Category Archives: Blog

How to Treat Arm Shoulder Pain

At its most serious arm or shoulder pain can be a symptom of angina or to a heart attack.

Arm and shoulder pain that is combined with the inability to use the arm, any loss of sensation, or includes paleness of the hands or fingers needs prompt medical evaluation.

Arm and shoulder pain that is accompanied by redness, fever, neck stiffness, or that occurs after an accident should also be evaluated promptly by a doctor.

For other types of arm or shoulder pain, the general rule of thumb is to rest the arm and shoulder for 24 hours and then begin to very gently use the arm, putting it through its’ entire range of motion to prevent “frozen shoulder”.

The application of heat and ice treatment is also recommended along with physical therapy and shoulder exercises.

For further information please see the following articles:

Arm Shoulder Pain

Frozen Shoulder

Shoulder Treatment

Shoulder Tendonitis and Ultrasound

Shoulder Tendonitis

Shoulder tendonitis occurs when the shoulder tendons, which attach the muscles to the bone, become inflamed. Tendonitis is an extremely painful shoulder condition that if untreated can result in decreased mobility. Shoulder tendonitis can also cause Frozen Shoulder due to the lack of movement resulting from the pain and inflammation of the area.


Ultrasound for shoulder tendonitis is used daily around the world as a first line treatment.

Ultrasound works by producing a high frequency sound wave. Ultrasound treatments take only 3-5 minutes to perform and there is usually no discomfort to the patient.

There are a several benefits of treating shoulder pain with ultrasound. Ultrasound waves produce heat and increase blood flow to the damaged tissues. This increase in blood flow brings oxygen to the injured area and raises the tissue metabolism. Chronic inflammation and pain are decreased as the increased blood flow helps to remove tissue waste. The tissues begin to heal and joint mobility is increased as a result.

For more information and advice about shoulder tendonitis and ultrasound treatment click the links below:

Shoulder Tendonitis and Ultrasound Treatment

Shoulder Tendonitis

How to Treat Golf Shoulder Pain

I treat several top international golf players for shoulder injuries, and also see lots of amateur golfers.

For professional players and keen amateurs alike, their dedication to the sport often wears their muscles out, especially in people over 40.  Golfers have long been sufferers of shoulder impingement

Shoulder impingement will initially feel like a sore shoulder, but its pain will gradually grow, often increasing when the arm is raised.

If you are dedicated and willing to work, the recovery time can be quick.  Simply rest, apply ice to the injured arm, and exercise.  Exercise will play a large part in your success, increasing your blood flow, enhancing movement, and continuing mobility.

For further information about shoulder impingement click below:

Shoulder Impingement

How to Treat Baseball Rotator Cuff Tear

Rotator cuff tears are the most common baseball shoulder injury that I treat in my clinics.

One of America’s greatest sports, baseball is hard on athletes, harming pitchers, basemen, and outfielders as they forcefully throw, catch, and bat.

Each of these actions focuses on the rotator cuff, and as players age or overexert themselves, their cuff begins to fray, eventually splitting and tearing.

After the rotator cuff heals it becomes more susceptible to injury.  Applying ice, and physical therapy are the best ways to get, and keep, your shoulder in shape after suffering a rotator cuff tear. Shoulder surgery may be required in more serious cases. Click Below for more information about baseball shoulder injuries and treatment.

Shoulder Pain and Baseball

How to Use Low Weights to Work Rotator Cuff Muscles

One of the biggest mistakes I see with gym users and athletes who attempt to strengthen their rotator cuff is that they usually use weights which are too heavy.

This simply loads the deltoid which takes all the weight, and the rotator cuff muscles do not benefit. There becomes an imbalance between a very strong deltoid, and weak rotator cuff muscles. I see this in some of the  top Olympic Weightlifters and Powerlifters that I treat, and it ultimately leads to injury.

When exercising the rotator cuff muscles the following suggestions will help you to maximize their potential while minimizing the damage:

•    Choose your weight carefully.  Because the rotator cuff muscles are so small, using an oversized weight can put undue strain on the deltoid.  Ideally you should not use a weight heavier than 3 kg (6.6 lbs.).

•    Do not start off with a heavier weight.  Start light and gradually work with increasing weight.

•    Keep the movement slow and controlled.  Faster is not better.

•    Keep your wrists neutral.

•    Warm up before and after exercise to allow the muscles to function more efficiently.

Swim to Improve Your Shoulder Mobility

Swimming is fantastic for shoulder stability, strength and mobility. Its great for a cardio workout, and its low impact.

Exercising in water, including swimming, is great to way to increase the range of mobility of the shoulder. If you shoulder is just stiff, but not painful, front crawl and backstroke are great strokes to extend the range of movement.

Breastroke is the safest of the strokes, because unless your shoulder is very stiff, you should be able to keep the shoulder well within its comfort zone.

Butterfly is the stroke that should be avoided for any shoulder pain sufferer as you are very likely to take your shoulder beyond its comfortable range.

How to Use a Sling After Shoulder Surgery

After shoulder surgery, you may well be prescribed a sling to support the shoulder, and also to warn other people that you have an injured shoulder. The latter is particularly important when being in crowded areas where its likely people will bump into you.

A sling can also have a negative effect however, so should not be worn all the time unless specifically advised by your doctor or physical therapist.

The shoulder is designed to move, so immobilizing it with a sling can cause secondary stiffness or frozen shoulder. This is not great news for anyone recovering from shoulder surgery.

My advice is to follow the instructions of your consultant surgeon. If he or she hasn’t given you advice about how to use your shoulder sling, then ask them.

How to Relieve Frozen Shoulder Pain

The exact cause of frozen shoulder is unknown, but there are way to reduce frozen shoulder pain. One of the best ways to ease the pain of a frozen shoulder is ice.

Ice can reduce inflammation, relax the muscle, and increase mobility.  Just grab a Ziploc bag and fill it with ice, a pack of frozen vegetables, or an ice pack and place it directly where you ache.  A useful tip is to wrap the ice in a cloth.

Get the ice situated and try not to move for 10 minutes as the ice massages your frozen shoulder.  It is best to do this at least twice a day, but it can be done every time you feel your pain peak.  It is a healthy way to minimize pain, and it gives you a way to increase shoulder mobility.

After the ice has been applied, try to stretch the shoulder or do shoulder exercises, because your arm has been numbed and the pain will be reduced.  You will still be working out your muscle, and in many cases you will be given a chance to reach further because your pain has been minimized.  Also, apply ice directly before bedtime to ensure a good night’s sleep.

Shoulder Inflammation Sufferer?

Are you suffering from shoulder inflammation, frozen shoulder inflammation or rotator cuff inflammation?

With shoulder inflammation, the joint area accumulates an excessive amount of fluid. The demand for blood supply within inflamed tissue is much higher than the actual blood supply. In this case, the treatment should be directed towards reducing the swelling.

In other words, we need to treat the causes of shoulder inflammation rather than its symptoms.


Rotator Cuff Injury Just From Throwing a Ball?

Often my patients can’t believe how simple everyday activities have caused their shoulder injury. Sometimes just throwing something like a baseball or basketball, can cause a shoulder injury such as a Rotator Cuff Injury.

When throwing the you are susceptible to a shoulder sprain or shoulder strain and you can develop an inflammatory condition of the rotator cuff.

So, the answer, despite many patients’ disbelief, is Yes, you can suffer a rotator cuff injury from just throwing a ball!