The shoulder is a ball-and-socket joint that allows significant mobility for reaching, activities of daily living, work, and sport. While the joint does permit great motion, the shoulder lacks stability and relies on a combination of muscle function (rotator cuff), a labrum (cartilage that deepens the joint socket), and a joint capsule/ligaments to be balanced.
Shoulder pathology varies throughout a lifetime. At times, repetitive stress can create tendinitis in the rotator cuff or tendon of the long head of the biceps. Shoulder impingement syndrome is a common diagnosis in many individuals. Frozen shoulder or adhesive capsulitis can present with or without trauma; this diagnosis requires a specific understanding of the pathology and its timeline for appropriate treatment.
Sometimes surgical intervention such as rotator cuff repairs, labral repairs, and total/reverse total shoulder replacements are needed to restore pain and improve function. We will work your orthopedic surgeon to seamlessly transition you into your post-op care.
Treatment of the shoulder complex focuses on manual therapy, therapeutic exercise for ROM and strengthening progressions, and guidance for return to function in the home, in an occupation, or in sport.
Did you Know?
For subacromial impingement syndrome that may include rotator cuff issues, bursitis, and biceps tendinitis, physical therapy consisting of exercise in combination with manual therapy can be more effective than exercise alone.