Shoulder pain is a problem I see everyday in practice life. It is debilitating as it is often accompanied by restricted movement and, for most people, it is very difficult to shrug off. A recent study into shoulder pain by British Tameside founda substantial prevalence of around 14% of people questioned had current symptoms. Wider statistics show that only about 40-50% of people with shoulder pain consult a primarycare physician or GP for it.


Women seem to have more shoulder problems than men, with the frequency of shoulder pain increasing with age. People at high riskof shoulder pain include those working as cashiers, garment workers,welders, and bricklayers, often due to their repetitive nature, and those who work with pneumatic tools. Hairdressers, plasterers,packers, and people who work for long hours at computers, are also at highrisk, this relates to repetition and maintained shoulder elevation.


The shoulder complex is actually made up of 4 joints, not just 1. Most of the movement comes from the large ball and socket joint at the top of the arm bone, allied to that is the joint between the chest bone and the collar bone, the collar bone and the shoulder blade, and finally the shoulder blade and the rib cage. These joints allow the shoulder to achieve huge ranges and types of movement whilst also being supportive in times of need. Where the shoulder differs from the hip is this large range of unrestricted movement, but this comes at the cost of some loss of strength, particularly when it is used incorrectly.


To help keep the shoulder supple the normally strong ligaments have been replaced by muscles that are designed not for movement, but for active support. These you may have heard of, they are the rotator cuff muscles. They are designed to contract/ support the ball and socket joint where ever the arm happens to be, be it unscrewing a light bulb or just reading a newspaper.


Shoulder pain is, more often than not, in some way linked to one or more of these muscles, either because they are too weak, to short, to stretched or perhaps damaged in some way through poor use or trauma. Shoulder position and flexibility are paramount to shoulder health. For specific advice on shoulder pain please contact me via the details below.


For more information on clinic gift vouchers, osteopathy or treatment at Bingham Osteopathic Clinic please call me, Tristan Hill B.Ost, on 07835596870



Tristan Hill B.Ost