Shoulder Pain: Understanding the Causes and How Physiotherapy Can Help

Shoulder pain is a common problem that can affect people of all ages. Whether it has developed gradually or started following an injury, shoulder pain can make everyday activities such as reaching, lifting, dressing and sleeping uncomfortable.

At Cheshire Physiotherapy Centre in Altrincham, our physiotherapists can assess your shoulder pain, identify the likely cause and recommend an appropriate treatment plan.

What causes shoulder pain?

There are many possible causes of shoulder pain. Some of the more common include:
•    Rotator cuff problems – irritation or injury to the tendons around the shoulder.
•    Calcific tendinitis – calcium deposits within the shoulder tendons, which can cause significant pain and restricted movement.
•    Shoulder impingement – pain caused by structures within the shoulder becoming irritated during certain movements.
•    Frozen shoulder – stiffness and pain that can significantly restrict shoulder movement.
•    Shoulder bursitis – inflammation of a fluid-filled sac that helps reduce friction around the shoulder.
•    Sports or activity-related injuries – repetitive movements or sudden increases in activity can place additional stress on the shoulder.
•    Arthritis – changes within the shoulder joint can cause pain, stiffness and reduced movement.

Sometimes shoulder pain can develop without an obvious injury. Persistent pain should not simply be ignored, particularly if it is affecting your daily activities or sleep.

How can physiotherapy help shoulder pain?

Physiotherapy can be an effective way of managing many types of shoulder pain.

Your physiotherapist will first carry out an assessment to understand your symptoms, movement and strength. They can then recommend treatment based on your individual condition.

Treatment may include:

•    Exercise therapy to improve strength, mobility and shoulder function.
•    Manual therapy to help improve movement and reduce discomfort.
•    Soft tissue techniques to address muscle tension and stiffness.
•    Stretching and mobility exercises to improve your range of movement.
•    Advice and education to help you understand your condition and manage your symptoms.
•    Shockwave therapy, where appropriate, for certain tendon-related shoulder problems.

What is shockwave therapy?

Shockwave therapy is a non-invasive treatment that uses targeted sound waves to stimulate the body's natural healing response.

It may be recommended for certain long-standing tendon problems affecting the shoulder. Treatment is carried out by applying the shockwave device to the affected area. 

Your physiotherapist will determine whether it is suitable for you following an assessment.
Shockwave therapy isn't appropriate for every type of shoulder pain. If it isn't suitable, your physiotherapist can recommend alternative physiotherapy treatments based on your individual needs.

When should you seek help for shoulder pain?

It is a good idea to seek professional advice if your shoulder pain:
•    Has lasted for several weeks.
•    Is getting worse rather than improving.
•    Is affecting your sleep.
•    Is making everyday activities difficult.
•    Is limiting your shoulder movement.
•    Keeps returning despite rest or self-management.

Getting an accurate assessment can help identify the likely cause of your symptoms and ensure you receive appropriate treatment.

Shoulder pain treatment in Altrincham

At Cheshire Physiotherapy Centre, our experienced physiotherapists provide assessment and treatment for a wide range of shoulder problems.

Whether your shoulder pain has developed gradually, followed an injury, or has been affecting you for some time, we can assess your symptoms and discuss the most appropriate treatment options with you.