Learning points of lecture:

• Understand that pain is far more than the state of the peripheral tissue
• Learn why the term subacromial impingement is being increasingly challenged
• Learn why the current best evidence does not support subacromial impingement as the primary cause of rotator cuff pathology
• Understand the role affective factors have on clinical outcomes for shoulder pain
• Tips on what we should now call subacromial impingement
• Learn how the term “impingement” may be harmful to a patient
• Understand how subacromial impingement can lead to an exaggerated focus on structural factors