Shoulder injuries

Shoulder Impingement

This is characterised by pain in the front and side of the upper shoulder. It is usually made worse by

reaching over head or out to the side to life something up.

It is important to release the muscles of the chest and shoulder to take the pressure off the tendons that

move through the shoulder and get pinched in the joint causing the Shoulder Impingement.

Causes- forward shoulders- Repetitive overhead movements such as lifting, weights, sports such as tennis

and golf.- inflammation of tendons and bursae

Symptoms- dull or sharp pain in the front or side of the shoulder on raising the arm either out to the side or

out in front over the head.- weakness in arm on lifting.

Treatment - Remedial Massage techniques such as deep tissue massage and trigger point techniques can help to release the tension from muscles that are closing the shoulder joint up and making the impiongement worse. Active Release Techniques can help to "free" up the tendons and release the pinching in the shoulder. Postural exercises including stretching and strengthening will help to fix the root cause of the issue creating more space for the structures inside the shoulder joint to move more freely. If a shoulder impingement wont get better then further investigation will be required from a specialist. Cortisone injections can help to reduce the inflammation throughout rehab. The worse case scenario would be surgery.

Techniques that can help shoulder impingement include: Sports & Remedial Massage, Active release techniques (ART), Myofascial Release, Fascial Manipulation, Dry Needling, Trigger Point Therapy, Deep Tissue Massage, Functional Massage.

Frozen Shoulder

Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in the shoulder joint. It occurs when the capsule that surrounds the shoulder joint becomes thickened and tight, restricting movement and causing pain.

Frozen shoulder typically progresses through three stages:

Freezing stage: The shoulder becomes increasingly stiff and painful, and range of motion becomes limited.
Frozen stage: The pain may decrease, but the shoulder remains stiff and range of motion is still limited.
Thawing stage: Range of motion gradually improves and pain decreases.

The exact cause of frozen shoulder is not fully understood, but it can be associated with underlying conditions such as diabetes, thyroid disorders, and heart disease. Treatment for frozen shoulder may include physical therapy, pain management, and in severe cases, surgery.

Causes- unknown cause but some links to age, previous injuries such as bursitis and infections getting into the joint capsule.

Symptoms- dull or sharp pain deep inside the joint. Pain on any movement of the shoulder. As it worsens movement of any kind becomes impossible. Also weakness in arm as the restriction sets in .

Treatment - Remedial Massage techniques such as deep tissue massage and trigger point techniques can help to release the tension from muscles that are closing the shoulder joint up and making the impiongement worse. Active Release Techniques can help to "free" up the tendons and release the pinching in the shoulder. Postural exercises including stretching and strengthening will help to fix the root cause of the issue creating more space for the structures inside the shoulder joint to move more freely. If a shoulder impingement wont get better then further investigation will be required from a specialist. Cortisone injections can help to reduce the inflammation throughout rehab. The worse case scenario would be surgery.

Techniques that can help frozen shoulder include: Sports & Remedial Massage, Active release techniques (ART), Myofascial Release, Fascial Manipulation, Dry Needling, Trigger Point Therapy, Deep Tissue Massage, Functional Massage.