Shoulder Pain Physiotherapy | Move Physiotherapy Fremantle
Painful shoulder conditions that limit movement are very common and caused by injuries affecting the shoulder joint, tendons, ligaments and cartilage. These injuries are common due to the high degree of range of movement of the shoulder joint, and therefore increased demands on the proper functioning of the shoulder musculature. Shoulder injuries are also strongly influenced by cervical and thoracic dysfunctions.
At Move Physiotherapy, we understand how your shoulder pain can impact your daily work, lifestyle and recreation. Our physiotherapists are experts in shoulder pain physiotherapy. We offer 60 minute initial assessments in order to provide a comprehensive assessment, clear diagnosis and detailed treatment plan to get you out of your pain and back to the activities you love the most.
Your treatment will often involve a range of physiotherapy techniques, massage therapy or dry needling. Shoulder pathologies commonly require an intensive period of exercise rehabilitation in order to fully rehabilitate your injury and prevent your pain from recurring.
SHOULDER PAIN FLOWCHART
The above flowchart is a basic guide for self-diagnosing your shoulder pain. Please click on the picture to expand the image.
Based on the mechanism and history behind your shoulder pain it aims to provide you with an insight into your potential diagnosis. However, please note that this is by no means an exhaustive list of pathologies that can result in shoulder pain. This flowchart is simply a guide on the most common causes of shoulder pain, such as rotator cuff tears and tendinopathies; and sub-acromial bursitis.
At Move Physiotherapy, we are experts in shoulder pain physiotherapy. Especially for common diagnoses such as a sub-acromial bursitis, we highly recommend undergoing a period of physiotherapy prior to exploring more invasive means such as a cortisone injection. It is also important to realise that a cortisone injection merely treats the symptom of inflammation in the area it is dispersed. It does not treat the cause of this inflammation. Therefore, if your shoulder pain has arisen from repetitive strain or usual daily behaviour, it is important to address the cause of this inflammation with physiotherapy treatment.
COMMON CAUSES OF SHOULDER PAIN
Rotator cuff tendinopathies are arguably the most common cause of shoulder pain that presents to physiotherapy. In fact, we have written a whole blog on the topic which can be read here!
These injuries commonly present with pain experienced at the tip of the shoulder which can occasionally move down to the outer portion of the arm. There is often an ‘arc of pain’, whereby pain is experienced as you lift the arm to around 90 degrees to around 130 degrees. Depending on the longevity and severity of the injury there may be a mild to moderate weakness in the affected arm.
If left untreated, these injuries will often result in a sub-acromial bursitis. Physiotherapy is highly effective in the treatment of this condition, and the sooner you can begin treatment, the better the prognosis.
A sub-acromial bursitis refers to inflammation of the sub-acromial bursa. This bursa lies beneath the tip of your collarbone at the point of the shoulder, and prevents friction from occurring of your rotator cuff tendons against this bone.
Faulty movement patterns, muscle weakness and tightness and postural abnormalities can result in increased friction and pressure against this bursa resulting in pain and inflammation.
Your physiotherapy treatment will be aimed at improving areas of muscle tightness through techniques such as massage and dry needling, in addition to improving muscular strength in targeted muscles to improve your shoulder mechanics. This aims to reduce the underlying cause of your bursal inflammation at the source, as opposed to merely treating the symptoms of inflammation through medication or with a cortisone injection.
A Frozen Shoulder, or scientifically named ‘Adhesive Capsulitis’ refers to inflammation and eventual stiffening of the shoulder capsule. It most commonly occurs in females between the ages of 40 and 60, and most typically in the non-preferred arm.
The typical symptoms of a frozen shoulder include an initial loss of rotation of the shoulder joint (such as placing the hand behind the lower back, and outwardly rotating the arm) before gradually losing shoulder elevation range of movement.
If you are suspecting a frozen shoulder it is important to be assessed by your physiotherapist. These conditions can take 1-2 years for full resolution, however your physiotherapist can ensure you receive appropriate exercises to minimise the amount of dysfunction that occurs with this pathology.
Your physiotherapist will combine techniques such as joint mobilisation and manipulation, in conjunction with soft tissue therapies such as massage and dry needling. You will also be given a series of stretches and exercises to be completed at home in order to get you pain free as quickly as possible. Click the image above to read more about our physiotherapy service.
Move Physiotherapy Fremantle are your experts in Dry Needling treatment, and commonly include this method of treatment in their physiotherapy sessions. Click on the image above, or follow the link for more information about our dry needling treatments.
WE CAN HELP WITH THE FOLLOWING CONDITIONS
- Rotator Cuff Tears
- Rotator Cuff Tendinopathy
- Sub-Acromial Bursitis
- Shoulder Impingement
- Sub-Acromial Pain Syndrome
- Shoulder Internal Impingement
- AC Joint Injuries
- Shoulder Dislocations
- Post Operative Rehabilitation
- Thoracic Outlet Syndrome
- Nerve Entrapments
FREQUENTLY ASKED QUESTIONS
Should I Get a Scan Before Commencing Physiotherapy?
Generally, your physiotherapist will be able to recommend scans such as an X-ray, ultrasound or MRI investigation. Although helpful, these scans are often not necessary in order to give a clear diagnosis of your shoulder pain.
Why Should I Get My Shoulder Pain Treated at Move Physiotherapy?
At Move Physiotherapy Fremantle, we consider ourselves to be experts in Shoulder Pain Physiotherapy.
We spend longer with you during your first appointment (60 minutes compared to 30 or 40 minutes at competing clinics) in order to comprehensively assess not only the source of your shoulder pain but also the contributing factors underlying your injury.
We also take the time to understand how your injury is impacting you, and work with you to formulate a plan to get you from pain and injury back to performing at your peak.
Our first appointment always includes treatment, whether this be joint mobilisation, massage, dry needling or simply advice.