Shoulder Pain: Causes, Treatment and Physiotherapy Exercises
Shoulders are demanding joints: enormous mobility supported mostly by muscle. When the load exceeds what those muscles are prepared for, pain follows, usually on reaching, lifting or sleeping on that side.
Common causes
Rotator cuff related shoulder pain is by far the most common, often described as impingement. Frozen shoulder produces marked stiffness in all directions and follows a longer course. Shoulder pain can also be referred from the neck, which is why the neck is assessed alongside the shoulder.
What treatment involves
Treatment normally includes graded loading of the rotator cuff, work on shoulder blade control and mid back mobility, and advice on modifying aggravating activities such as overhead work or bench pressing. Manual therapy and dry needling may reduce symptoms in the short term.
Realistic timelines
Rotator cuff related pain often improves substantially in six to twelve weeks with consistent loading. Frozen shoulder is slower and can take many months, although physiotherapy may help maintain movement and manage pain along the way.
If you're in Centurion or Midrand and want personal guidance, our physiotherapist offers same day appointments in clinic in Eco Park, Centurion, or at your home.
Related physiotherapy services
Frequently asked questions
Should I rest a painful shoulder?+
Complete rest usually stiffens the shoulder. Modified activity with graded loading is generally more effective.
What is shoulder impingement?+
It is a descriptive term for pain on reaching overhead, most often related to rotator cuff tendon irritation and load.
How long does frozen shoulder last?+
It typically runs a prolonged course over many months. Physiotherapy focuses on maintaining movement and managing pain.
Can neck problems cause shoulder pain?+
Yes. Neck referred pain is common, which is why both areas are examined during assessment.
Book with N S Physiotherapy
In clinic in Eco Park, Centurion, or home visits across Centurion and Midrand.