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Good shoulder function is vital for many sporting and working tasks
and shoulder pain can cause significant loss to quality of life. There
are many causes of shoulder pain ranging from major injuries like dislocation
and fracture to pain that starts slowly and increases over several years.
The shoulder is the most complicated joint in the body actually composed
of five separate joints. The complicated anatomy of this joint makes
it very susceptible to injury. The key to effective treatment lies in
accurate diagnosis this can only be done through a thorough assessment.
The assessment will probably involve a thorough examination of your
neck to be sure that your shoulder pain is not referred from here.
Treatment will vary greatly depending on the cause of your symptoms,
common treatments for shoulder problems include;
- Mobilisation of the shoulder joint or any tight structures around
the shoulder
- Soft tissue treatments to any areas of tension and spasm (trigger
points)
- Strengthening any weak muscle groups around the shoulder.
- Treatment to your thoracic spine (the area of you back between your
shoulder blades).
- Identifying and correcting any abnormal movement patterns of the
shoulder that place unnecessary stress on the shoulder structures.
- All treatment programs will include some form of home exercise;
either a strengthening program to improve the control of the shoulder
or exercises to work on reducing stiffness in the area depending on
your condition.
- In some cases it may be necessary to conduct investigations to help
establish the exact cause of the symptoms; this will be discussed
with you if required.

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