Shoulder Pain

Shoulder Pain

Black and white photo of a person's shoulder and collarbone area, highlighting skin texture and shadows.

Shoulder pain can be frustrating, limiting your ability to perform daily tasks, exercise, or even sleep comfortably. Whether your pain is from an injury, overuse, or underlying conditions, understanding its cause is the first step toward relief. Here’s a guide to common shoulder injuries and how physical therapy can help

  • The rotator cuff is a group of four muscles that help move and stabilize the shoulder. Injuries can range from minor inflammation to partial or full tears, causing pain and weakness.

    Symptoms:

    • Pain when reaching overhead or behind your back

    • Weakness when lifting or carrying objects

    • Clicking or popping sounds in the shoulder

    Common causes:

    • Repetitive overhead movements (sports, work)

    • Aging & wear-and-tear

    • Trauma (falling on an outstretched arm)

  • Tendinitis: Inflammation of a tendon due to overuse or repetitive motion.

    Tendinosis: Long-term degeneration of the tendon, often due to aging or untreated tendinitis.

    Symptoms:

    • A dull, aching pain in the shoulder

    • Pain that worsens with movement, especially overhead motions

    • Shoulder weakness or stiffness

    Common causes:

    • Overuse in sports or work (swimming, tennis, painting)

    • Poor posture, leading to strain on the tendons

    • Repetitive stress over time without proper recovery

  • This happens when the rotator cuff tendons and bursa get pinched between the shoulder bones. If left untreated, it can progress to tendinitis or rotator cuff tears.

    Symptoms:

    • Pain when lifting the arm overhead or reaching behind your back

    • Weakness or limited range of motion

    • Discomfort when lying on the affected shoulder

    Common causes:

    • Poor posture

    • Overuse from repetitive overhead activities

    • Weak rotator cuff muscles

  • The bursa is a small, fluid-filled sac that reduces friction between the bones and soft tissues of the shoulder. When inflamed, it can cause pain, swelling, and tenderness.

    Symptoms:

    • Pain with movement or pressure on the shoulder

    • Swelling or tenderness around the joint

    • Stiffness, making it hard to lift the arm

    Common causes:

    • Repetitive overhead movements

    • Injury or trauma to the shoulder

    • Poor posture causing friction in the joint

  • The labrum is a cartilage ring that deepens the shoulder socket. A SLAP (Superior Labrum Anterior to Posterior) tear happens when this cartilage is damaged, leading to instability and pain.

    Symptoms:

    • Deep shoulder pain, especially when reaching overhead

    • Clicking, popping, or grinding sensations

    • Weakness or feeling like the shoulder might “give out”

    Common causes:

    • Repetitive overhead movements (throwing sports, weightlifting)

    • Falling on an outstretched arm

    • Heavy lifting or sudden jerks on the shoulder

  • A dislocated shoulder happens when the upper arm bone pops out of the socket. If this happens frequently, it can cause chronic instability and increase the risk of labral tears.

    Symptoms:

    • Shoulder feels like it slips out of place

    • Pain and weakness, especially in overhead motions

    • Numbness or tingling if nerves are involved

    Common causes:

    • Trauma (falls, car accidents, sports injuries)

    • Loose ligaments (hypermobility conditions)

    • Previous shoulder dislocation

  • This condition happens when the shoulder capsule thickens and tightens, restricting movement. It often develops after an injury or surgery when the shoulder is not moved enough.

    Symptoms:

    • Gradual pain & stiffness that worsens over time

    • Difficulty raising your arm overhead or behind your back

    • Shoulder feels “locked” or “frozen”

    Common causes:

    • Injury, surgery, or prolonged immobilization

    • Diabetes (higher risk factor)

    • Autoimmune response (body attacking joint tissues)

  • Arthritis in the shoulder happens when the cartilage wears down over time, leading to joint pain and stiffness.

    Symptoms:

    • Persistent, dull aching pain

    • Stiffness & reduced range of motion

    • Clicking or grinding sounds (crepitus)

    Common causes:

    • Osteoarthritis (wear-and-tear arthritis)

    • Rheumatoid arthritis (autoimmune condition)

    • Past shoulder injuries leading to early degeneration

Man doing push-ups with suspension straps in a gym.
Person doing reverse prayer pose in yoga, back view, wearing black fitness attire, in a bright room.

How Physical Therapy Can Help

A physical therapist will complete a comprehensive evaluation and create a customized program to address your needs. The goal is to restore normal mobility and strength to the shoulder and maximize function. Treatments and programs may include:

  • Manual Therapy – Hands-on techniques to improve mobility and reduce pain.

  • Progressive Exercise – Strengthening and conditioning programs tailored to your recovery.

  • Modalities – Ice/heat and electrical stimulation to support healing.

  • Flexibility and Postural Strengthening – Targeted exercises to improve posture and prevent future injuries.

  • Body Mechanics Training – Education on proper movement patterns to reduce strain.

  • Dry Needling – Advanced technique to alleviate muscle tension and improve circulation.

  • Return to Throwing Program – Specialized rehabilitation for athletes recovering from shoulder injuries.

  • Sports Performance & Rehab – Tailored training programs to optimize movement and prevent reinjury.