Shoulder Pain
The shoulder is the most mobile joint in the body and pain can present for a variety of reasons. Relying on a strong network of muscles and tendons working together to stabilise the joint during use, any issue to these structures can lead to pain and discomfort. It may be present during everyday tasks such as putting on a coat, lifting arms above the head or even leaning elbows on a desk. Alternatively, more dynamic use of the shoulder may be badly affected such as, throwing a ball, playing tennis, or even running. Pain could be experienced when lying on one side.
The most common causes of shoulder pain are:
- Arthritis: Joint degeneration due to age related changes, repetitive movements, or following traumatic injury
- Frozen shoulder: A medical condition in which range of motion is lost over the course of several months or years.
- Tendonitis: inflammation of the tendons which support the shoulder and aid in the function of the shoulder joint
- Joint capsule damage: Such as dislocation due to injury or instability of the shoulder joint
How We Treat
Firstly, the aim is to understand what may be causing the shoulder pain and how that impacts on life. This is done through a detailed case history and lifestyle review. A physical examination of the shoulder will take place, along with examinations of the neck, upper back, spine and pelvis as these can influence the shoulder complex. An explanation of the issue along with treatment options available will then take place. This may include osteopathy, acupuncture, or rehabilitation exercises.
Where treatment is not possible, other options will be discussed and any appropriate referrals may be made with your consent.
FAQ - Patient Q&A
What causes shoulder pain and how is it treated in North Finchley?
At MSK Pain Clinics in North Finchley, shoulder pain is commonly caused by rotator cuff tears, frozen shoulder, or localised joint inflammation. Our clinical experts effectively treat these conditions using advanced manual therapy, targeted joint mobilisation, and tailored strengthening exercises to restore full mobility and provide lasting pain relief.
How long does it take to recover from a frozen shoulder?
Recovery from a frozen shoulder, or adhesive capsulitis, varies based on the severity of the joint restriction, but targeted physiotherapy significantly accelerates the process. While untreated cases can take up to two years to resolve naturally, our specialised musculoskeletal interventions often help patients regain functional mobility within a few months.
We closely monitor your progress during each session, utilising precise joint mobilisation and progressive stretching protocols to safely break down restrictive scar tissue and alleviate the severe stiffness without causing unnecessary discomfort.
Can poor desk posture contribute to shoulder impingement?
Yes, poor desk posture is a leading contributor to shoulder impingement for many office workers. Prolonged slouching causes the shoulders to round forward, which narrows the subacromial space and significantly increases the likelihood of trapping and irritating the delicate rotator cuff tendons during everyday arm movements.
Our practitioners correct these structural imbalances by releasing tight chest muscles and prescribing specific exercises to strengthen the upper back. This comprehensive approach restores proper biomechanics and permanently resolves the painful impingement.
Will I need surgery for a rotator cuff injury?
The vast majority of rotator cuff injuries can be successfully managed and rehabilitated without the need for invasive surgery. Our evidence based conservative treatments focus on reducing acute inflammation and progressively strengthening the surrounding shoulder musculature to compensate for any minor tendon tears.
Surgical intervention is typically only considered if there is a complete, full thickness tendon tear or if the pain remains completely unresponsive to dedicated physiotherapy. We always prioritise a thorough non-invasive recovery plan first to ensure your absolute safety.
Do you provide specific exercises to prevent shoulder pain from returning?
Absolutely. Long term prevention is a core pillar of our treatment philosophy. Once your initial pain and inflammation have subsided, we will design a personalised home exercise programme focused heavily on improving your scapular stability and enhancing the endurance of your rotator cuff muscles.
These targeted movements are designed to be easily performed at home with minimal equipment. By consistently fortifying your shoulder mechanics, you drastically reduce the risk of future flare ups and maintain optimal upper body strength for all your daily activities.