Rotator Cuff Related Shoulder Pain | David Dall'Alba | Thriving Lives Co.

The meeting focused on Rotator Cuff Related Shoulder Pain, with Dr. Sarah Coll introducing David Dall'Alba who presented on the topic. The presentation covered the prevalence, risk factors, and progression of rotator cuff pathology, emphasising that many people have asymptomatic tears. It discussed the limited value of imaging in guiding treatment and the importance of psychosocial factors like fear avoidance, self-efficacy, and expectations in predicting outcomes. The session highlighted the need for high-value, biopsychosocial care, including pain education and exercise, rather than low-value interventions that can increase fear and surgical momentum. Dr. Coll shared insights from surgical practice, noting that certain tears respond well to surgery while others do not, and stressed the importance of patient commitment and appropriate pre-operative care. The presentation concluded with the recommendation for a multidisciplinary, pain-informed approach to manage shoulder pain effectively.