Physiotherapy for Shoulder Problems

How Can Physiotherapy Help with Shoulder Problems?

The shoulder is one of the most mobile joints in the body, and this wide range of motion makes it susceptible to various problems. Frozen shoulder (adhesive capsulitis), shoulder impingement syndrome and rotator cuff issues are among the commonly encountered shoulder complaints. Physiotherapy offers a range of evidence-based approaches for the management of shoulder problems.

Physiotherapy Assessment

The first step in the physiotherapy process is a comprehensive assessment. A shoulder assessment covers:

• Location, severity and aggravating factors of pain
• Shoulder range of motion measurement (active and passive)
• Rotator cuff and scapular muscle strength assessment
• Special clinical tests (evaluating shoulder function)
• Limitations in daily activities (dressing, reaching overhead, sleeping position)

Physiotherapy Approaches

The approaches used during the physiotherapy process for shoulder problems vary from person to person and may include:

• Manual therapy — glenohumeral and scapulothoracic joint mobilisation for improved range of motion and pain management
• Therapeutic exercise — rotator cuff strengthening, scapular stabilisation and progressive range of motion exercises
• Posture education — correcting postural issues that affect shoulder mechanics
• Home exercise programme — regularly continuing exercises learnt during sessions at home

The extent to which each approach is applied is determined based on individual assessment.

When Should You See a Physiotherapist?

If your shoulder pain or restricted movement is making daily activities difficult, disturbing your sleep or has not improved over several weeks, a physiotherapy assessment may be beneficial. Your physiotherapist can support your recovery by creating a plan tailored to your condition.