Shoulder pain can be intense enough to give painful sleepless nights. Some of the common causes of shoulder pain are:
- Soreness of the rotator cuff. The rotator cuff is the part of the shoulder that helps circular motion of the arms. If the rotator cuff is involved, the pain is usually in the front or outside of the shoulder. This pain is usually bad while raising the arm or lifting something above the head.
- Another cause is inflammation of the subacromial bursa – a sac of fluid under the highest part of the shoulder.
- The pain can also be caused by an injury to any of the ligaments that surround the shoulder joint; or to the cartilage and labrum.
- Pain may also be caused by diseases or conditions involving the joint (including arthritis), the soft tissues and bones surrounding the shoulder, or the nerves that supply sensation to the shoulder area.
- Shoulder Dislocation
- Shoulder Instability
- Frozen Shoulder
- Biceps Tendon Rupture
Treatment should be taken if you have any of the following problems:
- Persistent pain for more than three days
- Shoulder pain even when you’re resting
- Inability to carry objects or use/raise your arm
- Injury that causes deformity of the joint
- Swelling or bruising around the shoulder joint
The treatment of shoulder pain depends completely on the root cause. The use of physiotherapy for shoulder pain is likely to be an effective treatment. It is an effective treatment for most orthopaedic conditions. A physiotherapist will design a program based on the shoulder issue, incorporating different modalities to increase strength, regain mobility, and help you get back to normal.
Physiotherapy focuses on two points of shoulder motion: flexibility and strength. It’s also important to strengthen the muscles around the shoulder without putting too much stress on the rotator cuff muscles.
Physiotherapists introduce some specific exercises for strengthening the rotator cuff. Depending on the nature of the injury, one can begin with basic exercises and slowly add in intermediate and advanced ones as the shoulder strength improves. Stretching exercises can help loosen the muscles that surround the shoulder joint.
The simplest shoulder exercise is the pendulum exercises which is performed by bending forward to allow your arm to hang down towards the ground. Small circles are made with the hand, allowing momentum to carry the arm around effortlessly.
Source: Wohl Physio