Monday, June 27, 2022
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St Helens Clinic 01744 738369

Penketh Clinic 01925 748537

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Upper limb problems can cause difficulty with day-to-day activities including work and sports. We can help with conditions such as a frozen shoulder, tennis or golfers elbow (even if you don’t play tennis or golf!) or carpal tunnel syndrome. Shoulder pain is very common and is often caused by poor muscle control around the shoulder. We will fully assess your shoulder movements and look at how you control your shoulder blade. We will then plan a course of treatment for you based on your lifestyle.

Shoulder pain is very common

Common Conditions



A frozen shoulder (also known as adhesive capsulitis) is a painful and stiff shoulder. The cause often remains unknown. A frozen shoulder follows a specific pattern in which the shoulder becomes very painful and after a period of time, the pain eases but the patient will notice a gradual loss of movement. All movements of the shoulder will be restricted resulting in difficulties with daily activities.


Physiotherapy will be aimed at easing your pain and gradually restoring your movement by gently stretching and specific treatments aimed at improving the mobility of the joint. You will also be given exercises to do at home to try to maintain and improve your movement and functional ability.


Instability of the shoulder can be due to trauma or may be due to the inability of the muscles to control movement of the shoulder. Follwing initial assessment, the phyiotherapist will discuss how we can help to control your movement and improve your function. Treatment will be based on improving the control of your shoulder blade and the strength of the muscle that both support and move the shoulder (the rotator cuff). We may use equipment to aid your strengthening programme and a Swiss ball to improve the co-contraction of muscles around the shoulder. If specific muscles are working too hard, treatment and exercises will aim to reduce this over-activity, hence ensuring that you move your shoulder in a normal pattern to prevent pain and recurrence of symptoms.

Occupational health

Our physiotherapists work closely with several large organisations to provide treatment for employees, some of who suffer from wrist and lower arm pain. This can be as a result of using a computer for long periods of time. We are able to expertly assess your condition and provide treatment to settle your symptoms, we can also give you advice on your workstation seating position.