Why shoulders get painful
The shoulder trades stability for range: it moves in more directions than any other joint, and the rotator cuff, a group of four muscles and their tendons, does much of the work of keeping it centred. When those muscles are irritated, weak, or not working in step with the shoulder blade, everyday reaching can start to hurt.
Shoulder pain can also come from the neck, from a stiff joint capsule, or from an injury such as a fall. Telling these apart is the first job of your evaluation.
Warning signs to get checked by a doctor
See a doctor promptly, rather than starting with physical therapy, if you have:
- Shoulder pain after a fall or accident and you cannot lift your arm
- A shoulder that looks deformed or that you think has dislocated
- Left shoulder or arm pain with chest pressure, shortness of breath or sweating (call 911)
- Shoulder pain with fever, or a hot, red, swollen joint
Your first visit
Your first visit is a one-on-one evaluation by our Doctor of Physical Therapy. We ask how and when the pain started, which movements bring it on, and how it affects sleep and work. Then we test range of motion, strength in different positions, the shoulder blade, and the neck.
You leave with a clear explanation, a written plan of care, and a few movements you can start at home. If anything suggests you need imaging or a physician visit, we tell you.
Rehab without surgery
For many shoulder problems, a plan may include:
- Hands-on treatment to ease stiffness and guarding as part of your session
- Progressive strengthening for the rotator cuff and shoulder blade muscles
- Gradual return to reaching, lifting and overhead work
- Adjustments to sleep positions and desk or work setup
- Cupping or dry needling when they suit your plan; dry needling is performed only by Dr. Sean Chen, PT, DPT
Rehab after rotator cuff repair or shoulder surgery
After rotator cuff repair or shoulder stabilization surgery, the repair needs time to heal, and your surgeon’s protocol sets what is allowed in each phase: how long the sling stays on, when you can move the arm on your own, and when strengthening begins. We follow that protocol and tailor everything within it to you.
Bring your surgeon’s instructions, your surgery date and your sling to your first visit. If anything in your recovery looks off, we contact your surgeon’s office.
Care with room to breathe
Shoulder rehab is detailed work, and small changes in how you lift your arm make a difference. Each clinician at Direct PT of Huntsville works with no more than 2 patients at a time, and sessions commonly run 45 to 60 minutes. We are at 3200 Robinson Creek Parkway, Suite B, Huntsville.