What our patient’s say…
“I was in full training for a triathlon when my intense shoulder pain stopped me from swimming. Robert Griffiths (aka Bob) had fixed my lower back 3 years ago, so I went back to see if he could work his magic on my arm too! The results were astonishing, in under a week my shoulder was pain free, doing my rehab and he even altered my swimming stroke to prevent the pain coming back. Fast results are what matter to people like me, so I recommend him to all my friends” Alistair Dobson, Trader and Triathlete
Everyday at Pro Performance, we help people achieve long-term relief from shoulder pain. It is one of the most common injuries we see amongst our athletic patients. Swimmers, rugby players, gym goers, tennis and squash players all regularly suffer from shoulder pain. We use proven modern treatment and rehab techniques to relieve your pain and return you to training stronger than ever.
The rotator cuff is the group of muscles and tendons that surround the shoulder joint. The rotator cuff keeps the joint in the correct position, allowing it to move in a controlled way. There are different types of rotator cuff conditions, we have listed the main ones below:
Rotator cuff tendinopathy (aka rotator cuff tendonitis)
Rotator cuff impingement syndrome
Rotator cuff tears
All of these rotator cuff conditions cause very similar symptoms, including shoulder pain at the front, side or back of your joint, pain when lifting your arm and pain when lying on the shoulder. The shouder pain is usually dull in nature, yet becomes sharper when moving the arm.
Painful rotator cuff problems are due to damaged tendons and muscles around the shoulder joint. There are a number of ways these can become injured. Most commonly:
Overuse – Any sport which uses the arms can cause this type of shoulder pain. e.g. swimming, golf, tennis, squash, lifting weights, boxing etc.
Poor posture – Sitting at a desk for prolonged periods of time with poor posture can irritate the rotator cuff.
Trauma – A knock or fall on this area can cause shoulder pain.
At Pro Performance, we always look beyond the obvious cause of your shoulder pain. For example, if you are a tennis player with a rotator cuff problem; we assess your technique and equipment, review your training program for errors and analyse your shoulder biomechanics whilst hitting the ball. This ensures we address the root cause of your shoulder pain, not just the symptoms.
Following a full case history and physical exam, we’ll guide you through which type of rotator cuff injury you have. X-rays and MRI scans are usually unnecessary for this condition, but can be useful if you don’t respond to treatment or you have a severe injury that may require surgery.
Early treatment for shoulder pain improves your chances of recovery. At Pro Performance Clinics, we treat the cause and the symptoms of your shoulder pain simultaneously, returning you to training asap.
1. We relieve the painful shoulder tendons and muscles using Active Release Technique(TM), Neuro Muscular Re-education(TM), medical acupuncture, myofascial stretching, athletic taping and ultrasound.
2. We mobilise and stretch the painful shoulder joint to restore normal function.
3. We strengthen the weak rotator cuff and spinal muscles supporting the shoulder.
4. We always correct the underlying cause of your shoulder pain: e.g. weak rotator cuff muscles, poor posture, sports technique errors etc.
Your shoulder pain is very different to everyone else’s, so your treatment plan will be uniquely tailored to suit your individual condition.
Preventing rotator cuff pain is simple. We guide you through an easy to follow exercise program that strengthens your shoulder, back and core stabilising muscles. We also adjust any faulty technique or training habits you may have, allowing you to exercise without pain.
The shoulder joint is a ball-and-socket joint. The top of your upper arm bone (humerus) is the ball, which fits into the socket of your shoulder blade. Shoulder instability occurs when the ball does not move correctly in the socket. This can range from a slipping or catching sensation in your shoulder, to a full dislocation where the ball comes out of the socket completely.
Shoulder instability symptoms can be vague. People with shoulder instability often describe symptoms that are similar to having a ‘dead arm’, such as:
Shoulder fatigue (tiredness)
Clicking, locking or popping sensations
There are two main types of shoulder instability:
- Traumatic: The shoulder is forced out of place by a sudden impact, often the result of an accident e.g. rugby tackle, cycling crash
- Non-traumatic: The shoulder gradually moves out of place over time which occurs as a result of repetitive arm movements, e.g. throwing sports or swimming.
Following a full case history and physical exam, we’ll let you know if you have shoulder instability. X-rays and MRI scans are usually unnecessary for this condition unless a fracture or cartilage tear is suspected. They can be useful if you don’t respond to treatment or you have a severe injury that may require surgery.
Treatment for shoulder instability is focused on very specific exercises to increase the control and strength of the shoulder, back and chest muscles.
1. We treat the unstable shoulder for any muscular restrictions using Active Release Technique(TM), Neuro Muscular Re-education(TM), medical acupuncture, myofascial stretching and ultrasound.
2. We will show you tailored home strengthening exercises and taping techniques to stabilise your painful shoulder.
3. We’ll also guide you through postural retraining, workplace ergonomics, sports technique improvements and training schedule planning.
Please note, that your shoulder pain and instability is different to everyone elses. So we will treat you depending on your individual problem.
Full rehabilitation is the key to preventing shoulder pain and instability issues in the future. We will guide you through this step by step until your shoulder is stronger than before.
The acromioclavicular joint is the joint at the top and front of your shoulder (not the ball-and-socket joint). Acromioclavicular joint disorders include:
Acromioclavicular ligament strain or rupture
Acromioclavicular joint dislocation/partial dislocation
Mild to severe shoulder pain and restricted movement in the front and top of the arm/shoulder. Whilst resting, the shoulder pain is dull then becomes sharp once the arm or joint is moved.
A/C joint problems usually occur in people who play contact or racquet sports. Alternatively, a fall when skiing, snowboarding or cycling may cause damage to the A/C joint and shoulder pain. We also see people with wear and tear degeneration in the A/C joint, normally caused by repeated use of the joint, e.g. long distance swimmer.
An A/C joint disorder is provisionally diagnosed following a full case history and physical exam. If a fracture is suspected, x-rays are necessary. If the joint is dislocated, it may look visibly out of position. We will guide you through your problem, informing you which is the best course of action to improve your shoulder pain.
Treatment for A/C joint conditions focuses on stabilising and supporting the injured joint. Then uses specific rehab exercises to return a full range of motion and strength to the shoulder.
1. Following a full case history and physical exam. We treat the painful joint using medical acupuncture, ultrasound and Active Release Technique(TM), joint taping and mobilisation.
2. We strengthen the muscles surrounding the joint, using a tailored exercise programme.
3. We will discuss simple lifestyle and exercise changes that will accelerate your recovery.
Please note, that your shoulder pain is unique and we will treat you depending on your individual problem.
Ensuring you injury is fully healed and rehabilitated is essential to prevent your A/C joint problem and shoulder pain from recurring. We will guide you through a specific rehab program, returning you to training stronger than before.
See also other conditions we treat.