The Shoulder

The shoulder is a complex joint which sacrifices stability for mobility, meaning it can move in multiple directions and perform complex actions, but this leaves it vulnerable to overload, overstretch and overuse injuries.

Shoulder PainUnlike most other joints, the shoulder is held together by a group of muscles, rather than strong and tight ligaments. Due to this, shoulder pain can arise from problems with many structures. Most common is the Rotator Cuff, but there are many other structures which can cause pain: some within the shoulder, and some even from the neck, ribs or back.

Physiotherapy at Head2Toe

Head 2 Toe Physiotherapists are experienced clinicians who will use clinical tests to identify the structures at fault and then devise a treatment strategy to address the problem.

Common Shoulder Conditions we treat:

  • Impingement
  • Bursitis
  • Rotator cuff tendinopathy and cuff tears
  • Frozen shoulder (adhesive capsulitis)
  • Labral tears causing instability & dislocation
  • Post-surgical shoulder rehabilitation
  • Throwers shoulder
  • Swimmers shoulder
  • Acromio-clavicular joint sprain
  • Cervical radiculopathy (referred pain from the neck)
  • 1st rib problems
  • Thoracic outlet syndrome
  • Overuse injuries

Shoulder treatments we use:

In most cases our experienced clinicians will use a combination of hands on treatment: to restore movement to stiff structures and reduce pain, and exercise: to stabilise and reduce load on joints and tendons.

 Treatments include

  • Mobilisation
  • Massage
  • Capsular stretches
  • Dry needling
  • Rotator Cuff strengthening
  • Scapular strengthening
  • Postural education
  • Ergonomic advice
  • Strapping/taping
  • Closed Kinetic Chain Exercises
  • Biomechanical Analysis
  • Proprioception exercise
  • Balance Exercises
  • Agility Exercises
  • Sport-specific Exercises
  • Scapulohumeral Rhythm Exercises
  • Electrotherapy modalities

Severe Injuries

Should your injury be too traumatic or severe to be treated conservatively using the treatments above, your skilled therapist will quickly identify this and assist you with accessing diagnostics such as X-Rays, or refer you to your GP for appropriate investigations such as Ultrasound Scans, CT Scans, MRIs or referral to a specialist if deemed necessary.