Shoulder pain


The shoulder becomes very stiff and painful which restricts movement and can affect your sleep. This is due to tightness and inflammation of the capsule around your shoulder joint. The primary aim of physio is to reduce your pain and then focus on regaining movement to get your arm back to full use.


This occurs when the protective cartilage at the end of the bone starts to break down and causes pain, stiffness and swelling of the joint and leads to difficulty moving. It can effect most of your joints, most commonly being knees, hips, back, neck, shoulders and fingers. Physiotherapy can be very helpful with OA using treatments such as mobilisation, exercises, acupuncture etc.


We have an excellent working relationship with an orthopaedic shoulder specialist Mr Francis Lam (please see testimonials page). He refers many of patients to us after their operation for rehab and he sees our patients that need more investigation. We aim to prevent operations as much as possible but sometimes a little more help is needed.


The rotator cuff is made up of 4 small yet very important muscles whose role is to hold the ball in the socket joint and stabilise your shoulder. Injury or tear to the rotator cuff can give deep shoulder pain or referred pain down the arm. They can be the result of an acute sporting injury or be part of the wear and tear process.


This is caused by various structures, such as muscle, tendons, capsule and bursa rubbing or catching on nearby tissue and bone as you lift your arm. It is important to rehabilitate this properly and timely as it tends to get worse if untreated.


Usually, but not always, caused by an acute sports injury. This occurs when the ball comes out the socket joint and can be very painful. Treatment and strengthening is really important after injury as re-occurrence is common.


Two of the most common injuries to the shoulder are osteoarthritis of the joint and rotator cuff injuries. However, there are many structures in the shoulder that can cause pain including bursa, muscles, ligaments, tendons, joints and labrum. Injury to the shoulder can also send pain down the arm towards the elbow.


The most common sporting injuries for the shoulder are; rotator cuff injuries, shoulder dislocation and labral tears (a tear of the soft cartilage in your shoulder joint). Please see our sports injury page.


This is a group or disorders that can occur when the nerves or blood vessels in the space between the ribs and collar bone become compressed. This can lead to pain, weakness, numbness or pins and needles often in the shoulder, but can occur anywhere between your neck and fingers. It is important to get this assessed and treated as soon as possible as there are many structures that can be affected.


See osteoarthritis

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