What’s Our Approach to Shoulder Pain?

Shoulder Pain

The shoulder (glenohumeral joint) is one of the largest and most complex joints in the body.  This ball-and-socket joint comprises of the humerus, scapula, and clavicle with a variety of joints, tendons, ligaments, and muscles (including rotator cuff) that are common sites for many injuries.  Our shoulder is one of the most versatile regions of the body and involved with most functional activities that we do. Unfortunately, with such high demand and common dysfunction (joint mobility and motor control), the shoulder is one of the most unstable joints in the entire body. Shoulder joint dysfunction can be heavily involved with pain in the shoulder, neck, back, and other regions of the body. Shoulder pain has many different origins and presentations and should always be evaluated by a medical professional.

Shoulder Anatomy

CONDITIONS WE TREAT: 

  • Abnormal Posture
  • Acromioclavicular Joint (AC) dysfunction
  • Adhesive Capsulitis (Frozen Shoulder)
  • Brachial Plexus Disorders
  • Dislocation/Subluxation
  • Generalized Muscle Weakness
  • Hydroxyapatite Crystal Deposition Disease (HADD)
  • Hypermobility
  • Impingement Syndrome
  • Improper Motor Pattern
  • Myofascial Pain Syndrome
  • Non/Pre and Post-Surgical Rehabilitation (Rotator Cuff repair, Labral repair, Arthroscopic debridement)
  • Repetitive Stress Injury (RSI)
  • Rotator Cuff Injury 
  • Scapular Winging
  • Shoulder Instability
  • Shoulder Labral Tear
  • Shoulder Osteoarthritis (Arthritis)
  • SLAP Tear
  • Sports Injuries
  • Subacromial Bursitis (Shoulder)
  • Tendinopathy
  • Thoracic Outlet Syndrome (TOS)

SYMPTOMS:

​Pain | Instability | Popping/Clicking | Pinching  Burning | Tightness/Stiffness | Numbness/Tingling  Radiation | Dull/Achy | Fatigue | Muscle Spasm | Loss of normal range of motion

OUR TREATMENT DIFFERENCE:

​Shoulder pain has many origins and presentations and can affect a patient in many different ways. The region of pain might not be the region that is causing your current issue. Our team of doctors evaluates each patient through a detailed history and comprehensive physical exam that includes a series of dynamic and static tests, postural evaluation, shoulder stability tests, and examination of the lower or upper extremity movement patterns that trigger your symptoms.  This thorough examination will allow us to identify what is causing your pain or dysfunction and begin working on an individualized treatment plan with corrective exercises that fits your exact needs.


Ready to Start Your Recovery?

Our team at City Integrative Rehabilitation takes a comprehensive, whole-body approach to identify the root cause of your pain — not just mask the symptoms. Every treatment plan is personalized to your needs.

View All Conditions We Treat · Learn About Shockwave Therapy

Shoulder Pain FAQs

What causes shoulder pain?

Shoulder pain commonly results from rotator cuff injuries (tears, tendinitis, impingement), frozen shoulder (adhesive capsulitis), labral tears, bursitis, and instability. Poor posture, repetitive overhead movements, and age-related degeneration are contributing factors. Our comprehensive evaluation assesses shoulder mechanics, scapular stability, cervical spine involvement, and overall movement patterns.

How do you treat a rotator cuff injury without surgery?

Many rotator cuff injuries, including partial tears, respond well to conservative treatment. Our approach combines manual therapy to restore joint mobility, progressive strengthening exercises targeting the rotator cuff and scapular stabilizers, shockwave therapy to stimulate tissue healing, and movement pattern retraining.

How long does shoulder rehabilitation take?

Shoulder rehabilitation timelines vary by condition. Mild impingement or bursitis may improve in 4 to 6 weeks. Rotator cuff tendinitis and partial tears typically require 8 to 12 weeks. Frozen shoulder can take 3 to 6 months of dedicated treatment. Our team monitors progress closely and adjusts treatment to ensure the most efficient recovery.