Shoulder Pain

Hip and Groin Pain can be a difficult to manage and although there are many causes the first step in Resolving your Pain is always getting a trusted diagnosis.

Thankfully LWF MSK Physiotherapists are well placed to assess and advise you about what kind of issue it is that you have.

But first if you have any of the below complaints we suggest it may be best to you get the advice of a Physician before attending LWF Physiotherapy:

  • If you have chest pain
  • If you have shortness of Breath

Here are few common complaints that our expert MSK team can help you begin your pathway to Be Better:

The most common form of shoulder pain. This is commonly (but not always) caused by tendon pain in one or two of the small specialized stability muscles called the rotator cuff which wrap around your shoulder joint and enable you to lift you arm above your head effectively. It is often caused by doing too much too soon or without enough recovery between intense bouts of activity, but its cause is often less clear and emerging evidence suggests that a lot of the pain can be caused by a pre-warning from your nervous system that not all is as well as it was before in either the shoulder or the rest of the body (a warning shot if you will).

A variant of the previous complaint this is more degenerative in nature and can lead to more weakness than pain. Thankfully the latest and greatest evidence suggests even with a traumatic caused this often improves with a strength based (loading) exercise programme but on occasion if multiple parts are injured severely enough referral to a specialist surgeon for repair can be indicated following an MRI scan which your specialist LWF MSK Physiotherapist will be able to advise you about if indicated.

A mainstay of those over 45 years old but extremely rare in those below that age. The emerging evidence suggest that there is 2 causes of this movement limiting and very painful complaint. The first and main reason is one of pain and severe muscle guarding although we still don’t know exactly why this happens. The second and seldom seen cause is down to a pathological change in the structure of the shoulder capsule, (or bag) that surrounds the main ball and socket joint in the shoulder, and causes it to become stiffer and severely restricts movement in a very different way than the first type. The two different types require very different treatments, the first and most common type is often treated solely through a specific rehabilitation programme but sometimes in addition to pain relief injections if there has been no significant progress in the first 4-6 weeks of the rehab only approach. The second type can only be decided after a failed period of rehabilitation and often requires referral to an Consultant Surgeon specialising in the Shoulder. Ultimately if you have a stiff and painful shoulder a assessment with a specialist LWF MSK Physiotherapy is your first port of call.

Osteoarthritis of the ball and socket joint occasionally occurs with advancing age but is less common than in the large lower limb joints. It is more common in the joint between the shoulder blade and the collar bone commonly known as A/C joint, but can also occur in younger adults who have manual job roles and those that have competed in a lot of throwing or overhead sports. Rehabilitation is often combined with Pain relieving injections in order to fully resolve this complaint and LWF MSK links with some of the best Musculoskeletal Physicians and Specialist Shoulder Consultant Surgeons can open a clear pathway to health and Performance long term for you.

This commonly happens after a fall on an outstretched hand or elbow and can be very sore initially but tends to have very good outcomes if not too severe with a simple rehabilitation programme. In some cases surgery can be indicated but your specialist LWF MSK Physiotherapist will be able to advise you if you need to get your injury further investigated during your initial appointment.

This type of complaint tends to either be traumatic in nature or spontaneous and multifactorial in nature. Rehabilitation with a specialist MSK Physiotherapist is an important part of your pathway to health and performance from any traumatic cause to ensure you are safe before returning to what you do. Following recurrent dislocations there are often sequencing and timing issues in your shoulder, which are essential to address and LWF MSK physiotherapists are trained to assess and resolve these deficits fully. Although for some types of instability to do what you love means in some cases surgery is required and our expert physiotherapists can help you return to be better than ever once your surgeon has given the go ahead for your rehabilitation to begin.


Depending on your presentation,
your LWF MSK physiotherapist might:

Give you hands on pain relief

  • Perform Massage to reduce muscle tension and pain
  • Perform Acupuncture/Dry Needling to reduce muscle tension and pain
  • Perform Joint Mobilisations
  • Perform Joint Manipulations

Give you some great tools for your rehab

  • Physitrack® App
  • Your own Individualised LWF Pathway to Health & Performance Guide Sheet

Test you

  • Joint Movement
  • Muscle Strength & Function
  • Endurance
  • Foundation Movements
  • Video Analysis
  • Proven Outcome Measurement Tools
  • Suggest An LWF Diagnostic Ultrasound Examination Appointment

Prescribe exercise for you

  • Pain Relief Tools
  • Mobility Exercise
  • Strength Exercise
  • Capacity Exercise
  • Suggest a BE BETTER Fitness Programme
  • Suggest a LWF Pilates Programme

Educate you

  • Show you where your problem is using 3D images
  • Help You set Objectives for the Resolution of your complaint
  • Help You Modify Your activity to manage Your problem
  • Discuss Your thoughts about Your Pain
  • Help You Understand Why
  • Discuss the real Cause of Your problem
  • Help Guide Your Progress back to the activities You do
  • Show You how to keep the Pain away
  • Show You how to Improve Your Performance
  • Help you Understand how to BE BETTER

Ready to be Better

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