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Physical Therapy For Shoulder Pain

"Get To The Root Of The Pain"

One day a patient came to me because she had terrible shoulder pain. She said one morning that week, she woke up with aching shoulder pain. She thought that it will just go away, but it persisted the next day. So she asked her husband to give her shoulder massage hoping it will go away. Instead of getting better, she got worse. She had more pain the entire shoulder, swollen, and couldn't raise her arm overhead. She was so anxious because she thought she had a frozen shoulder.

Because her shoulder pain started to affect her sleep and work, she asked for help. She came to me, and I checked her up. I asked her what happened first and check her motion. Then I palpated the area affected. Her symptoms indicate that she had swollen bursa. She may have irritated more from massaging. She had difficulty raising her arm because of the inflamed bursa. This is also affecting her shoulder tendons, which leads to muscle spasms. That's why she was having the entire shoulder pain. But it wasn't a frozen shoulder!

She started therapy to reduce swelling and inflammation. But I also referred her to an orthopedic doctor for further help. She continued her treatment and got better after a few weeks.

1st Step In Recovery: Right Diagnosis & Proper Treatment

The first step in dealing shoulder pain is to figure out the source of pain. You can now get information from the internet or ask friends. But it is wiser to ask for expert help. That's what physical therapists do.

Next Step: Correct The Shoulder Mechanics & Retrain Function.

Most of the people suffering from shoulder pain focus on the affected tissue. You also have to look at the mechanism why you got hurt. The common neglected causes are muscle weakness, bad posture, or bony spurs. It can also be your sleeping positions. The pain can also be coming from the neck or referred pain.

Shoulder Bursitis

Shoulder bursitis is an inflamed shoulder bursa. Your bursa contains fluid that lubricates and reduce friction in your shoulder. It also absorbs force in the shoulder.

The subacromial bursa is the most affected because it lies under the tip of your shoulder between two bones. It is prone to irritation with overhead motion, repeated arm activities, or sleeping on your side.

Signs & Symptoms

  1. Shoulder pain & swelling.
  2. Disturb your sleep.
  3. Worse when you sleep on the affected side due to pressure.
  4. Shoulder pain increases when you raise arm due to pressure.
  5. Pain increases with activities.

Shoulder Impingement

Shoulder impingement means pinching of your soft tissues in the shoulder. It is a mechanical problem that traps your tendons, bursa, or muscles. You're most likely affected if you have bad posture, muscle weakness, and bony spurs. If the tissues are inflamed, it can worsen the pinching and create more problem.

Signs & Symptoms

The signs & symptoms depends on what tissue you hurt and how severe it is.

  1. Shoulder pain.
  2. Shoulder may swell.
  3. Pain raising arm around 60 to 120 degrees.
  4. Difficulty repeated arm activities.
  5. Worse with arm over head activities.

Rotator Cuff Pain

The rotator cuff is compose 4 muscles that make the shoulder stable. It also moves the shoulder joint. The usual cause of pain is the tendon if it is inflamed or torn. The pain can lead to weakness and spasms of the muscles, which can make it worse. If not given attention, it can lead to stiffness and atrophy.

Signs & Symptoms

  1. Shoulder pain.
  2. Increase pain with movement.
  3. Disturb sleep, which delays healing.
  4. Difficulty raising the arm overhead.
  5. Difficulty carrying and lifting.

Frozen Shoulder

Frozen shoulder is a condition affecting the capsule of shoulder. The capsule is composed of fibers that connect and encircles the joint. If you strain or hurt the capsule, it may get inflamed and shrink. The joint then becomes firmly packed that leads to locking. They call it adhesive capsulitis or frozen shoulder.

The main issue in the frozen shoulder is severe stiffness. It comes with severe pain in the beginning. But later the pain goes away but still presents with severe stiffness. This affects your ability to do your motion and daily activities. If you think you're having one, you have to see a doctor or therapist right away.

Signs & Symptoms

The symptoms depend on the stages of frozen shoulder.

Stage 1. Gradual increase of pain with movement; night pain
Stage 2. Very painful even at rest, motion is very limited(freezing stage)
Stage 3. Pain with movement with shrinking of the capsule; weak and atrophied muscles(frozen stage)
Stage 4. Slight discomfort but with severe stiffness and adhesions(thawing stage)

Shoulder Tendonitis

Shoulder tendonitis is an inflammation of a tendon due to injury or irritation. The most commonly affected is the rotator cuff or the biceps tendon.


What can CT Physical Therapy Care do to help?

At CT PT Care, we figure out the source of your shoulder pain.

We will:

*Ask you how it happened
*Check up your movement, strength, and posture.
*Inspect the tissue suspected to be a problem.
*Treat your inflamed tissue.
*Give advice correct muscle imbalances.

Our focus is your healing, and to help manage the symptom from coming back.

If you hurt your shoulder, get expert help. Call us right away to learn how we can help you. Our therapists have advanced skills to treat shoulder problems. We improved and managed a lot of people with shoulder pain in the past. We will do the same to take care of you. Our focus is to relieve your symptoms and help recover your function.

Call us now. Your recovery is our priority!