Shoulder problems are extremely common and we see a lot at Camberley Physiotherapy. The shoulder is a complex joint actually comprising of 4 separate "joints". Problems can be frequently linked to your age. Younger or sporty people can often pinch tendons in the shoulder due to overuse or muscle imbalances that have an impact on the movement in the arm. A sportsperson who uses the shoulder a lot can develop pain due to restrictions of joints further down "the chain" for example a stiff upper back or even hip. Shoulder pain typically refers down the upper arm but rarely into the hand, localised pain in the top of the collar bone can often mean damage to the joint where the collar bone attaches to the shoulder blade. Another problem that can affect the young is dislocation. This really needs to be managed appropriately because shoulders coming "out" can cause joint laxity and recurrent dislocations. Clicks or clunks in a sporty shoulder can mean a torn or damaged labrum- the tissue round the ring of the shoulder socket.
As we get older tissues can become pinched in the shoulder for different reasons for example due to posture, muscle imbalance or even stiff backs. A frozen shoulder is not that common but means the capsule round the shoulder has become inflamed. One of the signs of this is difficulty reaching behind your back.
As we get older still other problems can affect the shoulder; tendons can become thinned and partially torn and in some cases; arthritis can affect the joint although this is not that common.
Problems in the neck can manifest as shoulder pain. The pain may be "shooting" in nature and might even go down to the hand.
Lots can be done to help you both in terms of joint mobilising and soft tissue treatment, postural advice, stability and strengthening exercises. Simple injections around the inflamed tissue can also give huge relief and allow you to rehabilitate yourself back to full function.
Maintaining good posture is very important for optimum shoulder function. If your problem doesn't go away - a full assessment of posture, movement and tissues around the joint will be helpful to help rehabilitate you back to full function.
Low Back Pain
Back pain is a very debilitating condition affecting one third of the adult population at any one time. Back pain is rarely serious and usually triggered by posture or the way we move. It is called "Non-specific" when there is no identifiable cause. The pain is typically in the back or buttocks but can refer down the legs. Pain that goes down the legs isn't always sciatica; it can be coming from other structures in the back.
Although it is very unpleasant and can be frightening, the best advice is to keep as active as possible, try simple pain relief such as paracetamol or ibuprofen. Many people find heat helps but you can try cold packs as well. Physiotherapists are ideally suited to helping people deal with back pain, we can assess you to rule out anything that needs further investigation. We can also give you advice and exercises and people often find some manual therapy helps.
Remember, keep as active as you can and this will help you recover quicker!
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