The need for occupational therapy involvement in the treatment of RCIs lies beyond the incidence and loss of function. The treatment of rotator cuff pathology requires the skills of an expert focused on promoting health while encouraging engagement in occupation. Clients suffer limitations in multiple domains such as performance skills, activity demands and occupation. A person’s performance patterns, environment and client factors beseech us to individualize the treatment plan. A client centered approach will positively impact the client’s ability to participate in the intervention strategy. Treatment of this complex pathology requires careful consideration of the life style and goals of the client in order to bring longevity to a successful treatment outcome. All level of therapists will learn to apply an occupation based approach to a biomechanical application and acquire techniques to lessen the burden of rotator cuff rehabilitation on clients. The basic science portion of this course is presented in a manner appropriate for the beginner and intermediate level occupational therapist. Therapists will profit from learning about common misconceptions about rotator cuff injuries uncovered by the advancement of imaging in recent years. Research in this area is difficult due to the confounding nature of the disease; therefore, it is vital for an evidence based practitioner to keep up with these changes. Participants will not only learn palpation and testing methods to assess a client, but also how to listen to and interpret the client’s complaints and symptoms in order to determine the best intervention strategy.