Shoulder Pain

Shoulder joint consists of

(GH joint - Glenohumeral Joint, AC joint - Acromioclavicular Joint, Scapulothoracic Joint, surrounding muscles, tendons, ligaments, bursae, etc.)- Prevalence of shoulder pain  4-26% across global communities

Main Causes of Shoulder Pain

1. Traumatic causes - fractures, dislocation, soft tissue injuries, contusion & sprain

2. Atraumatic causes - Degenerative, inflammatory, overuse

We Prevent Shoulder Injuries By

• Proper load management & muscle strength
• Avoiding overload beyond tolerance
• Provide rest & recovery
• Proper rehab & prevent recurrence
• Improving proper techniques, regular physical activities and staying healthy
• Treating the underlying cause of DM, arthritis

There is no universal intervention or protocol applicable to treat all shoulder pain and conditions

Treatment should by based on person needs & goal

Manual therapy ,electrotherapy modalities and medication combine with exercise therapy gives better and long term benefits

Assessment 

plays a major role We need to assess

• ROM
• Muscle Strength
• Mobility of Shoulder
• Posture
• Joint Stability

Treatment

First aim to improve mobility of the joint →  stability → strength

Shoulder movement is also dependent on scapula and thoracic region

 

First we need to improve mobility

• Thoracic rotation
• Thoracic flexion & extension
• Scapular movements
• Shoulder flexion /extension
• Internal and external rotation

After that, we want to concentrate stability

Scapular stability ex

• Spine extension- T, Y, A in prone lying
• Upright row
• Band pull apart
• Isometric ex

Next we need to concentrate on strength

• Shoulder lateral rise
• Shoulder front rise
• face pull ex
• push up
• Bench press

On side by side, we need to improve functional activities