Shoulder Pain & Injury
BeachLife Physio • 4 January 2021
Shoulder Pain & Injury
Shoulder pain is a very common problem. It can occur due to traumatic injury such as a fall or during contact sport, or as random and gradual onset of pain.
Shoulders + Injuries:
- A dislocation most commonly occurs with a fall onto the shoulder or on an outstretched arm.
- Repetitive throwing in sport may cause ligaments to become more lax over time causing shoulder instability or labral tears.
- Tendinopathies and impingement occurs when load is placed on the muscles, tendons, or joint that exceed it's capacity.
Common shoulder injuries/pathologies:
- Dislocation / subluxation
- Impingement ('subacromial pain syndrome')
- Rotator cuff tendinopathy
- Rotator cuff tear (traumatic or degenerative change with age)
Why are shoulders susceptible to pain and injury?
- The shoulder joint is one of the most mobile joints in the body.
- To allow for the amount of mobility the shoulder needs, it compromises on it's stability.
- Due to this, the joint relies heavily on the soft tissue for stability, primarily the rotator cuff muscles.
Relevant anatomy of the shoulder:
- The rotator cuff muscles lie on either side of the shoulder blade and attach into the head of the arm. Their job is to stabilise the joint as you move your arm about.
- The shoulder is closely linked to the neck and thoracic spine through nerve innervation and musculature and can often be the cause of shoulder pain.
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