Shoulder Pain

Shoulder pain shouldn't stop you leading a normal life

Rotator Cuff

The rotator cuff is a group of muscles which help to control the movement of the shoulder's ball and socket joint.

People who work or do sports and/or hobbies that require putting their hands above shoulder height are the most likely candidates for rotator cuff problems. However, a shoulder injury, new or repetitive activity may also cause the condition to develop. Age also has an effect, with rotator cuff problems developing as you get older.

Minimising Risk of Shoulder Pain

Keeping yourself fit and active, and keeping your shoulder strong and flexible will help you minimise your risk of suffering from a range of shoulder problems, as well as helping with your rehabilitation if you do encounter them.

Frozen shoulder

Frozen shoulder, or adhesive capsulitis, is the painful and gradual stiffening of the shoulder capsule (the tissue that surrounds the shoulder joint). Over time, this painful stiffening can lead to sleep disturbance and limits your ability to use your arm for day-to-day activities.

The exact cause of the condition is unknown. For some reason, your body has an over reactive response to a minor injury (or no injury at all) and tries to heal your shoulder capsule with scar tissue. It affects one in 20 people and is more common in women than men. Most cases of frozen shoulder happen between the ages of 40 and 60.

If you are suffering from frozen shoulder you should:

Maintain the movement and strength of your shoulder as much as possible.

Consult a physiotherapist for advice on exercise, pain management and to discuss whether any other treatments such as manual therapy or corticosteroid injection may be suitable for you.

 

Shoulder instability

Shoulder instability means that the shoulder can dislocate (be pulled out of joint) or sublux (moves more than it should do) during day-to-day activities. Both dislocation and subluxation can happen for a variety of reasons. How it happens affects the type of treatment you will receive.

 

The three main causes of shoulder instability are:

Traumatic dislocation – where the shoulder undergoes an injury with enough force to pull the shoulder out of joint (eg. a violent tackle in rugby, or a fall onto an outstretched hand)

Non-traumatic dislocation – this occurs with just minimal force, and can be due to factors such as abnormalities in the shoulder present from birth

Positional non-traumatic – the ability to dislocate your shoulder without any form of trauma. This is thought to be due to abnormal functioning of the shoulder muscles

Following a first-time dislocation, your arm may be put in a sling. Your doctor or physiotherapist will advise you on when to remove it to exercise.

Changes to your activity/rest: Making changes to the activities you do does not mean that you have to stop moving or stop using your shoulder altogether. Try to avoid activities that involve lifting your arm over your head or contact sports for the first three months after the dislocation.

Osteoarthritis

Osteoarthritis of the shoulder is a low grade inflammatory condition of the joint, which although can be painful with activity, will respond well to exercise and strengthening, particularly in the early stages.

 

If you are suffering from osteoarthritis of the shoulder then you should:

  • Consult a physiotherapist for advice on exercise to improve joint health and strength and to discuss methods of managing your pain
  • Your GP or physiotherapist may give you an injection to settle the pain if severe, to allow you to fully engage with an exercise programme

Additional Resources

Patient Resources

Click the link for a patient information leaflet on Shoulder Pain.  Shoulder pain [pdf] 793KB

Self refer into our service

It is important that you apply the advice and guidance provided above for around 8 weeks by which time we would expect you to notice improvement, and in some cases complete recovery. If not, we have a team of trained physios who can help.

Click here to self refer into our service today.

Think you need more urgent or emergency treatment? Click here to see if you need to see someone quicker. 

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