Shoulder Pain? Managing Degenerative Shoulder Conditions: A Guide to Frozen Shoulder, Osteoarthritis, and Rotator Cuff Tears

By Physio@Home – Bringing Physiotherapy to Your Home in Mid Cornwall

Shoulder pain can be debilitating, limiting your ability to lift, reach, and perform daily tasks. Degenerative shoulder conditions, such as frozen shoulder, shoulder osteoarthritis, and rotator cuff tears, are common issues that develop as we age or due to wear and tear. At Physio@Home, we specialize in home-based physiotherapy services in Mid Cornwall, helping you manage these conditions in the comfort of your own home. Let’s dive into each of these conditions, covering symptoms, diagnosis, and treatment options.

Frozen Shoulder (Adhesive Capsulitis)

What is Frozen Shoulder?

Frozen shoulder, also known as adhesive capsulitis, is a condition where the shoulder joint capsule thickens and tightens, restricting movement. This can cause severe pain and limited range of motion, often progressing over several months.

Symptoms of Frozen Shoulder

Frozen shoulder typically develops in three stages:

1. Freezing Stage: Pain gradually worsens, and range of motion becomes limited.

2. Frozen Stage: Pain may decrease, but stiffness and restricted movement remain.

3. Thawing Stage: Movement slowly begins to return, and stiffness decreases.

   
   

Common symptoms include:

• Gradual onset of shoulder pain, often worse at night

• Difficulty with overhead movements, like reaching for a shelf

• Reduced range of motion in the shoulder

• Stiffness and a "stuck" feeling in the shoulder joint

Diagnosing Frozen Shoulder

A healthcare provider can diagnose frozen shoulder through a physical examination and your medical history. Imaging tests, like X-rays or MRIs, may be recommended to rule out other conditions.

Treatment for Frozen Shoulder

Physiotherapy plays a crucial role in managing frozen shoulder. At Physio@Home, we focus on pain relief, restoring range of motion, and strengthening the shoulder with exercises that are gentle yet effective. Treatments may include:

• Stretching exercises: To improve flexibility and reduce stiffness.

• Strengthening exercises: Gradual strengthening of the rotator cuff and surrounding muscles.

• Manual therapy: Gentle mobilization techniques help improve joint mobility and relieve pain.

• Heat and ice therapy: Heat relaxes the muscles, while ice helps with inflammation.

Shoulder Osteoarthritis

What is Shoulder Osteoarthritis?

Shoulder osteoarthritis occurs when the cartilage in the shoulder joint wears down over time, leading to pain, stiffness, and swelling. Although less common than osteoarthritis in the hips or knees, it can significantly affect mobility and quality of life.

Symptoms of Shoulder Osteoarthritis

• Deep, aching pain in the shoulder joint that may worsen with movement or weather changes

• Stiffness and reduced range of motion, making it difficult to lift or reach

• Grinding or popping sounds (crepitus) in the shoulder

• Swelling and tenderness around the joint

Diagnosing Shoulder Osteoarthritis

Diagnosis often involves a physical examination and imaging tests, such as an X-ray or MRI, to assess cartilage loss and joint condition.

Treatment for Shoulder Osteoarthritis

Managing osteoarthritis in the shoulder involves a combination of physiotherapy, lifestyle adjustments, and, in some cases, medication or surgical options. At Physio@Home, we develop a tailored treatment plan, which may include:

• Range of motion exercises: Gentle stretching to maintain flexibility in the shoulder.

• Strengthening exercises: Focusing on shoulder stabilizing muscles to support the joint.

• Manual therapy: Techniques to improve joint mobility and alleviate stiffness.

• Heat and ice application: Helps reduce pain and inflammation.

• Postural correction and activity modification: Adjustments to reduce joint strain.

In some cases, your physiotherapist may work with your GP to recommend injections or pain relief medication if symptoms persist despite conservative treatments.

Rotator Cuff Tears

What is a Rotator Cuff Tear?

The rotator cuff is a group of four muscles and tendons that stabilize the shoulder and allow for movement. Rotator cuff tears are a common degenerative condition, often caused by wear and tear or injury, especially in people over 40 or those engaged in repetitive overhead activities.

Symptoms of a Rotator Cuff Tear

• Dull ache deep in the shoulder, which may radiate down the arm

• Weakness when lifting or rotating the arm

• Difficulty performing activities like combing hair or lifting objects overhead

• Clicking or popping sounds when moving the shoulder

Diagnosing a Rotator Cuff Tear

A physical examination, followed by an MRI or ultrasound, is often used to confirm a rotator cuff tear and assess its severity.

Treatment for Rotator Cuff Tears

Physio@Home can help you manage a rotator cuff tear, focusing on pain reduction, improving shoulder function, and, if possible, avoiding surgery. Treatment may involve:

• Range of motion and strengthening exercises: To restore function and prevent further degeneration.

• Manual therapy: Techniques like soft tissue massage and mobilization to relieve pain and improve flexibility.

• Activity modification: Avoiding activities that worsen symptoms and learning techniques to protect the shoulder.

• Shoulder stability exercises: Strengthening the muscles that support the rotator cuff and scapula.

If symptoms don’t improve or the tear is severe, your physiotherapist may coordinate with your healthcare provider regarding further options, including surgical repair.

General Tips for Managing Degenerative Shoulder Conditions

In addition to physiotherapy, here are some home-based tips to help you manage shoulder pain:

1. Stay Active with Low-Impact ExercisesActivities like walking, swimming, or cycling help maintain overall fitness without placing excess strain on the shoulder.

2. Use Proper PostureAvoid slumping forward, especially during prolonged sitting. Proper posture reduces stress on the shoulder joint and surrounding muscles.

3. Use Heat or Ice for Pain ReliefApplying ice can help reduce inflammation, especially after activity, while heat relaxes muscles and eases stiffness.

4. Pace YourselfAvoid overuse by pacing yourself and listening to your body. Alternate between activity and rest to avoid straining your shoulder.

5. Practice Gentle Stretching DailyGentle shoulder and arm stretches can prevent stiffness and maintain range of motion.

   
   

Working with Physio@Home for Shoulder Health

At Physio@Home, we understand that shoulder pain can be life-altering. We’re dedicated to providing personalized, home-based physiotherapy services across Mid Cornwall, helping you manage shoulder conditions in the comfort of your home. Our team will work with you to develop a comprehensive treatment plan tailored to your specific needs, empowering you to regain function, reduce pain, and improve your quality of life.

Ready to take control of your shoulder health? Contact Physio@Home today to book your at-home physiotherapy session and start your journey toward pain relief and mobility.

Disclaimer: This post is for educational purposes only. Please consult a healthcare provider for a diagnosis and before starting any treatment program.