Shoulder joint is most complex joint and is most vulnerable due to its flexibility however it is well supported by the mesh of rotator cuff muscles which offers 360 degree of freedom unlike any other joint in the body. The most common shoulder injuries presenting in a musculoskeletal outpatient are Frozen shoulders, rotator cuff injuries, subacromial impingements, bursitis and post traumatic injuries. Frozen shoulder or Adhesive capsulitis are divided in three stages – painful stage, stiff stage and recovery stage which can last upto two years. Physiotherapy has major role in each stage and reducing the pain and stiffness and shoulder rehabilitation to restore its function. Rotator cuff injury is one of the most common shoulder injury which could be caused due to occupational or sports injuries.
Rotator cuff are group of muscles holding the head of the humerous in the joint socket. Minor strains and partial tears can be treated with physiotherapy rehabilitation programme. Some serious rotator cuff injuries may need surgical intervention however that would require intensive rehabilitation to restore functional movements after the surgery. We work very closely with shoulder consultants and follow their specific protocols to accelerate the recovery of the patients. Impingements in the shoulder joint could be caused due to poor joint mechanics and various structures including rotator cuff and bursa. Our physiotherapists are trained to use numerous evidence based testing techniques to differentiate these structures and treat them. We currently offer Ultrasound treatment, sports specific shoulder rehabilitation, post-surgical shoulder rehabilitation, acupuncture, manual therapy and soft tissue manipulation for shoulder treatments at Thames River Physiotherapy. Our lead physiotherapist, Ravi Shanker has special interest in treating shoulder injuries and is continuously improving his knowledge and skills in shoulder rehabilitation. He is currently working towards extending his scope as sonographer and injection therapist to be able to offer advanced diagnosis and treatment to the patients at Thames River Physiotherapy.