Shoulder pain and problems are common, but they respond well to physiotherapy rehabilitation. From acute painful injuries to more chronic, repetitive overuse or motion limited problems.
The shoulder is a very mobile joint; it can move in many directions, but It depends on the surrounding muscles and soft tissues for stability.
The rotator cuff has four muscles and provides an essential role on shoulder function. That is, to keep the shoulder ball centred in the socket and to control shoulder rotation.
The shoulder also depends on the shoulder blade, or scapula. The scapula acts as a moving base for the shoulder. Its position and control have a big effect on how well the shoulder moves, functions and shares load.
The biceps also play an important role. It attaches to the shoulder in two places and helps with shoulder stability, as well as bending the elbow.
The muscles around the elbow and forearm help control movement of the elbow, wrist and hand.
The arm is also supplied by a network of nerves from the neck called the brachial plexus. These nerves travel through the shoulder and down the arm. They help control sensation and muscle function throughout the upper limb.
Whether you find yourself suffering from pain, stiffness or restricted range of movement. You may have difficulty lifting, taking your arm overhead or in certain movements. The simple act of dressing yourself, doing your hair or even lying or sleeping on the shoulder could be a big issue, or it may leave leaving you feeling weak and limited.
Conditions we often treat in the shoulder:
• Bursitis / Shoulder Impingement
• Rotator Cuff Injuries (tears or tendinopathy)
• Frozen Shoulder (adhesive capsulitis)
• Posture-Related Shoulder problems (forward shoulder, rounded upper back, head forwards)
• Acromioclavicular Joint (ACJ) Injuries
• Lateral and medial epicondylalgia (Tennis / Golfers Elbow)
• Trauma or fall-related causes of shoulder pain/problems
• Shoulder Dislocation / Subluxation
• Fracture (clavicle or humerus)
• Nerve Injury or referred pain from the cervical spine
• Calcific Tendinopathy
• and problems with the neck/shoulder blade-rib muscles affecting the scapula (and shoulder)
The shoulder and shoulder blade do not work in isolation. They interact (and have connections with) the upper back, neck, and the core/pelvis. So, the source of a shoulder problem could be something in the shoulder, or in another area that affects them. Often, we find that the poor control & stiffness of the upper back is a significant driver of shoulder dysfunction. That then alters scapula mechanics and shoulder loading.
At Vigeo, your physiotherapy assessment is comprehensive. We look at the site of your pain as well as identify the root cause. Providing a solid foundation for your shoulder recovery success. We assess your alignment, biomechanics and control of your shoulder and scapula. We may find issues with movement patterns, muscle imbalances, joint mobility and nerves. Then, we provide treatment to rehabilitate both the local shoulder problem and the root cause. This often produces faster and more lasting results.
For persistent or recurring problems, a broader approach may help.
