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Physical therapy for shoulder pain.

Shoulder problems are common. Sometimes shoulder pain is also a recurring injury. Possible causes of shoulder pain are heavy physical work or sports. The complaints are often triggered by moving the arm upward. There may be radiation toward the upper arm or toward the shoulder blades. Sleeping on the injured shoulder is often difficult. Especially in the first period after the onset of shoulder pain, it is difficult to carry out your daily activities. Grocery shopping, heavy lifting or sports where you use your arms a lot is often difficult and painful.

The shoulder joint consists of the humerus(upper arm bone), scapula(shoulder blade) and clavicle(collarbone). The joint between the upper arm and shoulder blade is called the glenohumeral joint. The clavicle with the shoulder blade is the acromioclavicular joint. Another joint of the shoulder area is the scapulothoracic joint. This is the joint between the shoulder blade and the ribs. These joints allow the shoulder to move in many different directions. The shoulder contains many different muscles and tendons. The function of these muscles is to move and stabilize the shoulder during various daily movements. There are smaller muscles that are closer to the joint as well as larger muscles that have a more powerful function. Anatomically, a distinction is made between a local muscle system and a global muscle system. Functionally, however, they largely have the same function. 


Trochantor major syndrome
Physiotherapy for Shoulder Pain
Causes of shoulder pain

We can divide shoulder pain into 3 types:

  1. Under the roof of the shoulder blade, certain anatomical structures can become irritated. You usually feel this when you move the arm up sideways. You should think here of bursitis or tendonitis of one of the shoulder muscles. But also complaints resulting from a fall or aging tendon tissue.
  2. Complaints related to structures between the head and socket of the shoulder. For example, one of the most common complaints here is a frozen shoulder or osteoarthritis of the shoulder joint.
  3. It is also possible to have shoulder pain as a result of neck pain. It may be that symptoms you feel in the shoulder have another cause. Usually then a nerve from the neck is responsible for this pain. Other small joints around the shoulder can also be the cause of shoulder pain. The joint with the clavicle or the joint with sternum may be responsible for shoulder pain.
Physical therapy for shoulder pain

During the examination, the possible cause of your shoulder pain is examined. Based on the examination, a clear treatment plan will be drawn up. Continued movement with shoulder problems is very important to maintain the mobility in the shoulder. Besides specific advice, the treatment can consist of: restoring mobility through manual therapy, dry needling, various muscle techniques and training the muscles of the upper back and shoulder through exercise therapy.

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