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What it is
The shoulder is a mobile joint supported by muscles and tendons, including the rotator cuff. Shoulder pain can involve these tissues, the joint itself or surrounding structures, and often relates to load, movement or a period of increased or unaccustomed activity.
Common symptoms
Everyone is different, but people often describe:
- Pain with reaching, lifting or overhead movements
- Discomfort lying on the affected side at night
- Weakness or difficulty with certain movements
- Stiffness or reduced range of movement
- Pain around the shoulder or upper arm
Likely causes
Contributing factors can include:
- A sudden increase in load or unaccustomed activity
- Repetitive overhead tasks or training
- Reduced shoulder or shoulder-blade strength and control
- Previous injury
- Periods of reduced activity followed by a rapid return
How physiotherapy can help
Physiotherapy aims to reduce your symptoms and restore strength and movement. This may include:
- Assessment of your shoulder and shoulder-blade movement and strength
- A clear explanation of what is contributing to your pain
- Hands-on treatment to support movement, when appropriate
- Individualised strengthening and loading exercises
- Advice on activity, training and load management
What to expect at your appointment
- A discussion of your symptoms, history and goals
- Assessment of your shoulder and related areas
- A clear explanation and a plan tailored to you
- Exercises and advice to start straight away
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Frequently asked questions
Do I need a scan for shoulder pain?
Often not initially. Many shoulder problems can be assessed and managed without imaging. Your physiotherapist will advise if a scan or referral is appropriate.
Will I need surgery?
Many shoulder conditions are managed well without surgery. We focus on assessment and rehabilitation, and can work with your GP or specialist if further input is needed.
How long will it take?
This varies with the individual and the condition. Your physiotherapist will give you honest guidance on likely timeframes at your assessment.
Steve O'Donnell - Physiotherapist & ASCA Level 1 Strength & Conditioning Coach
Steve holds dual qualifications in Physiotherapy and Nursing and is an accredited ASCA Level 1 Strength & Conditioning Coach. He works with gym-goers, sporting individuals and post-surgical clients, and shoulder pain from strength training, overhead sport and rotator cuff surgery is a regular part of his caseload. He uses movement assessment including SFMA, hands-on treatment and structured strength programming to address the underlying contributors rather than symptoms alone.