Shoulder Pain

There are a lot of causes for shoulder pain. Please find information below describing some of the common types.

Impingement Syndrome

The shoulder is one of the most mobile joints in the body. Unfortunately, this increase in movement reduces its stability making it more susceptible to injury. There are four main muscles that move the shoulder and are collectively known as the rotator cuff. These surround a number of bones known as the clavicle, scapula and humerus. There is a small space between the cuff and the clavicle contains a nerve and subacromial bursa. When the shoulder function gets impaired from either trauma or repetitive movements, this gap can reduce and cause pinching on the nerve and swelling of the bursa. This can also lead to a tendinopathy. Treatment of impingement syndrome involves figuring out the cause for the dysfunction and strengthening the muscles that weak. If the cause of the problem is not found, it often reoccurs at a later date. Massage and mobilisation can help resolve problems.

Bicipital Tendinopathy

Biceps tendinopathy creates pain usually in the front of the shoulder and is caused by the biceps tendon becoming inflamed. Inflammation can be from a trauma or can be from repetitive strain. Majority of patients just wake up with pain, not knowing what they have done at all. It can be made worse by lying on it and by reaching overhead. Management includes strengthening the tendon to allow it to cope under increased loads as well as massage and mobilisation techniques to provide as little tension as possible on the tendon.

Adhesive Capsulitis (Frozen Shoulder)

Frozen Shoulder has three stages. The initially stage involves a lot of pain and not much stiffness, then the second stage involves equal amounts of stiffness and pain and the final stage is mainly stiffness with little pain. This condition can be self-limiting and can last up to two years. It can start for apparently no reason, after trauma or after surgery. Conservative treatment for frozen shoulder involves mobilisation to improve the range of motion, massage and exercises to accompany lifestyle advice to help deal with the condition.