Greater Manchester


Arm And Shoulder Injuries Treatment

Shoulder & Upper Arm

The shoulder joint is the most mobile joint in the human body and is held in position primarily by a group of stabilising muscles known commonly as the “Rotator Cuff”, alongside other larger muscle groups such as the Biceps Brachii. It also contains many stabilising ligaments, a layer of thick cartilage in the socket called the Glenoid Labrum and a capsule which all provide further stability. It has some large powerful muscles acting around it to provide explosive movement and bursae to protect muscles/ tendons and to further aid mobility. Due to the range of movement and power that is required at this joint there is a fine line between having enough mobility and strength, whilst balancing this with having enough stability to hold the ball in the socket and prevent injury.

Due to the amount of soft tissue structures that influence movement and provide stability, the shoulder is very commonly injured. Biomechanical factors such as muscle imbalance, poor posture, upper back (thoracic) stiffness, hypermobility, muscle tension and muscle inhibition can all affect the way the shoulder moves. There are other smaller joints which influence shoulder movement and can also be injured. At one end of the clavicle (collarbone) is the acromio-clavicular joint which attaches the clavicle to the front of the shoulder blade. At the other end is the sterno-clavicular joint which attaches the clavicle onto the sternum (breastbone). Muscle and tendon activation around the scapular (shoulder blade) also has a large influence on shoulder movement and injuries around this area can also lead to problems with shoulder function.

The most common shoulder injuries that we see clinically include; shoulder impingement syndrome, bursitis, rotator cuff tendonitis, adhesive capsulitis (frozen shoulder), acromio-clavicular joint dysfunction and muscle tears such as the Biceps Brachii, although there are many more conditions as it is such a complex joint. It is also important to rule out the neck as a source of pain, as injuries in this area commonly refer symptoms into the shoulder region. For more details about some of the more common shoulder injuries please click on the name of the condition below.

After spinal injuries, the shoulder complex is the most commonly injured area of the body and our Physiotherapists have a significant amount of experience assessing, diagnosing and treating injuries in this region. We not only focus on the injured tissue, but also address the underlying issues that may have led to the injury in the first place.

If you are unsure which condition you have and whether physiotherapy can help you, or you would just like to speak to somebody about your condition then please use the link below; –