Do you suffer from shoulder pain?
Or have you recently had a shoulder operation?
How we fix your problem
HISTORY TAKING AND ASSESSMENT
In order to identify what’s actually causing your pain, we will take the time understand how it happened. We will review not only the mechanisms of the injury but also look at all the others aspects that might affect it. We will discuss your medical history, your hobbies and interests, your occupation and build an overall picture of your aims and goals.
We will then run a full assessment and look at your posture, your ability to move, your muscle strength and power.
EXPLANATION OF FINDINGS
We will discuss our findings and provide as clear a diagnosis as possible. More importantly, we will explain the underling reasons for your pain and injury. We will put in place a clear rehab plan tailored to you and explain how to ensure the journey is as successful as possible.
TREATMENT, REHAB & FOLLOW UP
Once we agree on a treatment plan, we will put it into action. Most of the time, we will provide hands-on treatment alongside a tailored exercises programme that will target the areas of weakness highlighted in the assessment.
Follow-up sessions will be organised at regular interval to make sure you are progressing as expected . Your programme will be updated depending on your needs and we will guide every step until you're fully recovered
Shoulder pain is a common complain patients come and see us about.
Shoulder pain can be caused by a multitude of factors.
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One of the most common cause of shoulder pain we see at the clinic. Frozen shoulder happens when the shoulder joint stops moving normally because of tightness of the joint membrane. Please read our great blog on frozen shoulder for more info.
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The rotator cuff (RC) is the name given to the tendons/muscles attaching to the head of humerus and stabilise the shoulder into place. A RC tear is a common shoulder injury that ca be treated well with physiotherapy.
Shockwave, acupuncture, massage and the right exercises will help you recover shoulder function and allow return to sports as quickly as possible.
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Shoulder Impingement is an umbrella term grouping several condition such a subacromial bursitis, RC tear (see above), etc.
Shoulder impingement must be assessed correctly to establish what is causing it in the first place.
Shoulder impingement can be resolved successfully with manual therapy and a tailored strengthening management programme.
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An extremely painful condition, a subacromial bursitis occurs when the bursa lying between the acromion and the glenohumeral joint get inflamed.
A bursa is a pocket of liquid that lies between anatomical structure to decrease friction between structures. Most importantly, bursae are highly innervated, meaning that when they get irritated due to a increase of friction, they become very painful.
Physiotherapy is essential to assess why the bursa got inflamed and put in place the right treatment to, first, reduce the pain and then stop it happening again. understand
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The Acromio Clavicular Joint (ACJ) is the joint forming the roof of the shoulder. ACJ pain is often caused by a direct hit of the shoulder (car accident or rugby tackle), a fall with the arm outstretched or osteoarthritis.
Physiotherapy can easily help ACJ pain with the right hands-on technique and a tailored exercise programme.
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Collarbone fractures and, unfortunately, humeral fractures are seen regularly at the clinic. Both conditions can bring a wide range of pain and symptoms to patients.
The physio treatment can be lengthy especially in the second case but is indispensable to ascertain full recovery of shoulder movement and strength.
We offer shoulder post-op Rehabilitation.
From a few days after your surgery to return to normal activities, we will accompany through your healing journey and help you make the most of your operation.
Being under the care of a physio from Day One will guarantee safe progress without taking any risks of making things worse.
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Please read through our great blog to learn everything there is to know about RC repair.
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✔ Find the source of the pain
✔ Get rid of it
✔ Take control
✔ Prevent
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During your initial assessment, we will first talk about you, your pain and how it affects your life.
Your therapist will then run a full assessment which will include.
• Your joints: Your range of movement tells us what joints are affected.
• Your muscles: Your muscle strength and agility shows us what muscles are affected and if there are any trapped nerves.
• Your diagnosis: After getting to the root of your pain, you get a diagnosis, we explain to you what’s going on and put together a treatment plan for you.
We strongly believe that if you understand your pain, you can manage it better.
We will always make sure you understand what caused your hip pain, what can help you get better and how to avoid it in the future.
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Your treatment will depend on the severity of your pain and the integrity of the tissue. We have a wide range of treatments available to relieve your shoulder pain.
When you are in acute pain, our priority is to reduce it. We have a wide range of therapeutic tools which can help you including
• Acupuncture
• Massage
• Ultrasounds
• TENS (transcutaneous electrical nerve stimulation)
• Taping
Because moving is the best way way to you recover, we will also devise on day one an exercise plan for you, specifically targeting your injury or pain.
Once the pain lessens, we will put a specific strengthening exercise programme in place for you to bring you back to your full fitness.
Regular massage and acupuncture might be required during that period to help you keep the symptoms at bay. Finally, you will be discharged with the knowledge and the exercises to prevent the problem from coming back.
Some shoulder problems, such as a frozen shoulder or an impingement, might require cortisone injections. This will help decrease the inflammation and allow you to start the rehabilitation with less discomfort.
In rare cases, often with rotator cuff injuries, we might need an X-ray or MRI to check the extent of the injury and to see if you require an operation.
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Once the acute pain is away, your therapist will offer a long term exercise programme which will target any weaknesses that might have contributed to your injury in first place.