Shoulder symptoms include different types of pain including sharp, shooting, burning, throbbing or stabbing pains and can be constant or intermittent – i.e. come and go. As well as coming from a local injury, shoulder pain can also refer from your neck or back. If so you may also be getting pins and needles, tingling, weakness, numbness, other strange sensations or pain in one or both of your arms.
If the pain came on slowly and it is in the front or side of the shoulder then you could be experiencing shoulder impingement syndrome.
Shoulder Blade pain can be caused by issues in the upper back, neck, or shoulder itself.
The Rotator Cuff is a group of deep muscles that help to control and stabilise the ball of the ball and socket shoulder joint, overuse of certain areas can cause imbalance that leads to pain.
If you fell, had an accident or the pain came on suddenly then you may have torn a ligament, cartilage, disrupted the acromio-clavicular joint, damaged other structures like the labrum or even suffered a fracture.
Whatever it might you NEED to get the shoulder assessed by a Physiotherapist or Osteopath immediately. Even if you have not had a traumatic injury, it is essential that you get pain and other symptoms assessed by a Physiotherapist or Osteopath so that you do not do further damage.
The shoulder is formed of two joints: the glenohumeral joint which is the main ball and socket part, and the acromio-clavicular joint which is the small joint on the top of the shoulder between the collar bone, the clavicle, and the bit of the shoulder blade called the acromion. There is also the junction between the shoulder blade and the rib cage which is not strictly speaking a joint, but is fundamental to the function of the shoulder. The shoulder is a highly complex joint as it has to satisfy both complex and large movements, as well as providing stability for the movements and weight bearing activities of the elbow, wrist and hand.
The muscles supporting and moving the shoulder can be divided into the big external movement muscles which provide the “definition” of the shoulder like the deltoid and latissimus dorsi and the smaller, deeper stability muscles like the rotator cuff. Very commonly, shoulder problems develop from training which strengthens the external muscles but doesn’t address the stabilising muscles enough. Therefore, even in the presence of large external shoulder muscles, joint instability can occur. This results in small abnormal movements occurring within the joint during larger movements, causing damage to joint structures like the cartilage, muscles, tendons, bursa, ligaments and nerves. Unfortunately this type of pattern does not tend to get better on its own, and unless the smaller muscles are trained and movements re-retrained, the problem gets worse and worse. Hence, it is important to have proper assessment and treatment of any shoulder injury.
A huge number of shoulder problems we see are associated with the following things:
Treatment is focused not only on enhancing healing of the damaged tissue, but most importantly on addressing the underlying muscle imbalance and improving the posture and movement patterns of the shoulder and spine causing it. This will include hands on techniques to release the tight muscles and joints, and then exercises to retrain shoulder movements you do on a daily basis, as well as high level movements like smashing tennis balls, flying through the water or lifting heavy weights.
All of our videos are completely free and help to give a visual hints and tips.View Now
This is very similar to tennis elbow except that it affects the other side of the elbow. The pathology and treatment are very similar, just directed at these tendons rather than the ones involved in tennis.Read More
The complexity of the shoulder joint, the amount we use it for day to day activities and the degree of strain we put through it during training and sports can result in conditions that need surgery. Sometimes repair of damaged structures is necessary where rehab alone will not resolve the...Read More
Cervical disc problems include degeneration, disc bulges or disc prolapses.If the discs in the neck become damaged they can bulge out and irritate or pinch the nerves coming out of the neck or the spinal cord itself. This clearly has serious implications, however can often be treated successfully with physiotherapy...Read More
Clicking or crunching in the shoulder can be caused by a number of things. Most people fear that the clicking is caused by bone hitting bone. However, thankfully nowadays this is rare. If you have this, it is likely that for many years you have been suffering severe pain and...Read More
This is an irritation of the tendon that runs over the bony bit of the elbow. The pain comes on slowly often after the aggravating activity at first. As it becomes more severe the pain then starts to be experienced during the aggravating activity. The aggravating activities include tennis, squash...Read More
This is often painful through the middle of the range of movement as you take your arm out to the side and then up to above your head. Try this test – stop as soon as you feel pain: stand with your arms out in front of you as if...Read More
Please click here to read how the shoulder works before reading the following. It is essential to reposition the shoulder joint correctly, which you must do under the guidance of a physiotherapist to make sure you dont do more damage. The most common incorrect position is the shoulderblade being held...Read More
Please click here to read how to train shoulder posture and click here to read how the shoulder works before reading the following. The serratus anterior muscle is commonly weak. An indication of this is if your shoulder blade looks like it is winging at the back.Read More
There are a variety of exercises that are great for your shoulders including: 1) Train shoulder posture 2) Train your scapular stabilizers 3) Train serratus anterior muscle 4) Stretch the lats (latissimus dorsi) muscles 5) Train the rotator cuff musclesRead More
The following exercise should be performed under the guidance of your Physiotherapist or Osteopath to ensure you are doing it correctly and prevent aggravation of your condition. Please click here to learn how the back works before reading the following.Read More
Sitting posture at work, at home or in the car is a major cause or cure of pain in the back, shoulders, neck, arms and knees. Please scroll down to the bottom for specific advice on how to adjust your posture in the car to avoid or reduce pain. Sitting...Read More
Myths and truths As a physiotherapist with a specialism...
Humpback whales, overcoming physical and psychological challenges, team work,...
1) They get better even if physio and osteopathy treatment...
Reflecting on this quote from Jeff Bezos made me think that...
Hover over the specific body parts and find out more
Use your mouse to hover over the dark grey dots and click through to the specific body parts to get advice about your injury.
We promise to never share your email address with anyone.