When Should You See a Physiotherapist for Shoulder Pain?

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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

If your pain lasts more than two weeks, restricts movement, worsens at night, or is accompanied by swelling or weakness, consult a physiotherapist.

Yes, in many cases. Physiotherapy can strengthen the shoulder, improve mobility, and reduce pain, often eliminating the need for surgery.

The number of sessions varies based on the severity of your condition, but most people see improvement within 4–6 weeks of consistent therapy.

No, shoulder pain can result from overuse, poor posture, arthritis, or underlying conditions such as nerve impingement.

Most private health insurance providers, including Bupa, AXA PPP, Cigna, and WPA, cover physiotherapy sessions. Check with your provider for details.

author avatar
Kurt Johnson CEO
Kurt is the co-founder of One Body LDN, the founder of the acclaimed London clinic Osteo LDN and a seasoned professional in health and fitness. Kurt has worked as a London Firefighter and strength and conditioning coach and was a top 10 UK-ranked professional K1 kickboxer.

(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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