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Physiotherapist Birminghaam and West Midlands

Shoulder Treatment - Birmingham, West Midlands

Rotator Cuff Injury

There are four muscles around the shoulder that make up the ‘Rotator Cuff’. The muscles are named:

  • Supraspinatus
  • Subscapularis
  • Teres Minor
  • Infraspinatus

These muscles work as a unit to stabilise the shoulder joint. Common problems affecting these muscles are:

  • Rotator cuff impingement – where the common tendon of these four muscles becomes ‘trapped’ between the bones of the arm and the shoulder blade.
  • Rotator cuff tendonitis – where the tendon mentioned above becomes irritated commonly due to overuse of the shoulder i.e. in tennis players or people who do a lot of heavy lifting at work
  • Rotator cuff tear - it is commonly the tendon that becomes torn rather than the muscle itself. In younger people this can be due to trauma, and in older people they are often caused by rotator cuff impingement (see above).

Physiotherapists at City Physio Clinics will take a thorough history to determine a diagnosis of your shoulder injury. Rehabilitation may involve manual therapy and specific shoulder exercises to improve range of movement and strengthen the shoulder.

Frozen Shoulder

Also known medically as ‘Adhesive Capsulitis’ this injury is where the tissues surrounding the shoulder joint become inflamed. This causes pain, particularly at night when lying on your affected side, and makes moving your arm very difficult.

After assessing you with tests to confirm your diagnosis of frozen shoulder, Physiotherapists at City Physio Clinics can then devise a rehabilitation programme in order to help reduce pain and get your arm moving so you are able to continue with your everyday activities. Treatments we may use are: a structured exercise programme, gentle mobilisations, heat advice, ultrasound and advice on cortisone injections if necessary.

Shoulder Dislocation

The shoulder is made up of a ‘ball and socket’ joint. Dislocation is where the ‘ball’ pops out of the shoulder cavity. This can be a very painful injury and occurs when the shoulder is hit hard against something solid i.e. in contact sports like Rugby. This causes immediate pain, swelling, a possible loss of sensation, muscle weakness and bruising.

The aim of physiotherapy at City Physio Clinics is to gradually restore the range of movement at your shoulder and to teach you how to re-strengthen the muscles around the shoulder to prevent the injury occurring again. Recurrent dislocations are common if the correct strengthening exercises are not carried out after the first injury.