Lower Back pain
Shoulder problems including pain, are one of the more common reasons for physician visits for musculoskeletal symptoms.
The shoulder is the most movable joint in the body.
However, it is an unstable joint because of the range of motion allowed.
This instability increases the likelihood of joint injury, often leading to a degenerative process in which tissues break down and no longer function well.
Shoulder pain may be localized or may be deferred to areas around the shoulder or down the arm.
Disease within the body (such as gallbladder, liver, or heart disease, or disease of the cervical spine of the neck) also may generate pain that the brain may interpret as arising from the shoulder.
Conversely, pain felt in the region of the shoulder blade or scapula nearly always has its origin in the neck.
- Chronic Shoulder Pain and Stiffness
- Shoulder Muscle Spasm and Tension
- Rotator Cuff Disorders such as tears and strains
- Frozen Shoulder
- Arthritis of the Shoulder
In order to determine the cause of your pain, your Physiotherapist will conduct a full physical, orthopaedic and neurological examination of the shoulder, cervical and thoracic spine.
You will be asked to perform shoulder range of motion and muscle strength tests.
Where the pain is felt, both at rest and during movement of the shoulder, provides important clues as to the cause of the shoulder pain.
It may also be necessary to undergo specialized diagnostic tests such as XRay, Ultrasound and/or MRI scans.
The initial objective of all shoulder injuries is to relieve pain and inflammation.
Whilst many doctors will recommend non-steroidal anti-inflammatory drugs (NSAIDs) to relieve pain and swelling, the benefit obtained by applying ice-packs can be beneficial.
As your shoulder begins to heal, it is vitally important to restore range of movement, and later to improve muscle strength so as to stabilize the shoulder and help prevent further injury and aggravation.
Your Physiotherapist will be able to assist you with suitable shoulder range of motion exercises and shoulder strengthening and rehabilitation exercises during your recovery.