Common Conditions

Shoulder Problems We Treat

Our physiotherapists are experienced in managing a wide range of shoulder conditions, from acute injuries to chronic degenerative complaints.

Rotator Cuff Tear & Tendinopathy

Partial or full-thickness tears and degenerative tendinopathy of the supraspinatus, infraspinatus, teres minor or subscapularis causing pain, weakness and limited overhead function.

Frozen Shoulder (Adhesive Capsulitis)

Progressive stiffening and pain of the glenohumeral joint capsule, causing significant loss of active and passive movement in all planes. Can last 12–24 months without treatment.

Shoulder Impingement Syndrome

Compression of rotator cuff tendons and bursa beneath the acromion during arm elevation, producing a painful arc and weakness with overhead activities.

SLAP Lesion & Labral Tear

Superior labral tears (SLAP) and other labral pathology causing deep shoulder pain, clicking, and instability, often associated with throwing sports or heavy overhead work.

Acromioclavicular Joint Sprain

Ligamentous injury to the AC joint from direct trauma or falls, resulting in localised pain over the shoulder tip, swelling, and a step deformity in higher-grade sprains.

Shoulder Instability & Dislocation

Recurrent subluxation or dislocation resulting from laxity, labral damage or muscle weakness, causing apprehension and compromised confidence in shoulder-loaded activities.

How We Assess & Treat

Our Shoulder Rehabilitation Approach

1

Detailed Assessment

Comprehensive shoulder screening including range of motion, strength testing and special orthopaedic tests to accurately identify the diagnosis and contributing factors.

2

Pain Relief Phase

Manual therapy, shockwave and dry needling are used to address pain and guarding, creating a window for meaningful movement and exercise.

3

Restore Movement

Progressive mobilisation combined with joint and soft-tissue techniques to systematically recover shoulder range of motion in all planes.

4

Strengthen & Stabilise

A targeted rotator cuff and scapular stabiliser programme to rebuild dynamic shoulder stability and offload vulnerable structures.

5

Return to Activity

Sport- and work-specific loading progressions to ensure safe, confident return to full activity, with a maintenance programme to prevent recurrence.

Physiotherapist assessing a patient's shoulder

FAQs

Common Questions About Shoulder Treatment

No, most shoulder conditions are diagnosed clinically. Imaging is arranged if needed to confirm a diagnosis or guide management when clinical findings suggest a significant structural injury.

Typically 6–12 sessions over 6–10 weeks, depending on severity. More complex presentations such as full rotator cuff tears or frozen shoulder in the freezing phase may require a longer programme.

Some discomfort during treatment is expected, but pain levels are always discussed and managed. Treatment should never cause sharp or severe pain, and your physiotherapist will adjust techniques based on your response.

Many shoulder conditions — including partial rotator cuff tears and frozen shoulder — respond very well to conservative physio, often avoiding the need for surgery. Where surgery is indicated, physiotherapy optimises pre- and post-operative outcomes.

Shoulder Conditions & Treatment