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Unit 4 Ashgrove Industrial Estate, Kill Avenue, Dún Laoghaire, Dublin, A96 HP90
Monkstown Movement Clinic
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The Shoulder

The Shoulder

The shoulder is a common injury site. There is so much movement in the joint, that as a result, it lacks stability. Broadly speaking, the most frequent types of shoulder issues will fall into one of three categories.

If you are suffering with a shoulder issue, ask yourself:

  1. Is it weak?
  2. Is it stiff?
  3. Is it unstable?

Understanding this will help with the diagnosis, rehab and treatment and the exercise plan.

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Weak shoulders can often be as a result of a rotator cuff injury or shoulder impingement. Picture your shoulder as a ball and socket joint made up of our clavicle (collar bone), shoulder blade (scapula) and humerus (upper arm bone). We need enough space for the ball to move around  – for when we reach our arm up in the air or behind our back. If the muscles that produce this movement get damaged or overused, they may not function the way we want them too. This can cause inflammation and pain resulting in a reduction in the space needed for our shoulder to move around freely. This can then cause pain with certain movements and lead to weakness through disuse. When this pattern continues, we can be left with a weak, painful shoulder that can really restrict us during the day.
Unstable shoulders are generally a result of some type of trauma. This could be a fall on an outstretched arm or sports injury that leads to shoulder dislocation or subluxaton – loss of continuity between the ball of the humerus and the socket of the joint. The vast majority of shoulder dislocations occur when the arm moves forward out of the socket. Sometimes these injuries can be relocated at the time of injury or they may require a visit to the emergency department. Unfortunately, even after the injury has been fully rehabbed, it can still be common for shoulders to ‘pop’ in and out. This can naturally be extremely painful and frustrating and really impact on people – limiting their work, home and sporting life.
read our shoulder pain blog
Stiff shoulders can be caused by arthritis and adhesive capsulitis, or frozen shoulder as it is commonly called. Arthritis affects the cartilage of the joint which can cause pain and reduce range of motion. Frozen shoulder also affect the joint and can cause pain and stiffness. Loss of movement in the shoulder can lead to loss of arm function. This can hugely impact simple day to day activities such as washing your hair, putting on a seat belt or reaching up to a high cupboard. And it can put a halt to some recreational activities such as swimming, golf, tennis, yoga and pilates.
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How can Physiotherapy help?

  • Give a clear and accurate diagnosis
  • Provide a specific treatment plan to address pain, function and movement
  • Devise an exercise plan to progress rehab at home
  • Help you to eliminate pain and achieve your goals
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5 star review on Google

Highly recommend Graham at Monkstown Movement Clinic. He managed to determine the cause of my long-term pain so was able to create a recovery programme completely unique to my lifestyle and injury. Super friendly and welcoming and a very comfortable space in the new clinic in lovely Monkstown.

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Alison

Graham was a sports physio for my former rugby team some years back, and when an old injury flared up he was very quick to make himself available to help. It had been a number of years since I had attended physio and I was slightly out of the loop as to who to call...

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Conor

I sought Graham’s help to address a problem with stiffness in legs following a period of hospitalisation. He gave me a program of exercises which were easy to follow using an App. He kept in touch with me and with his encouragement and support, I regained full fitness in my legs. I have no hesitation...

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John

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