Shoulder Pain - Q & A
What causes shoulder pain?
Shoulder pain can result from a variety of conditions affecting the muscles, tendons, ligaments, and joints in the shoulder region. One of the most common causes is rotator cuff injuries, which occur when the tendons surrounding the shoulder joint become irritated or torn due to repetitive movements, poor posture, or sudden trauma. Other common causes of shoulder pain include:
- Tendonitis – Inflammation of the tendons due to overuse or repetitive strain.
- Bursitis – Swelling of the bursa, the fluid-filled sac that cushions the joint.
- Frozen shoulder (adhesive capsulitis) – Stiffness and restricted motion caused by inflammation and thickening of the shoulder capsule.
- Shoulder impingement syndrome – When the tendons of the rotator cuff become compressed between bones, causing pain and limited movement.
- Arthritis – Degenerative conditions like osteoarthritis can lead to joint pain and stiffness.
- Labral tears – Damage to the cartilage in the shoulder joint, often from injury or repetitive overhead motions.
If left untreated, shoulder pain can lead to chronic discomfort and limited mobility, making daily tasks like lifting, reaching, and even sleeping difficult.
How is shoulder pain connected to neck pain?
Shoulder pain and neck pain often occur together because of the close relationship between the cervical spine and the shoulder joint. The nerves that control movement and sensation in the shoulder originate in the neck. If these nerves are compressed or irritated, such as in cases of cervical radiculopathy (pinched nerve), the pain may radiate into the shoulder and upper arm.
Additionally, poor posture—especially forward head posture or rounded shoulders—can place extra strain on the neck and shoulders, leading to muscle imbalances and discomfort. Addressing both areas simultaneously through corrective exercises and manual therapy is often necessary for lasting relief.
How is shoulder pain diagnosed?
At Therapeutic Rehab Specialists, your evaluation begins with a detailed consultation where your practitioner will ask about:
- When the pain started and whether it was caused by an injury.
- The severity and location of the pain.
- Whether any activities worsen or relieve your symptoms.
- If there are any associated symptoms, such as numbness, weakness, or clicking sounds in the shoulder.
A comprehensive physical examination follows, assessing:
- Range of motion – How far and easily your shoulder moves in different directions.
- Muscle strength – Testing for weaknesses or imbalances in the surrounding muscles.
- Joint stability – Identifying any instability or misalignment in the joint.
- Biomechanical assessment – Analyzing posture and movement patterns that may contribute to pain.
In some cases, additional diagnostic tests, such as X-rays, MRI, or ultrasound, may be recommended to confirm the cause of pain and rule out structural damage.
What are treatments for shoulder pain?
Once your practitioner has diagnosed the root cause of your shoulder pain, a personalized treatment plan will be developed to address the underlying dysfunction rather than just treating the symptoms. The treatment plan may include:
1. Manual Therapy
- Soft tissue mobilization – Hands-on techniques to release muscle tension, improve circulation, and reduce pain.
- Joint mobilization – Gentle movements to restore proper function and mobility to the shoulder joint.
2. Corrective Exercises
- Strengthening exercises to stabilize the shoulder and improve joint function.
- Stretching routines to enhance flexibility and reduce muscle tightness.
- Postural correction strategies to prevent recurring strain on the shoulder.
3. Neuromuscular Re-education
- Movement retraining to correct improper movement patterns contributing to pain.
- Focus on restoring normal shoulder blade (scapular) function to prevent future injuries.
4. Advanced Rehabilitation Techniques
Depending on your condition, your treatment plan may include innovative therapy techniques such as:
- Blood flow restriction therapy (BFRT) – A method that helps build muscle strength without excessive joint stress.
- Instrument-assisted soft tissue mobilization (IASTM) – A specialized technique used to break down scar tissue and improve mobility.
- Cervical and thoracic spine alignment treatments – Addressing spinal imbalances that contribute to shoulder pain.
Why Choose Therapeutic Rehab Specialists for Shoulder Pain?
At Therapeutic Rehab Specialists, we focus on a comprehensive and evidence-based approach to shoulder pain. Our goal is not only to relieve your pain but to restore full function and prevent future injuries.
You don’t have to live with shoulder pain. Call Therapeutic Rehab Specialists today or book an appointment online to start your path toward relief and recovery!