Dr Angela Cadogan - Physiotherapy Specialist

18/08/2025

Once in a generation someone comes along with the passion and determination to drive the profession forward and achieve incredible things. Dr Stanley Paris is one of those people.

I had the absolute privilege of listening to these interviews as I added them to the Physio Academy library. They’re a wonderful journey back in time, showing where our profession began and how Stanley (and others) helped embed manual therapy in physiotherapy and set the bar for excellence in practice.

Have we maintained those high standards?

These interviews are a fascinating reminder of where we’ve come from, from a man who has achieved incredible things both personally and professionally, and continues to give so generously to the profession. I highly recommend taking the time to listen.👇

https://www.facebook.com/share/1JsSGkRNUn/

🎥 New Release: On the Shoulders of Giants – An Interview with Stanley Paris
Two legends. One conversation.

In this exclusive video series, Dr. Stanley Paris sits down with Dr. Mark Laslett to share stories that shaped the history of manual therapy — from treating Olympic athletes and training with James Cyriax, to founding IFOMPT and revolutionising physiotherapy education.

Whether you're a clinician, student or educator, this is essential viewing for anyone passionate about our profession's past, present and future.

👉 Watch now: https://bit.ly/3J7QF8A

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American Physical Therapy Association (APTA)

12/08/2025

Subacromial Corticosteroid Injections: Should You Inject?
Thanks to the Shoulder Academy team for joining this Q&A session last week.

We covered:
✅ indications and contraindications
✅ clinical diagnosis of subacromial pain
✅ is 'bursitis' on ultrasound always symptomatic?
✅ who is NOT likely to benefit from a subacromial CSI
✅ risks, benefits, informed consent & shared decision-making
✅ evidence for therapeutic outcomes

Great turnout and great questions.

The recording is now available through the Q&A's on your Dashboard.

📅 Put 29th October in your diary and stay tuned for the AC joint Q&A topic. (Free for Shoulder Academy members)

More info on Shoulder Academy in comments. 👇



Physio Academy - Learning

04/08/2025

💥 "Subacromial Corticosteroid Injections - A Practical Guide for Clinicians. This is the Rotator Cuff Q&A theme for Shoulder Academy members on 6/8/2025.

We'll cover:
- Indications and contraindications
- Identifying the patients most likely to benefit from subacromial CSI
- Recognising when not to inject, and what to consider instead
- Interpreting bursal and tendon imaging findings in context
- Differentiating anaesthetic vs corticosteroid effects
- Navigating risks, informed consent, and timing around surgery
- Evidence for the efficacy of subacromial corticosteroid injections.
- Practical tips for the clinician.

We'll have the usual Q&A after the presentation with time for questions and case discussions. See you there!

More info in comments. 👇

21/07/2025

NZ Shoulder and Elbow Society 2025 conference wrap up: (July 9-12)

Always a pleasure to join the for their biannual conference - this year at the beautiful Millbrook, Arrowtown. Four solid days of learning with 6 other keen shoulder therapists and 4 of us presenting in the main session. Topped off with a fabulous meal at the Kawerau Bungy Centre.

A highlight was the physiotherapists "Fireside Chat" - joined by some international greats for a Q&A session - stay tuned for the recordings.

Key learnings from the conference:

Traumatic Shoulder Instability:
- Beware scapula neck fracture in differential diagnosis. Positive Apprehension test for pain with a negative Relocation test may be a clue. Often missed on imaging.

Grade V AC joint Instability:

04/06/2025

"The Shoulder Needs Chaos". Had great fun co-presenting the Shoulder Instability Masterclass with Prof. Jeremy Lewis this morning. Have seen 2 instability patients in clinic today & looking forward to the Atraumatic Instability session with the Shoulder Academy team tonight. A day full of Instability teaching & learning!

If you're interested in joining the session tonight see comments below. 👇

Agence EBP Physio Academy - Learning

27/05/2025

Looking forward to this one!

Physio Academy - Learning

C’est parti 🔥 Les inscriptions à la nouvelle masterclass EBP sont ouvertes !
📆 Le 3 juin à 20h, on parle d’épaule instable avec Angela Cadogan & Jeremy Lewis 💥
Cas cliniques, outils concrets, Q&A…
🎯 Tarif early bird : 75€ au lieu de 90€ jusqu’au 30 mai
📲 Lien d’inscription: https://www.agence-ebp.com/masterclass-dr-angela-cadogan-pr-jeremy-lewis

13/05/2025

Proximal humerus fracture. (Case study and infographic).
Many patients suffer high levels of persistent pain and stiffness-related disability after proximal humerus fractures. How much is normal and when should you be concerned?

At the Shoulder Academy Q&A last week I presented a case study of a patient with a proximal humerus fracture who was managed non-surgically, the fracture healed but she went on to develop other complications.

The case study highlighted the importance of differential diagnosis and identifying 'lack of progress' and deciding on a course of action. The outcome significantly changed her treatment pathway.

The recording is available for Shoulder Academy members on your Dashboard (Q&A course).

There is also a downloadable infographic for this session: https://learning.physioacademy.courses/products/digital_downloads/Avascular-Necrosis

📅 Next up: Unstable Shoulder 4th June.

If you’re interested in finding out more about Shoulder Academy and learning more about shoulder diagnosis, clinical pathways and rehabilitation, click the link below.
ℹ Shoulder Academy: www.shoulderacademy.co.nz


Physio Academy - Learning

11/04/2025

Another inspiring conference en France! 🇫🇷

A huge merci to SFP-Société Française de Physiothérapie and the committee for the invitation to present at the French national physiotherapy conference in Montpellier last week.

Almost 2000 French physiotherapists attended the national conference to share learnings and experience. As France moves towards direct access I was privileged to share my experiences with them on diagnosis, clinical pathways and triage for shoulder conditions.

A highlight for me was the 'trial' - a presentation where the biopsychosocial model was put on trial. Both the prosecution and the defense made excellent arguments and in the end the jury acquitted the model, but not without some excellent points being made. Very entertaining!

It was also an opportunity also to visit the beautiful, historic city of Montpellier in the south of France. Montpellier is home to the oldest, continuously practicing medical school in the world with its teachings dating back to 1180AD and attended by many scholars and scientists including Nostradamus. The sort of history we just don't experience here in NZ.

As always I learnt much, met many new friends and am very grateful once again to the French physiotherapy community for their hospitality and for the opportunity. À bientôt.

Agence EBP Physio Academy - Learning

13/02/2025

Merci to the Société Française de Physiothérapie for the invitation to present a workshop at their conference in Montpellier, France on 5th April.

As more countries move towards direct access the focus of this workshop will be on clinical diagnosis, imaging indications & treatment pathways for rotator cuff conditions. We'll also cover physiotherapy rehabilitation for rotator cuff disorders.

A bientot! 🇫🇷🙂

24/11/2024

Emerging concepts in posterior shoulder instability.
Could acromial morphology influence posterior shoulder instability?

A few weeks ago I had the absolute privilege and pleasure of hearing Mr Christian Ge**er, MD, PhD speak at a local orthopaedic meeting in Christchurch. He had many insights to share including emerging concepts in posterior shoulder instability.

As physiotherapists we are very familiar with the dynamic stability system of the shoulder. We also know about glenoid structural factors that contribute to posterior instability including glenoid version, and glenoid morphology. But little is known about acromial morphology and shoulder instability.

It was fascinating to hear the story of how Christian began looking at acromial morphology as another possible factor in posterior instability several years ago. He and his colleagues looked further into it and found that a high acromion and flat acromion were strongly associated with both static (in GHJ OA) and dynamic posterior instability. I’ve summarized one of the papers he was involved in below. Other work done since then has supported these findings.

In reflecting on this presentation, could a lower acromial height and tilted acromion have perhaps been an advantage in the evolutionary quadripedal period providing a restraint to posterior translation when walking on all-4 limbs? Perhaps now that we are upright walkers with less posterior forces through the upper limb, could the acromion be evolving accordingly? Or could this affect our primitive reflex integration and/or function of the posterior cuff? No answers here I’m afraid but food for thought.

None of this is likely to change what we do as physiotherapists but it’s fascinating to hear new insights that may help us identify sub-groups of both static (GHJ OA) and dynamic posterior instability and may influence our multidisciplinary management of these patients in the future.

Article link: https://pubmed.ncbi.nlm.nih.gov/31318804/

Thanks to Alpha Medical and Bonebridge for hosting the session.

17/11/2024

📈 Measuring Up: Are Force Measures Adding Value to Shoulder Rehab?

Ahead of the SEPNZ/SMNZ Conference in Hamilton this coming weekend, I’ve put down some thoughts about the value of force technology in shoulder rehab and what it takes to really get the most out of our force testing.

I’ll be diving deeper into this topic in a practical workshop with my Specialist Physiotherapy colleagues at the upcoming Sports and Exercise Physiotherapy New Zealand conference in Hamilton. Hope to see you there!

Check out the blog for some food for thought. Link in comments.