When Should You See a Physiotherapist for Shoulder Pain?
- Published on
- Kurt Johnson
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Introduction
Shoulder pain can be disruptive, affecting everything from daily activities to work performance. Whether caused by an injury, overuse, or underlying conditions, early intervention is key to preventing long-term issues. But when should you see a physiotherapist for shoulder pain? In this article, we’ll explore symptoms that indicate professional treatment is needed, how to distinguish between mild discomfort and serious conditions, and why a physiotherapy assessment is essential for long-term relief.
Common Causes of Shoulder Pain
Understanding the root cause of your shoulder pain helps determine whether physiotherapy is necessary. Common causes include:
- Rotator Cuff Injuries – Partial or complete tears of the rotator cuff muscles, often from overuse or trauma.
- Frozen Shoulder (Adhesive Capsulitis) – A painful condition limiting mobility, commonly seen in individuals over 40.
- Tendinitis or Bursitis – Inflammation of tendons or bursae due to repetitive movements.
- Shoulder Impingement Syndrome – A condition where tendons rub against the shoulder blade, leading to pain and restricted motion.
- Dislocations or Fractures – Trauma-related injuries requiring immediate medical attention.
- Arthritis – Degenerative changes in the joint leading to stiffness and pain.
Symptoms That Indicate Physiotherapy is Needed
Physiotherapy isn’t always necessary for minor aches, but the following symptoms warrant professional assessment:
1. Persistent Pain Lasting Over Two Weeks
Shoulder pain that doesn’t improve with rest, ice, and over-the-counter medication could indicate an underlying issue requiring intervention.
2. Limited Range of Motion
Struggling to lift your arm, reach overhead, or rotate your shoulder without discomfort signals potential joint or muscle dysfunction.
3. Weakness in the Shoulder
If you notice a decrease in strength, such as difficulty lifting objects or pushing open a door, this may indicate a muscle imbalance, nerve compression, or structural injury.
4. Pain That Worsens at Night
Pain that intensifies when lying down or disturbs sleep could be a sign of rotator cuff injuries or bursitis.
5. Swelling, Redness, or Warmth
Inflammation, visible swelling, or warmth around the shoulder joint may indicate infection, bursitis, or other inflammatory conditions.
6. Clicking, Popping, or Grinding Sounds
Abnormal noises when moving the shoulder may suggest impingement, cartilage damage, or instability.
7. Previous Shoulder Injury with Recurring Pain
If you’ve had a prior shoulder injury and continue to experience pain or stiffness, physiotherapy can help restore function and prevent re-injury.
Differentiating Between Mild Discomfort and Serious Conditions
Mild muscle soreness after exercise is common and typically resolves within a few days. However, persistent, sharp, or worsening pain can signal a more serious condition. Key indicators of severe shoulder issues include:
- Pain that radiates down the arm – This may indicate nerve compression or a severe injury.
- Inability to move the arm – Suggests structural damage, such as a dislocation or severe rotator cuff tear.
- Sudden swelling after injury – May indicate a fracture or ligament tear.
If you experience any of these, seek medical attention immediately.
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The Importance of Professional Assessment for Long-Term Relief
Ignoring shoulder pain or relying solely on painkillers can lead to chronic conditions and reduced mobility. A physiotherapist can:
- Identify the root cause – Through a comprehensive assessment and diagnostic tests.
- Develop a personalised treatment plan – Combining manual therapy, targeted exercises, and lifestyle modifications.
- Prevent future injuries – Strengthening weak muscles and improving posture to reduce strain on the shoulder joint.
- Speed up recovery – Evidence-based treatments accelerate healing and restore function faster than rest alone.
Effective Physiotherapy Treatments for Shoulder Pain
A physiotherapist may recommend various treatments based on the cause and severity of your condition:
- Manual Therapy – Hands-on techniques such as joint mobilisation and soft tissue massage to relieve pain and improve mobility.
- Strengthening Exercises – Targeted movements to enhance muscle function and prevent imbalances.
- Postural Correction – Addressing poor posture that contributes to shoulder strain.
- Electrotherapy (e.g., Ultrasound, TENS) – Reducing inflammation and promoting tissue healing.
- Taping or Bracing – Providing support and reducing strain on the affected area.
Conclusion
Shoulder pain should not be ignored, especially if it persists or limits daily activities. Physiotherapy plays a vital role in diagnosing, treating, and preventing shoulder conditions, ensuring long-term relief and optimal function. If you’re experiencing ongoing shoulder pain, don’t wait—book an assessment with One Body LDN’s expert physiotherapists today. Whether you’re recovering from an injury or dealing with chronic discomfort, we’re here to help you regain strength, mobility, and confidence.
Shoulder Pain Treatment FAQs
How do I know if my shoulder pain is serious?
If your pain lasts more than two weeks, restricts movement, worsens at night, or is accompanied by swelling or weakness, consult a physiotherapist.
Can physiotherapy prevent shoulder surgery?
Yes, in many cases. Physiotherapy can strengthen the shoulder, improve mobility, and reduce pain, often eliminating the need for surgery.
How many physiotherapy sessions will I need for shoulder pain?
The number of sessions varies based on the severity of your condition, but most people see improvement within 4–6 weeks of consistent therapy.
Is shoulder pain always caused by an injury?
No, shoulder pain can result from overuse, poor posture, arthritis, or underlying conditions such as nerve impingement.
Does private health insurance cover physiotherapy for shoulder pain?
Most private health insurance providers, including Bupa, AXA PPP, Cigna, and WPA, cover physiotherapy sessions. Check with your provider for details.

(Disclaimer: The information in this post is for educational purposes only and does not replace personalised medical advice. Always consult a qualified professional for specific guidance on diagnosis and treatment.)
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