Webinar - Myofascial pain syndrome - shoulder and upper limb in a global context - 2 parts

Date: Part 1 - 28.03.2026 from 9AM - 13 AM, Part 2 - will be published

Lecturer: Mgr. Lukáš Kasala

Location: Zoom platform

Price: 1 part - 55.00 eur

Language: English

TIP: 1 part - 4TIP 2 part - 4TIP

Webinar intended for: physiotherapists, physiotherapy students, doctors, medical students

And here is our next webinar - Shoulder and upper limb in a global context! A webinar that we have been planning for some time and are very looking forward to. Because there is so much to talk about the shoulder and upper limb, we decided to divide it into 2 parts and also add information about the elbow, wrist and the entire upper limb.

The shoulder is a common problem. Many patients have chronic pain. And it is not uncommon for this to be due to incorrect diagnosis and subsequent therapy. If we diagnose incorrectly, we treat incorrectly. We have prepared a comprehensive webinar that will explain the causes of shoulder girdle pain and we will also talk about the possibilities of therapy.

Webinar program:

Course program

• Anamnesis - what are we interested in, what information do we want to obtain, how does the patient's description indicate a specific type of pain

• Types of pain - typical manifestations of individual types of pain and correct diagnosis

• Trigger points causing shoulder and shoulder girdle pain, chaining in a global context

• Shoulder and visceral relationships - which organs typically manifest as shoulder or shoulder girdle pain

• Radiculopathy and tests

• Joint blockades, presentations and chaining

• Correct biomechanics of the shoulder girdle

• Shoulder girdle and deep spinal stabilization system

• Orthopedic issues - typical manifestations and examination

• Upper crossed syndrome and impact on the shoulder

• The impact of the elbow and wrist on the shoulder girdle

• Incorrect breathing stereotype and impact on the shoulder

• Chaining from the pelvis and lumbar spine - how do they affect the shoulder plexus, muscle chaining of disorders from the pelvis and lumbar spine

• Shoulder pain after breast surgery and mastectomy

• Therapy suggestions - basic principles of therapy

More about functional thinking...

We often write about the global context. Comprehensive trigger point therapy and global reciprocal muscle inhibition, Diagnostic and mobilization techniques of functional pathologies of the musculoskeletal system in a global context. But what does this mean?

It is necessary to realize, and in diagnostics and therapy always keep in mind that no function in the body is independent. None. Individual changes follow each other and influence each other. This is always true.

It is also true that before pain appears, the function of individual components of the musculoskeletal system changes. Joint mobility changes, i.e. joint blockade occurs, muscle tension changes and trigger point formation, formation of fascial densifications, change in tension of muscle and fascial chains. However, the patient may not always feel pain. The body has significant compensatory mechanisms and can adapt to the problem. However, a situation may arise when the compensatory mechanisms are no longer sufficient, the pain circuit "goes into action" and the patient begins to feel pain. This situation can be practically anything that changes the balance-homeostasis. For example, a cold, an allergy, minor or major trauma, inadequate performance or overload, excessive psychological stress, surgery, ... There can be many causes. The therapist's task is to find the primary cause, or rather. what came first.

If the patient has had a knee operation, the tension of the thigh muscles changes and thus the centration of the hip joint changes. The pelvic fixators always react to this and thus the position of the pelvis changes. Changing the position of the pelvis causes a change in the tension of the thoraco-lumbar fascia and subsequently the muscles attaching to it, for example the latissimus dorsi (one of them). It attaches to the humerus and has an internal rotation and extension function. The external rotator, i.e. the infraspinatus and teres minor, react to it, which will increase their tension. Since these are muscles that do not tolerate chronic contraction, because they are primarily phasic, they will generate a trigger point and the patient has typical infraspinatus shoulder pain.

If we want to be successful in therapy, we must know where the beginning is and in the described case, we must address the knee. We will "disconnect" the pathological muscle chain and effectively treat the patient's shoulder.

And we teach this principle, this way of thinking, in all our courses and webinars.