The shoulder is a very complex structure involving a ball and socket joint, a joint between the collar bone and shoulder blade, a joint between the chest bone and collar bone and movement of the shoulder blade on the chest wall.The interaction of many muscle groups on these joints are necessary to produce co-ordinated shoulder and arm movement. The stability of the shoulder joint is dependant not only on muscles but also ligaments, capsule and cartilage.
There are many disorders that can cause shoulder pain the most common of which are listed below :-
Frozen shoulder: A disorder in which the capsule of the shoulder becomes inflammed and then contracts causing restricted movement. Often of spontaneous onset with no known cause but can be triggered by injury or surgery. There is an increased chance you will develop a frozen shoulder if you are diabetic.
Impingement/ Rotator Cuff: This is where the tendons are rubbed under the arch of the shoulder causing tendonitis ( inflammation of the tendon ) or bursitis ( inflammation of the bursa - the fluid filled sac cushioning the tendons against the bone). There are many possible causes of impingement but it can be caused by overuse, injury, tight shoulder structures, bony pathology or poor posture.
Shoulder Instabilty: This is when there is excessive movement of the ball within the socket particularly during movement. During movement this can be felt as a clunk and in some cases can be severe enough to result in dislocation. This can follow an injury where damage has been done to the stabilising structures, or it can be due to muscle patterning when there is a disorder of the rhythm of the muscles acting on the shoulder which cause the ball to be pulled out of joint.
Glenohumeral Osteoarthrits: This is wear and tear in the either the ball or socket ( or both)
Acromioclavicular Joint Disorders: Osteoarthritis - wear and tear in the joint between the collar bone and shoulder blade. Strains or dislocation of this joint due injury.
Traumatic injury: Muscles tears / dislocations / fractures
An accurate in depth assessment is essential for any shoulder problem as there are many factors to be taken into consideration including mechanism of injury, mode of onset, occupation, hobbies, postural stresses.
The spine is made up of 3 parts, Lower back (Lumbar); mid back (thoracic) and neck (cervical). There naturally should be small curves in the spine lumbar and cervical lordosis and thoracic kyphosis. For the spine to work well, the bones (vertebrae), discs, ligaments, muscles, nerves and other soft tissues all have to work in harmony together. The spine is quite complex and has many stresses placed on it during normal movement and activities of daily living. This is why it is the most common cause for anyone going to see their GP.
Disc degeneration is a normal aging process, but we at Physio at The Lodge, recognise that it can cause some people back pain, which can vary in its intensity. Treatment to ensure the spine and hips/shoulders are working to there best ability, reduces the stresses on the disc and therefore can help reduce/abolish your pain. Often when you have back or neck pain, you become de-conditioned and we can work with you to establish an appropriate exercise programme. You would be advised on posture and ergonomics specific to your work and hobbies.
A disc can prolapse, (slipped disc) and cause pain to radiate into either your leg (sciatica) or your arm (brachalgia). Physiotherapy can help reduce the irritation to the nerve by using various techniques including soft tissue techniques, mobilisation or manipulation.
Other conditions we treat are spondylosis; spondylolisthesis, facet joint, following spinal surgery, soft tissue injuries, pregnancy related back pain and pelvic girdle dysfunction.
Back pain can become chronic and cause you to limit or stop doing some of your normal activities and we at Physio at The Lodge recognise this can affect your mood and can make you feel low. Our team of expert physiotherapists will help you get back in control of your life.
It is common during or after pregnancy. You may experience pain at the back and/or front of your pelvis, during activities such as climbing stairs, walking, turning over in bed and getting in/out of the car.
It is a mechanical problem, usually caused by a change in alignment or movement in the pelvic joints. This can be treated during and after pregnancy. The treatment is usually a combination of manual therapy and exercises, following a thorough assessment.
The hip joint is the largest joint in the body and supports your body when you are standing and walking/running. It is a strong, sturdy joint. Current research tells us that hip function is incredibly important with regard to the health of your Spine and control of the lower limbs. Osteoarthritis of the hip is very common and physiotherapy can help to maintain its movement and strength. If you require a Total Hip replacement, treatment is very useful both pre and post operatively to maximise the recovery and outcome. Trochanteric bursitis is a common problem which also responds well to treatment to address the biomechanics and cause of the symptoms. Sporting injuries such as groin strain respond well to physiotherapy.
The knee joint is a complex joint which is often the cause of pain for many people, both young and old. Physiotherapy can help with recovery from ligament injuries; mal-tracking knee cap due to muscular imbalances (anterior knee pain); Osgood- Schlatter and associated syndromes; osteoarthritis; pre and post op arthroscopic surgery and ultimately total knee replacements. Knee pain of a non-traumatic origin is typically a result of faulty biomechanics, which responds very well to conservative Physiotherapy management. The use of K Tape is extremely useful in the management of many types of knee pain.
The ankle joint is commonly injured traumatically during sporting activities and responds well to active rehabilitation. Interestingly once you have twisted an ankle you are much more likely to twist it again, unless you address your recovery fully. Flat feet; plantar fasciitis; following fractures and Achilles tendonitis also respond well to a combination of biomechanical assessment, soft tissue treatments, K tape and biomechanical rehabilitation. Electrotherapy may also be used as part of treatment in acute injuries. Sometimes your feet may require orthotics; custom made inner soles that help correct your foot posture, we can provide these when required.
Read more testimonials
After years of pain and discomfort and seeing numerous Dr’s, Specialists and Physio’s I’d just about given in to the fact that I’d never be without this pain/discomfort. After just one session with Richard I came away feeling refreshed and hopeful I could be normal again. He recognised my issues almost instantly (which numerous others had missed)and explained everything clearly – a complete breathe of fresh air. I’d have no hesitation in recommending him to anyone.
We have a reputation for excellence locally as each member of our team has many years experience working in the field of musculoskeletal disorders both in and out of the NHS.
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