At our physiotherapy clinic in Cambridge we understand the shoulder is a complex area of the body, comprising the glenohumeral joint (shoulder joint) which is formed by the head of the humerus and the glenoid socket of the scapula (shoulder blade). In order for it to move effectively, an extensive group of ‘shoulder girdle’ muscles work closely together to time the movement of both the scapula and the head of the humerus correctly and therefore produce ‘normal’ shoulder movement. The timing and co-ordination of this muscle firing is vital to ensure that movement patterns do not go wrong, however the balance frequently becomes upset, causing altered shoulder movement which leads to pain during activity and problems with function. The stability of the joint also relies upon the integrity of its ligaments, labrum (cartilage) and joint capsule in order to secure the ball in the socket whilst allowing normal movement to take place.
Pain in the shoulder and the shoulder girdle is very common, effecting 15% to 25% of people in the 40-50 year age brackets. With increasing life expectancy, an ageing population who remain active, age related degeneration is a growing factor in rotator cuff injuries. A large percentage of the work force is desk bound, leading to poor, and weak posture through bending over a screen and the stress levels that come with the information being received.
Factors that can influence shoulder pain:
1. Weakness in the muscles surrounding the shoulder blade.
2. Rounded shoulders, head sitting forward, roundness in the thoracic spine.
3. Instability in the shoulder joint.
4. Previous injury, including dislocation of the joint, or dislocation of the clavicle [collar bone].
5. Muscle imbalances.
When you come for treatment at our clinic in Cambridge first we take a full history. On visiting on practice for the first time we believe that we need the whole story to get the treatment right for you. This is followed by practical, hands on examination; from this we will discuss our findings, insights and a bespoke treatment plan will be devised and shared with you.
We can never give a figure for how many treatments will be needed as we are constantly assess you – the patient. Generally we feel the patient should notice an improvement after 4 treatments
Chronic and Acute back Pain
Back problems are the nation’s largest cause of sickness absence and one of the most common musculoskeletal complaints. Though back pain is a generic term, affecting most people at one or more times in their lives, there are many underlying causes and the symptoms can vary hugely, being dependent upon the source of the pain, its pattern and history of onset.
Low back pain is the second leading symptom for which adult patients consult their GP. Disorders of the low back are the leading cause of disability in the under 45 year′s bracket. It is thought that at least 98% of low back pain comes from muscular dysfunction in and around the spine. Problems arise through sustained muscle contraction rather than a structural pathology. Recent analysis of treatments for LBP showed that massage therapy was the most effective for persistent back pain.
Factors that can influence low back pain:
- Lifestyle, i.e. working position, obesity, excessive driving
- Functional factors, i.e. posture, joint dysfunction, muscle imbalances, de-conditioning, fatigue, altered movement patterns, emotional tension
- Structural factors i.e. pelvis and abdominal disorders, vascular diseases, congenital anomalies
When you come for treatment at our physiotherapy clinic in Cambridge first we take a full history. On visiting our physiotherapy practice in Cambridge for the first time we believe that we need the whole story to get the treatment right for you. This is followed by practical, hands on examination; from this we will discuss our findings, insights and a bespoke treatment plan will be devised and shared with you.
We can never give a figure for how many treatments will be needed as we are constantly assess you – the patient. Generally we feel the patient should notice an improvement after 3 treatments