Why Shoulder Pain Happens: A Complete Guide
- Published on
- Kurt Johnson
Award-Winning London Shoulder Pain Physio Near Me

Welcome to One Body LDN, your premier London physiotherapy clinic dedicated to providing effective solutions for shoulder pain relief. Shoulder pain often results from a shoulder injury, which can range from minor strains to severe dislocations. Shoulder pain can significantly impact your daily life, limiting your ability to perform simple tasks and enjoy your favourite activities. This comprehensive guide aims to help you understand the causes of shoulder pain and explore the best treatment options available.
Understanding Shoulder Pain
Shoulder pain is a common complaint that affects people of all ages. The shoulder joint’s unique structure and flexibility make it susceptible to various injuries and conditions. Understanding the root cause of your pain is the first step toward effective treatment and long-term relief.
Shoulder instability, which occurs when the shoulder joint is too loose and slides around too much in the socket, can also lead to significant pain and discomfort.
What is Shoulder Pain?
Shoulder pain is a widespread issue that affects millions of people globally. It can stem from various causes, including injuries, overuse, or underlying medical conditions such as arthritis. The shoulder joint is a complex structure composed of multiple bones, muscles, and tendons, making it particularly susceptible to pain and injury.
The shoulder joint operates as a ball-and-socket mechanism, held together by robust ligaments and a fibrous sleeve known as the capsule. The rotator cuff, a group of four muscles and their tendons plays a crucial role in controlling and moving the shoulder. When any of these structures become inflamed or damaged, it can lead to significant pain and stiffness.
Shoulder pain can vary in intensity from mild discomfort to severe pain and can be either acute or chronic. Acute shoulder pain often results from a sudden injury or trauma, while chronic shoulder pain is typically due to repetitive strain or overuse. In some instances, shoulder pain may indicate an underlying medical condition, such as frozen shoulder or shoulder arthritis.
Frozen shoulder, or adhesive capsulitis, is characterised by stiffness and pain in the shoulder joint, often due to inflammation and scarring of the joint tissues. Shoulder arthritis, a degenerative condition, causes wear and tear on the joint, leading to pain and stiffness.
Issues with the shoulder blades (scapula) can also cause shoulder pain. The scapula is a triangular bone that forms part of the shoulder joint and serves as an attachment point for shoulder muscles. Misalignment or inflammation of the scapula can result in pain and stiffness.
Rotator cuff injuries are another common cause of shoulder pain. The rotator cuff muscles and tendons are essential for shoulder movement and stability. When these muscles or tendons become inflamed or damaged, it can lead to significant pain and stiffness.
Poor posture or work habits can contribute to shoulder pain as well. Repetitive strain or overuse of the shoulder can cause discomfort and stiffness. Additionally, shoulder injuries such as dislocations or fractures can result in severe pain.
Manual therapy, including massage and physical therapy, can be highly effective in treating shoulder pain. Physiotherapy treatments, such as targeted exercises and stretches, can help alleviate pain and improve shoulder function. In cases of severe pain, pain relief medication or steroid injections may be necessary.
It’s crucial to seek medical attention if you experience severe pain, numbness, or tingling in your shoulder or arm. A healthcare professional can diagnose the underlying cause of your shoulder pain and recommend the most appropriate treatment plan.
In conclusion, shoulder pain is a common condition with various potential causes. Seeking medical attention for severe pain or stiffness is essential. With proper treatment, it is possible to alleviate pain and restore normal function to the shoulder joint.
What Causes Shoulder Pain?
Several factors can contribute to shoulder pain, including:
Injuries from Exercise and Repetitive Movements: Overuse of the shoulder muscles during exercise or repetitive activities can lead to strains and sprains.
Physiotherapy and Rehabilitation Stress: Inadequate or improper physiotherapy techniques may exacerbate shoulder issues.
Structural Issues: Conditions like rotator cuff tears, bursitis, and tendinitis result from wear and tear of the shoulder’s soft tissues.
Underlying Diseases: Arthritis and other degenerative diseases can cause chronic shoulder pain.
Because the shoulder is highly mobile, it relies on a complex interplay of muscles, tendons, and ligaments. When any of these components are compromised, pain can radiate to the neck, shoulder blade, arm, and even the hand. Various shoulder problems, such as impingement syndrome and labral tears, can also contribute to shoulder pain.
Shoulder Anatomy and Rotator Cuff Tendons
The Role of the Shoulder Joint in Pain Relief
The shoulder is a ball-and-socket joint held together by strong ligaments and a fibrous sleeve called the capsule. Four primary muscles, known as the rotator cuff, and their tendons provide stability and facilitate movement.
Rotator Cuff Muscles: These muscles are crucial for lifting and rotating the arm.
Ligaments and Capsule: They maintain joint stability.
Mobility vs. Stability: The shoulder’s extensive range of motion makes it more prone to injury compared to other joints.
Understanding the shoulder’s anatomy is vital for diagnosing issues and implementing effective pain relief strategies.
Voted by 1000's as the best London Shoulder Pain Treatment clinic
From fixing your shoulder impingement to full shoulder replacement rehabilitation, we’ve got you covered.
Book today and get expert sessions for instant pain relief and long-term shoulder pain rehabilitation.
Treating Shoulder Pain
Non-Invasive Treatments for Pain Relief
At One Body LDN, we prioritise non-invasive and drug-free treatments to alleviate shoulder pain:
Physiotherapy: Customised exercises and stretching routines to improve strength and flexibility. The effectiveness of these treatments for shoulder pain depends on the specific condition and severity of the symptoms.
Manual Therapy: Hands-on techniques to mobilise joints and soft tissues.
Massage Therapy: Reduces muscle tension and promotes circulation.
Electrotherapy: Uses electrical energy to reduce pain and accelerate healing.
Heat and Cold Therapy: Application of heat to relax muscles and cold to reduce inflammation.
These treatments aim to address the underlying cause of pain rather than just the symptoms.
Medical Treatments for Pain Relief
In some cases, medical intervention may be necessary:
Painkillers: Over-the-counter or prescribed medications to manage pain.
Steroid Injections: Reduce inflammation and provide temporary relief.
Surgery: Procedures like rotator cuff repair or joint replacement for severe conditions like advanced arthritis.
A thorough examination by a GP or specialist is essential to determine the most appropriate treatment plan.
Exercise and Physical Activity for Shoulder Health
Maintaining a Healthy Shoulder Blade
Regular exercise is crucial for shoulder health:
Gentle Stretching: Improves flexibility and reduces stiffness.
Strengthening Exercises: Targets the rotator cuff and surrounding muscles.
Posture Correction: Enhances alignment and reduces strain.
Customised Programs: Tailored exercises based on injury severity and mobility limitations.
Restoring normal movement is especially important after injuries like a shoulder dislocation to prevent future complications.
Preventing Future Shoulder Pain
Tips for Long-Term Pain Relief
Stay Active: Regular movement prevents stiffness and maintains joint health.
Consistent Exercise: Engage in shoulder exercises for at least 6-8 weeks to see improvement.
Pain Management: Utilise pain relief methods like heat packs or prescribed medications when necessary.
Avoid Aggravating Activities: Identify and modify activities that cause pain.
Maintain Good Posture: Proper alignment reduces unnecessary stress on the shoulder joint.
Implementing these practices can significantly reduce the risk of recurring shoulder pain.
Seeking Professional Help for Shoulder Pain
When to Consult a Physiotherapist or Healthcare Professional
Immediate consultation is advised if you experience:
Sudden, Severe Pain: Could indicate a serious injury like a fracture or dislocation.
Persistent Pain: Lasting more than two weeks despite self-care measures.
Limited Mobility: Difficulty moving the arm or performing daily tasks.
Signs of Infection: Swelling, redness, or warmth around the joint.
Early intervention by a physiotherapist can prevent further complications and facilitate a quicker recovery. At One Body LDN, our team is dedicated to designing personalised treatment plans to address your specific needs.
At One Body LDN, we are committed to helping you achieve optimal shoulder health. Our expert physiotherapists in London utilise evidence-based treatments to alleviate pain and restore function. Don’t let shoulder pain hold you back—contact us today to start your journey toward a pain-free life.
Shoulder Pain Physiotherapy FAQs
How Can I Tell If Shoulder Pain Is Serious?
Shoulder pain can vary from mild discomfort to severe distress. It’s crucial to recognize when it might indicate a serious issue:
- Sudden, intense pain that doesn’t improve with rest or over-the-counter pain relief.
- Inability to move the arm or shoulder without significant pain.
- Visible deformity or swelling around the shoulder joint.
- Numbness or tingling in the arm or hand.
- Persistent pain lasting more than two weeks.
If you experience any of these symptoms, it’s advisable to consult a healthcare professional or a physiotherapist at One Body LDN for a comprehensive evaluation.
How Do I Get My Shoulder to Stop Hurting?
To alleviate shoulder pain, consider the following steps:
- Rest: Avoid activities that exacerbate the pain.
- Ice and Heat Therapy: Apply ice to reduce inflammation and heat to relax muscles.
- Over-the-Counter Pain Relievers: Medications like ibuprofen can help manage pain and inflammation.
- Gentle Stretching: Perform light shoulder stretches to maintain mobility.
- Consult a Physiotherapist: Receive personalized treatment plans and exercises.
Our expert physiotherapists at One Body LDN can guide you through effective pain management strategies tailored to your condition.
Why Do I Have Shoulder Pain Out of Nowhere?
Sudden shoulder pain can result from:
- Overuse Injuries: Repetitive motions can strain shoulder muscles and tendons.
- Postural Issues: Poor posture can lead to muscle imbalances and pain.
- Underlying Conditions: Conditions like frozen shoulder or bursitis may develop gradually.
- Referred Pain: Issues in the neck or spine can manifest as shoulder pain.
Identifying the root cause is essential. A professional assessment at One Body LDN can help determine the underlying issue.
How to Diagnose Shoulder Pain at Home?
While a professional diagnosis is recommended, you can perform a basic self-assessment:
- Range of Motion Test: Gently move your shoulder in different directions to identify limitations.
- Pain Tracking: Note when the pain occurs and any activities that worsen it.
- Symptom Journal: Keep a record of symptoms, including stiffness, swelling, or weakness.
Use this information when consulting a physiotherapist for a more accurate diagnosis.
Which Doctor Is Best for Shoulder Pain?
For shoulder pain, consider consulting:
- Physiotherapists: Specialists in musculoskeletal issues who provide non-invasive treatments.
- Orthopedic Doctors: Physicians who specialize in the musculoskeletal system.
- General Practitioners (GPs): Can offer initial assessments and referrals.
At One Body LDN, our skilled physiotherapists are equipped to diagnose and treat shoulder pain effectively.
Who Is the Best Person to See for Shoulder Pain?
A physiotherapist is often the best first point of contact for shoulder pain. They can:
- Assess Your Condition: Determine the cause of pain through physical examination.
- Provide Treatment: Offer exercises, manual therapy, and other interventions.
- Refer to Specialists: If necessary, they can refer you to an orthopedic surgeon or specialist.
One Body LDN offers expert physiotherapy services to address your shoulder pain effectively.
Can Shoulder Pain Be a Symptom of Something Else?
Yes, shoulder pain can indicate other underlying issues such as:
- Neck Problems: Conditions like cervical radiculopathy can cause referred pain.
- Heart Conditions: Rarely, shoulder pain may be a symptom of heart disease.
- Gallbladder Issues: Referred pain to the shoulder blade area.
- Nerve Impingements: Compression of nerves can cause radiating pain.
It’s important to have persistent or unusual shoulder pain evaluated by a professional.
Who Should Treat Shoulder Pain?
Shoulder pain should be treated by professionals experienced in musculoskeletal health:
- Physiotherapists: For non-invasive treatment and rehabilitation.
- Orthopedic Specialists: For surgical evaluation if needed.
- General Practitioners: For initial assessment and referrals.
The team at One Body LDN provides comprehensive care for shoulder pain management.
What’s the Best Treatment for Shoulder Pain?
The best treatment depends on the cause but may include:
- Physiotherapy: Customized exercises and manual therapy.
- Medication: Pain relievers and anti-inflammatories.
- Injections: Corticosteroid injections to reduce inflammation.
- Surgery: In severe cases, surgical intervention may be necessary.
At One Body LDN, we focus on non-invasive physiotherapy treatments to alleviate shoulder pain.
How to Make Shoulder Pain Go Away?
To reduce shoulder pain:
- Rest: Limit activities that cause pain.
- Apply Ice or Heat: Use ice for inflammation and heat for muscle relaxation.
- Engage in Physiotherapy: Follow a tailored exercise program.
- Maintain Good Posture: Reduces strain on the shoulder muscles.
Consulting a physiotherapist at One Body LDN can provide a structured approach to pain relief.
Should I Stretch My Shoulder If It Hurts?
Gentle stretching can be beneficial, but it’s important to:
- Avoid Painful Movements: Do not force stretches that cause sharp pain.
- Warm-Up: Prepare muscles with light activity before stretching.
- Follow Professional Guidance: Use stretches recommended by a physiotherapist.
Our physiotherapists can provide safe stretching exercises suitable for your condition.
Why Do I Have a Constant Pain in My Shoulder?
Constant shoulder pain may be due to:
- Chronic Conditions: Such as arthritis or tendinitis.
- Repetitive Strain: From ongoing repetitive motions.
- Postural Issues: Leading to muscle fatigue and strain.
- Rotator Cuff Injuries: Tears or inflammation in shoulder tendons.
An assessment at One Body LDN can identify the cause and initiate appropriate treatment.
What Will a Physiotherapist Do for Shoulder Pain?
A physiotherapist will:
- Conduct an Evaluation: Assess your shoulder’s range of motion and strength.
- Create a Treatment Plan: Tailored exercises and therapies.
- Provide Manual Therapy: Techniques to improve mobility and reduce pain.
- Educate on Self-Care: Guidance on posture and activities to avoid.
At One Body LDN, our physiotherapists aim to restore function and alleviate pain efficiently.
Is Physical Therapy Good for Shoulder Pain?
Yes, physical therapy is highly effective for shoulder pain by:
- Reducing Pain and Inflammation: Through targeted exercises.
- Improving Mobility: Restoring full range of motion.
- Strengthening Muscles: Supporting the shoulder joint.
- Preventing Recurrence: Teaching techniques to avoid future injuries.
Our team at One Body LDN offers specialized physical therapy programs for shoulder rehabilitation.
How Do You Know If Shoulder Pain Is Muscle or Joint?
You can distinguish between muscle and joint pain by:
- Location of Pain: Muscle pain is often more widespread; joint pain is localized.
- Type of Pain: Muscle pain may feel like soreness or stiffness; joint pain is often sharper.
- Movement Impact: Joint pain may worsen with specific movements.
- Physical Examination: A physiotherapist can perform tests to identify the source.
A professional assessment at One Body LDN can accurately determine the cause of your pain.
Which Exercise Is Best for Shoulder Pain?
Effective exercises include:
- Pendulum Swings: Gently mobilizes the shoulder joint.
- Crossover Arm Stretch: Stretches the shoulder muscles.
- Wall Push-Ups: Strengthens shoulder stabilizers.
- External Rotation with Resistance Band: Enhances rotator cuff strength.
Always perform exercises under the guidance of a physiotherapist to ensure safety and effectiveness.
Can a Physiotherapist Help with Shoulder Pain?
Absolutely. A physiotherapist can:
- Diagnose the Cause: Identify the underlying issue causing pain.
- Provide Treatment: Use manual therapy and exercises.
- Offer Education: Teach proper movement techniques and posture.
- Prevent Future Injuries: Develop strategies to avoid recurrence.
At One Body LDN, our physiotherapists are skilled in treating various shoulder conditions.
Is Physical Therapy Worth It for Shoulder Pain?
Yes, physical therapy is worth it because it:
- Addresses Root Causes: Rather than just masking symptoms.
- Improves Functionality: Restores strength and mobility.
- Reduces Need for Surgery: Can eliminate the necessity for invasive procedures.
- Enhances Quality of Life: Allows a return to normal activities.
Investing time in physical therapy at One Body LDN can lead to long-term relief and improved shoulder health.
What Are the Physiotherapy Exercises for Shoulder Pain?
Common exercises include:
- Shoulder Rolls: Improves flexibility.
- Arm Circles: Enhances range of motion.
- Resistance Band Exercises: Builds strength.
- Scapular Squeezes: Strengthens upper back muscles.
Our physiotherapists will tailor an exercise program specific to your needs at One Body LDN.
How to Manage a Painful Shoulder?
Effective management includes:
- Rest and Modification: Adjust activities to reduce strain.
- Pain Relief Measures: Use ice, heat, or medication as advised.
- Physiotherapy: Engage in guided rehabilitation exercises.
- Posture Correction: Maintain proper alignment.
Seek professional guidance from One Body LDN to develop a comprehensive management plan.
Can Shoulder Pain Go Away with Exercise?
Yes, appropriate exercises can:
- Reduce Inflammation: By promoting blood flow.
- Strengthen Muscles: Providing better support to the joint.
- Improve Flexibility: Reducing stiffness and pain.
However, it’s important to perform the right exercises under professional supervision to prevent further injury.
How Long Does It Take for Shoulder Pain to Heal?
The healing time depends on:
- Severity of Injury: Minor strains may heal in a few weeks.
- Type of Condition: Chronic issues may take longer to manage.
- Treatment Compliance: Adherence to rehabilitation programs speeds recovery.
Your physiotherapist at One Body LDN can provide a more precise timeline based on your specific condition.
What Does a Physiotherapist Do for Shoulder Pain?
A physiotherapist will:
- Assess Your Condition: Through physical examination and history.
- Create a Personalized Plan: Including exercises and therapies.
- Implement Manual Techniques: To improve movement and reduce pain.
- Monitor Progress: Adjusting treatments as needed.
At One Body LDN, our goal is to facilitate your recovery efficiently and effectively.
How to Do Physiotherapy at Home for Shoulder?
To perform physiotherapy at home:
- Follow Professional Guidance: Get a program from a physiotherapist.
- Maintain Consistency: Perform exercises regularly as prescribed.
- Use Proper Techniques: Ensure exercises are done correctly to avoid injury.
- Monitor Pain Levels: Stop if you experience increased pain and consult your therapist.
Our physiotherapists can design a home exercise plan tailored to your needs.
What Is a Red Flag for Shoulder Pain?
Red flags indicating serious issues include:
- Severe, Unrelenting Pain: Not relieved by rest or medication.
- Night Pain: Pain that wakes you up or is worse at night.
- Systemic Symptoms: Fever, unexplained weight loss, or malaise.
- Neurological Signs: Numbness, tingling, or weakness in the arm.
If you notice any of these symptoms, seek immediate medical attention.
At One Body LDN, our London physiotherapy clinic is dedicated to providing expert care for shoulder pain. Contact us today to schedule an appointment and start your journey towards a pain-free life.

(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.)
Read our Editorial Standards here