Shoulder Pain

The shoulder is the most mobile joint in the human body and it is held in place through the shoulder blade which “floats” on the back. This makes it susceptible to pain due to an inability to control all of this motion.

You don’t realize how often you use your shoulders until you have an issue with it. Shoulder pain is often intense and has a significant effect on all of our activity. Often pain will occur in the front or side of our shoulder, sometimes traveling down to the elbow or even the hand. 

Do you have trouble:

  • Reaching overhead

  • Reaching behind your back

  • Lifting

  • Reaching out

  • Lying on your affected side

Common Diagnosis We Treat: 

  • Rotator cuff tendonitis

  • Rotator cuff tear

  • Bursitis

  • Impingement

  • Instability

  • Frozen Shoulder

  • Biceps tendonitis

Talk to a physical therapist, who can assess muscle and strength imbalances common in the most dynamic joint in the body, and reduce your pain with proven conservative methods

Tips for Shoulder Pain

Imaging Results

As with many areas of the body, imaging of the shoulder will often find “abnormalities” that may or may not be relevant. Imaging of the shoulder is very unreliable at finding what is causing the pain. In fact, many people without pain will show signs of tears and arthritis. A thorough evaluation is needed to understand and treat the underlying cause of pain, rather than treating based solely on an image that may or may not be relevant.


Conservative Treatments=Same Outcome

Physical Therapy has been shown to have the same outcomes as steroid injections and surgery for many common shoulder diagnoses, without the negative side effects or risks. Something to consider…surgery for shoulder impingement was no more effective than a placebo surgery!


Individualized Treatment Approach

The shoulder is the most mobile joint in the body and involves several moving parts. We see every shoulder as unique, and use a combination of manual therapy and exercise based on consensus guidelines to provide treatment to each patient’s specific problem.

References

 
  1. Kim HM, Teefey SA, Zelig A, Galatz LM, Keener JD, Yamaguchi K. Shoulder strength in asymptomatic individuals with intact compared with torn rotator cuffs. J Bone Joint Surg Am. 2009 Feb;91(2):289-96. doi: 10.2106/JBJS.H.00219. PMID: 19181972; PMCID: PMC2663343.

  2. Dunn WR, Kuhn JE, Sanders R, An Q, Baumgarten KM, Bishop JY, Brophy RH, Carey JL, Holloway GB, Jones GL, Ma CB, Marx RG, McCarty EC, Poddar SK, Smith MV, Spencer EE, Vidal AF, Wolf BR, Wright RW. Symptoms of pain do not correlate with rotator cuff tear severity: a cross-sectional study of 393 patients with a symptomatic atraumatic full-thickness rotator cuff tear. J Bone Joint Surg Am. 2014 May 21;96(10):793-800. doi: 10.2106/JBJS.L.01304. PMID: 24875019; PMCID: PMC4018774.

  3. Rhon DI, Boyles RB, Cleland JA. One-year outcome of subacromial corticosteroid injection compared with manual physical therapy for the management of the unilateral shoulder impingement syndrome: a pragmatic randomized trial. Ann Intern Med. 2014 Aug 5;161(3):161-9. doi: 10.7326/M13-2199. PMID: 25089860.

  4. Haahr JP, Østergaard S, Dalsgaard J, Norup K, Frost P, Lausen S, Holm EA, Andersen JH. Exercises versus arthroscopic decompression in patients with subacromial impingement: a randomised, controlled study in 90 cases with a one year follow up. Ann Rheum Dis. 2005 May;64(5):760-4. doi: 10.1136/ard.2004.021188. PMID: 15834056; PMCID: PMC1755495.

  5. Paavola M, Kanto K, Ranstam J, Malmivaara A, Inkinen J, Kalske J, Savolainen V, Sinisaari I, Taimela S, Järvinen TL; Finnish Shoulder Impingement Arthroscopy Controlled Trial (FIMPACT) Investigators. Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: a 5-year follow-up of a randomised, placebo surgery controlled clinical trial. Br J Sports Med. 2021 Jan;55(2):99-107. doi: 10.1136/bjsports-2020-102216. Epub 2020 Oct 5. PMID: 33020137; PMCID: PMC7788208.