Pain despite physiotherapy | Shoulder pain – the right physiotherapy

Pain despite physiotherapy

Physiotherapy should help to relieve shoulder pain and, if possible, to eliminate its cause in the long term. Nevertheless, it often happens that the pain actually gets worse at first. The lesion, the wear and tear in the joint or structures or the muscle tension are symptoms that in most cases have existed for a long time and which may have a long history of poor posture and incorrect weight bearing.

Muscle building training acts on the still unstable joint and on the inadequate musculature, which worsens the symptoms before they can get better, as muscle building takes weeks or months. In addition, a chronic inflammation of a tendon, for example, can be made to heal by causing the inflammation to flare up again, which stimulates the metabolism of this tendon. Physiotherapy is therefore not always expected to provide short-term relief from shoulder pain, but should have a medium- and long-term effect.

Nevertheless, in some cases it may be useful to reconsider the therapeutic approach together with the doctor if no conservative therapy has helped to relieve the pain in the long term or if the injury is too severe. Shoulder pain is one of the most common complaints in orthopedics and physiotherapy, since the shoulder is the most mobile joint in the body, but its range of motion means that it loses stability.Shoulder pain can be caused by various structures, including muscle tendons such as the biceps tendon or supraspinatus tendon, by bursae or joint degeneration (arthrosis).