Shoulder Pain

The acromion is a bone that stretches forward from your shoulder blade, creating an overhead shield. Beneath this bone lies the subacromial space, a region through which the rotator cuff tendons pass, providing support to the shoulder joint. Nestled between these tendons and the acromion is a sac filled with fluid, known as the bursa. When you raise your arm, the acromion may sometimes rub against the tendons or bursa, causing a condition called impingement. This can result in discomfort on the front or outer side of the shoulder, especially during activities that involve lifting the arm over the head. If you’re experiencing shoulder pain, a physiotherapist can conduct specific assessments to determine if impingement is the underlying issue.

Physiotherapy offers various strategies for addressing this concern, including taping, soft tissue techniques, and guidance on managing inflammation. The most effective approach involves teaching exercises to improve posture, release tight muscles, and strengthen the weaker muscles around the shoulder, thereby enhancing shoulder mobility. This, in turn, helps prevent the bursa or tendons from getting pinched against the acromion. Moreover, if there is stiffness in the upper back, manual therapy can be beneficial.

If a course of physiotherapy fails to alleviate your symptoms, we may recommend consulting a highly regarded doctor in London for further evaluation and guidance.

The humerus, which is the upper arm’s top portion, undergoes rotation within the glenoid socket of the shoulder joint, known as a ball and socket joint. Impingement of this nature occurs when specific areas of the rotator cuff tendons come into contact with the head of the humerus. This typically happens during the final moments before throwing, and a common symptom is a generalised soreness in the posterior shoulder, especially after engaging in throwing-related activities. In the event that an individual is experiencing shoulder pain, a physiotherapist possesses the ability to perform specific evaluations in order to ascertain whether or not this form of impingement is the fundamental source.

Physiotherapy offers a range of strategies that may prove beneficial, including taping, soft tissue techniques, and guidance on managing any inflammation. The most effective approach involves instructing you in exercises designed to stretch tight muscles and strengthen the weaker muscles surrounding the shoulder, thereby improving shoulder mobility and preventing friction. Additionally, manual therapy for the upper back can provide relief. If physiotherapy does not provide the desired relief, we may recommend consulting a renowned shoulder specialist in London for a comprehensive evaluation and further guidance.

As time passes, the natural wear and tear on the shoulder can lead to discomfort, often manifesting as a persistent ache, whether the shoulder is at rest or in motion. Mornings often bring stiffness to the shoulder, occasionally accompanied by arm pain. Carrying heavy objects, especially in varying weather conditions, can intensify this discomfort.

Physiotherapy offers various ways to address this issue, including manual therapy, the application of ice, pain management techniques, and tailored exercise programs.

The shoulder joint is notably vulnerable to dislocation and instability among all the joints in the body. While dislocations are often associated with traumatic events, they can occasionally happen even without direct trauma.

Physiotherapy can be a valuable approach in addressing this issue by addressing any stiffness in the spine or other related joints. Most importantly, physiotherapists can guide you through a gradual strengthening program aimed at fortifying the muscles surrounding the shoulder to enhance stability. Taping and bracing recommendations are also useful for preventing shoulder dislocations in the sporting world. Your physiotherapist may recommend visiting a prominent shoulder specialist in London for further testing.

The labrum, a structure encircling the shoulder, serves as the anchor point for both the long head tendon of the biceps muscle and the shoulder capsule. Injuries to this labrum can result from repetitive overhead throwing, landing on an outstretched hand (known as a FOOSH injury), or sudden, forceful contractions of the biceps muscle. Various other incidents can also lead to labrum injuries. One common symptom is intense, challenging-to-pinpoint discomfort in the shoulder. Pain can be particularly acute when reaching behind your back or raising your arm overhead. Additionally, a labrum injury may manifest as popping, cracking, or a grinding sensation in the shoulder, almost as if your arm suddenly became unresponsive.

To determine if your shoulder is the source of your discomfort, it’s advisable to seek an evaluation from a physiotherapist. If a labrum tear is identified, we can facilitate a referral to a prominent shoulder specialist in London for further assessment and guidance.

The rotator cuff comprises four muscles that collaborate to maintain the stability of the shoulder joint. When these tendons in the rotator cuff become inflamed and weaken, it can result in a condition known as tendinopathy. Arm pain, especially when raising the arm overhead, can be attributed to symptoms like instability, muscle weakness, stiffness, and compromised control of movement.

Should you consult a physiotherapist, they can assess the condition of your rotator cuff muscles to determine if they are contributing to the issue. A skilled physiotherapist employs a range of techniques, including taping, soft tissue methods, and guidance on managing inflammation. The most effective approach to address limited shoulder mobility often involves instructing patients in stretching and strengthening exercises targeted at the muscles surrounding the shoulder. Additionally, manual therapy aimed at the upper back can be highly beneficial in these cases.

A rotator cuff tear occurs when one of the rotator cuff muscles suffers a rupture. This condition is particularly common among athletes and is characterised by sharp, acute pain, often accompanied by occasional twinges of discomfort in the shoulder region. Nighttime can be especially challenging, as the pain in the shoulder can be severe, making it uncomfortable to sleep on that side. A physical therapist can conduct specialised assessments to detect tears or strains in the rotator cuff.

Physiotherapy offers a range of valuable techniques to address this issue, including taping, ultrasound therapy, soft tissue techniques, massage, acupuncture, and guidance on reducing inflammation. Specific exercises can also be employed to encourage the optimal alignment of collagen fibres during the healing process. If your physiotherapist believes that your condition requires further medical attention, we can assist in referring you to a leading shoulder specialist in London.

While the precise cause remains elusive, this phenomenon can occur within any tendon and involves the development of calcium deposits within these tendons. Frequently, the associated pain can be quite severe, especially during nighttime, movement, and even at rest. Ultrasonography and x-rays can confirm the presence of these deposits. In cases like these, it is advisable to seek a referral to a shoulder specialist for further evaluation and guidance.

Both the short head and long head tendons play a role in connecting the biceps muscle to its anchor point. The long head, in particular, is susceptible to overuse due to its attachment across the front of the shoulder, potentially leading to discomfort.

Your physiotherapist can conduct assessments to help identify whether this is indeed the source of your pain.

The shoulder joint is enveloped by a capsule, which can become inflamed and subsequently contract. This condition often becomes more prevalent as a person ages and may affect both shoulders. It progresses through three distinct phases. The initial phase, referred to as the “freezing stage,” typically lasts between two and nine months, marked by severe pain and a significant reduction in shoulder mobility. The second stage, termed the “Frozen” stage, extends for four to twelve months and is characterised by ongoing limited shoulder mobility but a notable reduction in pain. The third phase, known as “thawing,” signifies the return of movement to the shoulder. Additionally, this condition may impact the upper arm, forearm, neck, and shoulder blade. Sleeping on the affected shoulder may result in increased pain and stiffness upon waking. Everyday tasks such as dressing, fastening a bra, tying hair, or reaching for a wallet in a back pocket may become more challenging.

In the early stages of this condition, physiotherapy can offer valuable guidance and pain relief. Manual therapy and targeted exercises can help improve shoulder mobility. In some cases of capsule inflammation, corticosteroid injections may be recommended, but these should only be administered by a qualified medical professional. We can also provide recommendations for excellent consultants in London who offer this service.

Fractures of the collarbone are quite common in sports and often result from either a fall onto the shoulder or a collision with an opponent. The extent of the fracture is determined by the injury to the ligaments at the ends of the collarbone, typically occurring in the bone’s middle section. Supporting the bone with a sling can encourage healing, although more severe injuries may require surgical intervention. If you suspect a collarbone fracture, we can connect you with a leading shoulder specialist in London for a second opinion.

As you progress through your recovery from this fracture, it’s important to engage in physiotherapy. This will involve structured exercises to prevent your shoulder from becoming stiff and to fully regain the strength and mobility of your arm once the fracture has properly healed.

The joint that links the acromion bone, which extends from the upper front part of your shoulder blade, to the outer end of your collarbone is called the acromioclavicular joint. Injuries to this joint can affect two ligaments, namely the acromioclavicular and costoclavicular ligaments, with the severity of the injury determining the extent of ligament involvement. Surgical intervention becomes necessary in severe cases.

For minor injuries, physiotherapy can be instrumental in managing pain and guiding you through a rehabilitation program aimed at restoring strength and mobility. In the event of a severe injury requiring surgery, we can facilitate a connection with a distinguished shoulder specialist in London.

Wear and tear on the joint surfaces, coupled with the formation of bone growths known as osteophytes, can result in acromioclavicular joint pain even without a specific injury. Common symptoms include discomfort in the vicinity of the joint and when extending the arm. Pain can also be triggered when reaching across the body or attempting to move the arm behind the back.

Physiotherapists employ various methods to assist patients, including taping the affected area, performing manual treatments on the joint, and prescribing targeted exercises. In cases of severe arthritis, if physiotherapy fails to alleviate symptoms, medical interventions like corticosteroid injections or surgery may become necessary. If such measures are required, we can facilitate your connection with some of the most esteemed shoulder specialists in London for a thorough evaluation.

When a muscle tear occurs, it often results in sharp pain in the upper arm, particularly around the area where the muscle attaches. Even gentle touch or palpation can trigger discomfort.

For small tears, physiotherapy treatment options include ice therapy, ultrasound, taping, and the implementation of a strengthening program. In cases where the muscle has suffered a complete tear, surgical intervention becomes necessary. If you suspect a complete tear, we can facilitate a referral to a top-notch shoulder specialist in London for a comprehensive evaluation.

Violently twisting your arm outward can put you at risk of tearing a muscle located beneath your shoulder blade.

Physiotherapy treatment may encompass advice, taping, and a customised exercise program to aid in recovery. In severe cases, surgical repair may become necessary. If such a serious injury is suspected, we recommend that you seek evaluation by a distinguished London consultant.

A fall onto the shoulder or a forceful throw in sports can potentially lead to this condition. Common symptoms include pain at the site of the fracture and limited shoulder mobility. If you have concerns and require medical attention, we can facilitate a referral to a leading shoulder specialist in London.

This condition is often observed among elderly individuals with reduced neck and spine mobility, typically stemming from a significant event. Symptoms include discomfort from the fracture and reduced arm mobility, possibly involving the radial nerve that extends along the upper arm. In the event of a suspected fracture, it is crucial to seek immediate medical attention. We can facilitate a referral to a prominent shoulder specialist in London.

Physiotherapy plays a vital role in preserving and ultimately restoring strength in the shoulder, elbow, wrist, and hand. This is particularly important during the healing process following the fracture. In cases where the radial nerve is affected, specialised rehabilitation exercises may also be recommended.

The thoracic outlet is the region situated between the collarbone, the first rib, and the neck muscles, serving as a passage for blood vessels and nerves to enter and exit the body. Engaging in overhead sports activities can pose a risk to these nerves and blood vessels, particularly due to factors like poor posture, congenital abnormalities, or prior injuries. Individuals may notice tingling or numbness in the arm and may experience weakness in both the arm and hand. Additionally, discomfort may be felt in the chest, shoulder blades, and arms.

Physiotherapy offers a range of effective treatments to address these issues, including massage, stretching, soft tissue therapies, taping, joint mobilisations, and targeted exercises.

This condition is frequently linked to activities requiring significant exertion and is often termed “effort thrombosis.” There are four potential sites where vein compression can occur, leading to a persistent, distressing pain, numbness, and a sensation of tightness. Following activities that heavily involve the arm, individuals may experience a sense of heaviness and frequent fatigue in the arm or shoulder. Swelling and coldness in the arm are also possible symptoms. Treatment typically involves the use of anticoagulant medications and rest. If your physiotherapist suspects that this condition may be the root cause of your issues, they may recommend that you seek a medical evaluation from your doctor.

Rheumatoid Arthritis is characterised by an abnormal immune system response, wherein the body is attacked instead of being protected. This leads to inflammation and pain in the tendons and synovial membranes surrounding the affected joints. Consequently, the affected joints often become swollen, painful, and inflexible, and morning stiffness is a common symptom. These changes can make daily activities more challenging due to potential weakening of the muscles around the joints.

We have qualified physiotherapists who can provide in-home consultations to work with you in finding the most effective approach to manage your condition. During the initial session, the physiotherapist will assess your mobility, muscle strength, joint mobility, posture, and overall functionality. They will evaluate your current level of functioning and mobility in daily life and collaborate with you to establish treatment goals aimed at improvement. Therapy may encompass various techniques, including instructions on using ice, physical therapy exercises, massage, taping methods, acupuncture, and mobility programs.

Furthermore, if it’s more convenient for you, we can arrange for an occupational therapist to visit your home. Occupational therapists specialise in helping individuals regain their independence in meaningful activities. They can provide support in various ways, such as:

• Home assessments including modifications such as rearranging furniture, building ramps, widening doorways, grab bars, special toilet seats etc
• Wheelchair assessments
• Splinting

This condition, while not characterised by inflammation, exerts widespread effects on the body’s fibrous tissues, encompassing tendons, muscles, connective tissue, and more. It often manifests with numerous tender spots and a general sense of discomfort. The shoulder area is a common site of pain in individuals with this condition. Additionally, symptoms may include headaches, dizziness, nausea, vomiting, dry mouth, irritable bowel, depression, or difficulties with concentration.

For individuals dealing with this issue, physiotherapy can prove highly beneficial. Physiotherapists are well-versed in pain management techniques and can assist you in gradually increasing your activity level, enabling you to return to the sports, jobs, and hobbies you once enjoyed despite the challenges posed by your condition. Moreover, they can provide guidance on coping strategies and offer approaches to alleviate pain episodes.

Acute pain is what we typically experience right after an injury, and it persists during the healing process. In contrast, chronic pain lingers long after the injury has healed. Often, there’s no clear connection between the pain and a previous injury that occurred a while back. Chemical changes in the brain and spinal cord play a role in transmitting pain signals to various parts of the brain. Consequently, ordinary sensations like touch, movement, pressure, or stretching can be interpreted as pain. People’s pain responses can sometimes be triggered by factors such as changes in the weather, mood, thoughts, or even seemingly unrelated triggers.

Managing persistent pain requires a multifaceted approach in physiotherapy that goes beyond just addressing the pain itself. Physiotherapists aim to not only treat the pain but also provide strategies to help you cope with it. This includes guidance on pacing yourself, managing flare-ups and negative thoughts, initiating a gradual exercise plan, and setting achievable goals. The ultimate goal is to support your return to the activities you used to enjoy before chronic pain became an issue, whether those activities were work-related, sports-related, or related to your hobbies. Additionally, we can assist you in finding top pain specialists in London who can provide further expertise in managing chronic pain.

Prior to conducting a comprehensive physical assessment, your physiotherapist shall conduct a thorough investigation into your medical history and symptoms. It is crucial to remember that some underlying illnesses might not be treated by physiotherapy and might need to be treated with medicine in addition to physiotherapy.

In these situations, your physiotherapist will recommend that you see a specialist consultant or your general practitioner for additional assessment. These possible reasons could include a variety of illnesses.

• Cardiovascular Symptoms
• Respiratory (Breathing) Symptoms
• Gynaecological Symptoms
• Urinary Or Genital Symptoms
• Digestive Symptoms
• Immune System Symptoms
• Lymph System Symptoms
• Hormonal Symptoms
• Neurological Symptoms
• Dermatological (Skin) Symptoms
• Medication Side-Effects
• Virus
• Infection
• Cancer
• Disease Process
• Psychological Problem Ie. Depression, Anxiety