Treatment of the Shoulder
Pain in the shoulder region may occur because of stiffness in the shoulder (gleno-humeral) joint or restriction caused by the muscles in the front or back of the joint, or from inflammation or tears in the rotator cuff muscles. Other causes of pain include trauma, poor postures, arthritis, whiplash, acute tendinopathies or degenerative tendinosis, fractures and dislocations.
In recent years, there have been many advances in the assessment and treatment shoulder pain. Many of the common causes of shoulder pain and shoulder injury are conditions that are very effectively managed with physiotherapy treatment and therefore we focus on retraining effective shoulder function and stability with a combination of physiotherapy treatment techniques such as Myofascial release, rehab exercise prescription and postural education.
At Sydney Spine and Pelvis Centre we do a full diagnostic assessment of your body to determine all the factors contributing to you having shoulder pain. That means we will consider:
- gleno-humeral joint instability, shoulder dislocations, arthritis and glenoid labral tears
- Acromio-clavicular and sterno-clavicular joints
- altered balance or tightness/ weakness of the muscles attaching between the thorax, scapula and shoulder
- Rotator cuff tears and strains,or biceps tendinosis
- other muscle tears such as pectoralis major or long head of biceps
- Referral of pain from the neck, thoracic spine or other myo-fascial structures
- thoracic stiffness and the influence of rib pain or injuries