A 44-year-old woman came to Downtown physiotherapy clinic with a gradual onset of pain in her left shoulder. She mentioned that she has been using crutches for a month following her knee surgery, and the pain has been ongoing since then. The pain has been getting worse over time, and it has started to affect her range of motion and her ability to use the crutches. This, in turn, has been impacting her daily activities. She clarified that she did not experience any trauma or injury to her shoulder. The pain persists throughout the day and even affects her sleep when she lies on the same side. She described the pain as sharp and constant, with certain movements making it worse. Overhead activities and carrying objects have become difficult for her. Currently, she is not able to work due to her ongoing medical conditions. She mentioned that she has been taking over-the-counter pain medication, but it has not been providing much relief. X-rays of her shoulders revealed early degenerative changes in her right shoulder, while her left shoulder appeared normal.

We have identified she has a rotator cuff injury in her left shoulder.

Our approach involves combining essential physical techniques with evidence-based rehabilitation concepts to effectively restore optimal range of motion, as well as strengthen and stabilize the rotator cuff and scapula.

She was seen six times over three weeks, resulting in the cessation of her shoulder pain. Her muscles displayed good length and movement.

Our approach involves combining essential physical techniques with evidence-based rehabilitation concepts to effectively restore optimal range of motion, as well as strengthen and stabilize the rotator cuff and scapula.