Digital ulcers (DU) are extremely painful and can be challenging to manage in patients with systemic sclerosis (SSc) and secondary Raynaud’s Phenomenon (RP). In this two-part course, Dr. Curley provides a clinician-patient perspective in evidence-based practice and presents an overview of scleroderma and RP, discusses current recommendations for scleroderma-related DU management, and shares a novel non-pharmaceutical means for the management of RP and DU in a patient with diffuse SSc. This course stresses the importance of physical therapy intervention early in the disease process and challenges clinicians to treat the whole person not just the body part, to address the root causes, and to involve the patient in the prevention and healing process, while advancing evidence-based practice in the treatment of scleroderma-related digital ulcers.

Meet our Presenter

Rosemarie A. Curley, MPT, DPT is a physical therapist and certified strength & conditioning specialist with a vested interest in wound care and the desire to promote the patient perspective in evidence-based practice in scleroderma management and Topical Steroid Withdrawal (TSW) in children. She received her Bachelor’s degree in English with a pre-engineering background from Furman University in Greenville, SC, her Master’s in Physical Therapy from the Medical College of Virginia-Virginia Commonwealth University in Richmond, VA, and her transitional Doctorate in Physical Therapy from Northeastern University’s College of Professional Studies in Boston, MA. Her 25+ years of PT experience includes acute care, wound care, outpatient orthopedics and rehab, inpatient rehabilitation, home health, skilled nursing facilities, and arm care in the throwing athlete. Having managed her own Raynaud’s and scleroderma challenges since 2008 and helping her son through TSW, Dr. Curley formed TSW Research Group, LLC to provide the medical and research community with the clinician’s and patient’s perspectives in scleroderma and in TSW in infants and children. She is the author of the blog Beyond the Itch and is published in JOSPT, The Rheumatologist, and the Journal of Dermatological Nurses Association. She is dedicated to using her varied knowledge, skills, and experience to help individuals achieve their highest functional potential no matter their age, stage, or condition.

Course Code:


Completion Instructions

Review course, complete assessment with at least a 70% score, download and save certificate

Course level


Delivery method



Rosemarie Curley, MPT, DPT

Learning objectives

  1. Define Evidence-Based Practice and its component parts
  2. Define Systemic Sclerosis and describe the two main types and their primary characteristics
  3. Identify scleroderma digital skin lesions that impact function and skin integrity
  4. Define and describe Raynaud’s Phenomenon
  5. Explain the relationship between Raynaud’s Phenomenon, Systemic Sclerosis (SSc), and digital ulcers
  6. Describe current recommendations for the prevention and treatment of SSc-related digital ulcers
  7. Explain why clinical expertise and patient perspective are essential in SSc-related digital ulcer management
  8. Describe Physical Therapy’s role in the management of patients with Systemic Sclerosis and digital ulcers



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1Scleroderma_2020 June.mp4
Type:E-Learning Course
Credit Categories

The following credits are available upon completion of these activities.

Total credits:  0.2
Key Dates
Enrollment:Prior to  12/30/2021
Available discounts:
  • Non Member
    (until 12/31/2030)
  • Member
    (until 12/31/2030)
  • CEWM Member
* Prices in US Dollars