoulder complex
  • Apply an evidenced-based treatment model confidently in clinical practice, including manual therapy techniques utilised as part of a Randomised Controlled Trial (RCT) Don recently completed at Newcastle University
  • Confidently apply treatment principles to address other upper limb conditions such as tennis elbow or wrist pain

Shoulder Impingement: a Postural Model Course Details

Don Hunter teaching Shoulder Impingement: a Postural Model for Bower Bird CPD

Shoulder Impingement: A Postural Model is suitable for Osteopathy, Physiotherapy and Chiropractic practitioners. There will be a strong emphasis on practical sessions that you will be able to use with confidence in your practice immediately.

The course will run from 8:30AM to 4:00PM. Places are limited to 20 attendees. It also includes morning and afternoon tea, printed notes and an e-certificate of attendance for your CPD records. The course can be counted as 6.5 hours CPD.

Attendee Feedback

I have always found shoulders a little bewildering. Treatments have been hit and miss over the years. This course gives me a good evidence based foundation in relation to shoulder pathology, specifically impingement. And we learned how to treat! Most excellent day.

Felicity Marguin

Loved it! One of the best courses I’ve been to. Really useable information and relatable to practice. Good spacing with breaks and amount of theory and prac. Don was great at presenting - engaging and observant of the audience.
Great case studies, good class size, everything was well organised. Wouldn’t change anything.


Don did a great job in presenting all the information with character, he had some jokes in there and you could tell he had a-lot of passion for shoulders. It made it very easy to follow along with all the information and data/statistics that would otherwise be dry.
I really, really liked all the graphs. They helped give us a visual to accompany all the information that was given to us, the images of the cadavers were also really great and helped us visually see the relationship of fascia with other anatomical structures in the shoulder especially the triceps.
The practical component was really great. It helped that it was a smaller class and we had a good amount of one on one
Don had a lot of great case study examples which helped put the theory into practice. He helped us understand that ideally not everything is textbook and gave us some examples of tricky shoulder presentations.



[1] Greving K, Dorrestijn O, Winters JC, et al. Incidence, prevalence, and consultation rates of shoulder complaints in general practice. Scandinavian Journal of Rheumatology. 2012;41(2):150-155.

[2] Van der Heijden GJMG. Shoulder disorders: a state-of-the-art review. Bailliere's Clinical Rheumatology. 1999;13(2):287-309.

[3] Mayerhoefer ME, Breitenseher MJ, Wurnig C, Roposch A. Shoulder impingement: relationship of clinical symptoms and imaging criteria. Clinical Journal of Sport Medicine. 2009;19(2):83-89.

[4] Saltychev M, Aarima V, Virolainen P, Laimi K. Conservative treatment or surgery for shoulder impingement: systematic review and meta-analysis. Disability & Rehabilitation. 2015;37(1):1-8.



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