Paul Salamh

Prof Jeremy Lewis and Dr Paul Salamh discuss the overcomplication of shoulder assessment and treatment, emphasizing the limitations of imaging and special tests. They highlight the importance of patient education, shifting away from structural diagnoses, and adapting treatment based on presentations rather than specific structures. The podcast also covers the significance of subjective evaluation, functional movement assessment, and patient-driven treatment for shoulder issues.

Paul Salamh, a clinician-researcher and educator at the University of Indianapolis, joins Chris Hughen to explore shoulder pain and the complex role of imaging. They discuss the overutilization of imaging and when it's appropriate to use X-rays, MRIs, and other modalities. Paul highlights vital red flags for non-musculoskeletal issues and the nuances of recognizing shoulder dislocations, including often missed posterior dislocations. He also addresses the management of rotator cuff pain and the importance of clear communication of diagnoses to patients.

Paul Salamh, shoulder/upper extremity specialist, joins the podcast to discuss putting special tests for rotator cuff-related shoulder pain out to pasture. The topics covered include common shoulder special tests, imaging findings, pre and post test probabilities, limitations of gold standards, the importance of a comprehensive interview, and Paul's current research on frozen shoulder and pitcher fatigue.