Myofascial pain is a poorly understood and inconsistently addressed syndrome that affects millions of people. As there are conflicting definitions of the problem, there are differing treatment philosophies employed for management of these. This webinar will establish a working definition for these disorders.  Neurological and musculoskeletal causes for these disorders will be discussed and related to relevant clinical presentations. Common pain sites and referral patterns will be discussed and options for intervention will be explored.

Level of Instruction:  Intermediate


Course Objectives

  • Identify the causes of peripheral and central sensitization.
  • Identify muscle pathology resulting in trigger point development with resultant pain and loss of function.
  • Identify useful examination techniques to adequately assess and plan treatment for common pain patterns of the shoulder.
  • Identify and present the state of evidence to support this area of practice.
  • Identify appropriate treatment interventions including soft tissue release and therapeutic exercises used to address myofascial pain of the shoulder girdle.

Course Agenda

  • Neurological review of peripheral and central sensitization
  • Review of muscle pathology including taut band and local twitch response
  • Review of pain patterns and presentations emanating from the shoulder girdles
  • Overview of soft tissue release techniques. Purpose and general principles of intervention
  • Specific release patterns and exercise interventions. Video demonstrations.
  • Q/A Session



PAUL J. BONZANI, OTR/L, CHT, M.H.S.  Clinical Assistant Professor University of New Hampshire Dept. of Occupational Therapy.  Throughout his career he has had the fortunate opportunity to work with some of the finest hand surgeons and therapists in the country having held management positions at both The University of Vermont — Fletcher Allen Medical Center and Duke University Medical Center. Additionally he has been an adjunct instructor in both the Duke University Physical Therapy Program and the Program in Occupational Science at the University of North Carolina-Chapel Hill. Mr. Bonzani brings 21 years of clinical experience in orthopedic and industrial rehabilitation. Paul has presented nationally in the areas of biomechanics and rehabilitation of the shoulder, nerve compression syndromes, RSI/CTD management and pain syndromes. He has published on the subjects of CTD/RSI management, thumb reconstruction and management of the rheumatoid elbow. Clinical specialties include rehabilitation of the elbow and hand, chronic pain syndromes, TOS, nerve compression syndromes and neural tension disorders of the upper limb. Current research interest’s include functional outcome measures following fractures and upper quadrant sensate deficits. Paul is a clinician, researcher and educator and considered to be one of the leading hand therapists in the care of shoulder, elbow and hand injuries in North America.


Contact Hours: 1.5

Price: $49


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