Vestibular rehabilitation – Active Pulse Physiotherapy (2024)

Post-Surgical Rehabilitation

What is Post-Surgical Rehabilitation?

Post-surgical rehabilitation is a crucial phase of recovery after surgery, designed to restore strength, mobility, and function while reducing pain and promoting healing. Surgery, whether for a joint replacement, ligament repair, or spinal operation, often requires a structured rehabilitation program to ensure optimal recovery and prevent complications such as stiffness, muscle atrophy, or re-injury.

At Active Pulse Physiotherapy, we specialize in providing comprehensive post-surgical rehab programs that are tailored to the type of surgery you’ve undergone and your individual needs. Our goal is to guide you safely through each stage of recovery, helping you regain mobility, strength, and confidence in your movements.

Common Types of Surgeries Requiring Rehabilitation

1. Joint Replacement Surgeries
   • Hip Replacement: Total or partial hip replacements are often performed for individuals with severe arthritis or hip fractures. Post-surgical rehab focuses on restoring mobility and strength in the hip and surrounding muscles.
   • Knee Replacement: After total or partial knee replacement surgery, rehabilitation is essential to restore range of motion and strength in the knee joint.
   • Shoulder Replacement: Rehabilitation after shoulder replacement surgery aims to improve shoulder mobility, reduce pain, and restore the function of the rotator cuff and deltoid muscles.
2. Ligament and Tendon Repairs
   • ACL Reconstruction: After surgery to repair or reconstruct the anterior cruciate ligament (ACL) in the knee, post-surgical rehabilitation is crucial for restoring knee stability and preventing future injuries.
   • Rotator Cuff Repair: Following rotator cuff surgery, rehab focuses on restoring shoulder mobility, strength, and function while protecting the repaired tendon.
3. Spinal Surgeries
   • Spinal Fusion: After spinal fusion surgery, post-surgical rehab focuses on restoring mobility, core strength, and flexibility while preventing further strain on the spine.
   • Discectomy or Laminectomy: These procedures to remove part of a herniated disc or spinal bone require careful rehabilitation to restore proper posture, reduce pain, and prevent future spinal issues.
4. Fracture Repairs
   • ORIF (Open Reduction and Internal Fixation): After surgical treatment of fractures, such as those in the ankle, wrist, or femur, rehabilitation focuses on restoring strength and function while promoting healing of the bone.
5. Arthroscopic Surgeries
   • Knee or Shoulder Arthroscopy: Minimally invasive surgeries to repair cartilage, ligaments, or tendons require a structured rehab program to restore joint function and reduce the risk of re-injury.
6. Other Surgeries
   • Foot or Ankle Surgery: Surgeries such as bunion removal, Achilles tendon repair, or foot fractures benefit greatly from physiotherapy to restore walking ability, balance, and strength.
   • Hand and Wrist Surgery: Post-surgical rehab for conditions like carpal tunnel release, tendon repairs, or wrist fractures focuses on restoring hand function, dexterity, and grip strength.

How Active Pulse Physiotherapy Can Help with Post-Surgical Rehabilitation

At Active Pulse Physiotherapy, we provide customized rehabilitation programs for patients recovering from surgery. Our experienced team of physiotherapists will guide you through each stage of your recovery, ensuring that you regain your strength, flexibility, and mobility while minimizing the risk of complications.

1. Comprehensive Assessment and Personalized Treatment Plan

The first step in our post-surgical rehabilitation process is a detailed assessment of your condition. We will:

• Review your surgery: We work closely with your surgeon’s recommendations and post-operative guidelines to ensure that our rehabilitation program aligns with your specific needs.
• Evaluate your mobility and strength: Assessing your current range of motion, muscle strength, and functional abilities will help us develop a personalized treatment plan.
• Set clear recovery goals: Based on your surgery and your lifestyle needs, we will establish realistic short- and long-term goals for your recovery, including pain management, mobility restoration, and return to daily activities.

2. Pain Management and Swelling Reduction

In the early stages of recovery, managing pain and reducing swelling is crucial. We use a variety of modalities to help with this, including:

• Cold therapy (cryotherapy): Applying cold packs or ice to the surgical area helps reduce swelling and inflammation in the immediate post-operative phase.
• Heat therapy: Heat may be applied later in the recovery process to improve circulation and promote tissue healing.
• Electrical stimulation (TENS): This modality helps to manage pain and promote muscle activation around the surgical site.
• Manual lymphatic drainage: A specialized hands-on technique to reduce swelling and improve the removal of excess fluid in the surgical area.

3. Range of Motion and Flexibility Restoration

After surgery, it’s common for the operated area to become stiff or lose flexibility. Our physiotherapists use a variety of techniques to restore mobility, including:

• Joint mobilization: Gentle, hands-on techniques to improve joint flexibility and reduce stiffness.
• Stretching exercises: Gradual stretching of the muscles and soft tissues surrounding the joint to regain full range of motion.
• Active and passive movements: We guide you through exercises that improve mobility while ensuring you do not stress the healing tissues.

4. Strengthening and Muscle Activation

Once mobility begins to improve, strengthening exercises are introduced to restore muscle function and prevent weakness. Our physiotherapists will design a progressive exercise program that includes:

• Muscle activation: Exercises designed to re-engage muscles that may have weakened or atrophied after surgery.
• Functional strength training: Focused on building strength in the muscles that support the operated joint or area, ensuring proper movement mechanics and joint stability.
• Core and balance exercises: For surgeries involving the spine, hips, knees, or legs, strengthening the core and improving balance is essential to preventing falls and re-injury.

5. Gait Training and Functional Rehabilitation

If your surgery has affected your ability to walk, stand, or perform daily tasks, our physiotherapists will guide you through functional rehabilitation exercises. This includes:

• Gait training: Improving your walking pattern and correcting any compensations you may have developed post-surgery.
• Assistive device training: Teaching you how to use crutches, walkers, or canes effectively, if needed.
• Functional training: Gradual return to activities like climbing stairs, sitting, standing, or getting in and out of bed, with a focus on safe and correct movements.

6. Manual Therapy

Our physiotherapists may use manual therapy techniques to aid in recovery, including:

• Soft tissue massage: To release tight muscles and improve circulation around the surgical area.
• Scar tissue mobilization: Gentle techniques to improve the flexibility and mobility of scar tissue, preventing adhesions that can limit movement.
• Joint mobilization: To improve mobility in the operated joint and surrounding areas.

7. Education and Self-Management Strategies

Our goal is to empower you with the knowledge and tools to continue your recovery at home. We’ll provide:

• Home exercise programs: Customized exercises that you can perform on your own to continue building strength and flexibility between physiotherapy sessions.
• Posture and body mechanics training: Teaching you the proper ways to move, sit, and stand to avoid placing unnecessary strain on the operated area.
• Pain management techniques: Including when to use heat or ice, how to manage discomfort, and tips on improving sleep quality after surgery.

8. Return to Work, Sports, or Daily Activities

As your recovery progresses, we’ll gradually incorporate exercises that help you return to your normal daily activities, work, or sports. This phase of rehabilitation focuses on:

• Sport-specific exercises: For athletes, we design programs that simulate the movements and demands of your sport, helping you return safely to play.
• Work-related rehabilitation: For individuals returning to physically demanding jobs, we provide job-specific exercises to prepare you for lifting, carrying, or other tasks.
• Functional independence: Our goal is to help you regain full independence, whether it’s walking without crutches, driving, or returning to your usual routine.

Tennis Elbow

What is Tennis Elbow?

Tennis elbow, or lateral epicondylitis, is a common condition that causes pain around the outside of the elbow. Despite its name, tennis elbow is not limited to tennis players. It can affect anyone who performs repetitive movements of the forearm, wrist, or elbow, leading to small tears in the tendons that attach to the lateral epicondyle of the elbow. These microtears cause inflammation, pain, and tenderness around the affected area.

Common Causes of Tennis Elbow

Tennis elbow is often caused by repetitive strain or overuse of the muscles and tendons in the forearm that control wrist and hand movements. It can result from activities such as:

• Playing tennis or other racquet sports.
• Repetitive manual labor (e.g., carpentry, plumbing, or painting).
• Office work that involves extensive use of a computer mouse or keyboard.
• Repetitive gripping or twisting motions (e.g., using tools, gardening).

Symptoms of Tennis Elbow

• Pain and tenderness on the outside of the elbow.
• Weakness in the forearm or difficulty gripping objects.
• Pain that worsens with forearm or wrist movements, such as lifting, gripping, or twisting.
• Discomfort when extending the arm fully or shaking hands.

How Active Pulse Physiotherapy Can Help with Tennis Elbow

At Active Pulse Physiotherapy, we specialize in treating tennis elbow using a combination of hands-on therapy, exercises, and patient education. Our approach focuses on reducing pain, improving strength and flexibility, and preventing future recurrences. Here’s how we can help:

1. Comprehensive Assessment

We begin with a thorough assessment to diagnose the severity of your tennis elbow. This includes evaluating your elbow and forearm movements, assessing the strength and flexibility of your muscles, and identifying any contributing factors, such as improper movement patterns or repetitive tasks.

2. Manual Therapy

Our physiotherapists use hands-on techniques to alleviate pain and improve mobility. These include:

• Soft Tissue Massage: Targeting the muscles and tendons around the elbow and forearm to reduce tension and inflammation.
• Joint Mobilization: Gentle movements to improve the flexibility and alignment of the elbow joint, which can relieve pain and restore normal function.
• Myofascial Release: Releasing tight fascia (connective tissue) around the elbow and forearm muscles to promote healing.

3. Stretching and Strengthening Exercises

Rehabilitation for tennis elbow involves restoring strength and flexibility to the muscles and tendons in the forearm. Our physiotherapists will guide you through specific exercises, including:

• Stretching Exercises: Targeting the forearm muscles to reduce tension and improve flexibility, allowing the tendons to heal.
• Eccentric Strengthening Exercises: These exercises focus on slowly lengthening the muscles as they contract, which has been shown to be particularly effective in treating tendinopathy.
• Grip Strength Exercises: Strengthening your grip helps improve forearm stability and reduces the strain on the tendons around the elbow.

4. Shockwave Therapy

For chronic cases of tennis elbow that do not respond to conventional treatment, we offer shockwave therapy. This non-invasive treatment involves applying high-energy sound waves to the affected area to stimulate healing, reduce pain, and promote tissue regeneration.

5. Dry Needling and Acupuncture

Dry needling or acupuncture may be used to relieve pain and reduce muscle tension in the forearm. These techniques involve inserting thin needles into trigger points or tight muscles to release tension and promote blood flow, accelerating the healing process.

6. Taping and Bracing

We may use specific taping techniques or recommend the use of an elbow brace to provide support and reduce strain on the forearm muscles and tendons during activities. This can help alleviate pain and prevent further injury while you heal.

7. Education and Activity Modification

To prevent future episodes of tennis elbow, our physiotherapists provide education on modifying your daily activities to reduce strain on your elbow. We may suggest:

• Ergonomic Adjustments: For those whose tennis elbow is caused by desk work, we can provide ergonomic advice to improve your posture and reduce strain on your forearm and wrist.
• Technique Improvement: For athletes or individuals involved in repetitive tasks, we offer guidance on proper techniques to avoid overuse injuries in the future.

8. Chiropractic Care

For patients with alignment or joint issues contributing to their tennis elbow, our chiropractors offer gentle adjustments to ensure that the elbow, wrist, and shoulder joints are functioning correctly. This can help alleviate pressure on the tendons and muscles, promoting faster healing.

9. Massage Therapy

Massage therapy can help relieve tension and improve circulation in the forearm and elbow, which can accelerate the healing process and reduce pain. Our massage therapists use deep tissue massage, trigger point therapy, and myofascial release to target the affected areas and promote recovery.

Why Choose Active Pulse Physiotherapy for Tennis Elbow Treatment?

• Personalized Treatment Plans: We create a customized rehabilitation plan based on your specific condition and recovery goals.
• Multidisciplinary Team: Our team of physiotherapists, chiropractors, and massage therapists works together to provide a comprehensive, holistic approach to your care.
• Hands-On Care: We believe in a hands-on approach that includes manual therapy, exercise, and education to promote long-term recovery.
• Focus on Prevention: Our goal is not only to treat your current symptoms but also to prevent future recurrences by addressing the root cause of your tennis elbow.

If you’re experiencing tennis elbow, Active Pulse Physiotherapy is here to help. Our expert team will work with you to relieve pain, restore function, and get you back to the activities you enjoy. Contact us today to schedule an appointment and start your recovery journey!

Tendinitis and Bursitis

What is Tendinitis?

Tendinitis is the inflammation or irritation of a tendon, the thick fibrous cords that connect muscles to bones. Tendons are crucial for joint movement, but overuse, injury, or stress can cause them to become inflamed. Tendinitis often results from repetitive motions in activities such as sports, manual labor, or improper body mechanics during everyday tasks. Common areas affected by tendinitis include the shoulder (rotator cuff), elbow (tennis or golfer’s elbow), knee (patellar tendon), and Achilles tendon.

What is Bursitis?

Bursitis is the inflammation of the bursae, which are small, fluid-filled sacs that cushion the bones, tendons, and muscles near joints. Bursae help reduce friction and allow for smooth movement. Bursitis occurs when these sacs become irritated due to repetitive motion, direct pressure, or injury, resulting in pain and restricted movement. Common areas affected by bursitis include the shoulder, elbow, hip, and knee.

Both conditions can cause pain, swelling, and limited mobility, significantly impacting daily activities. At Active Pulse Physiotherapy, we provide personalized treatments to help relieve the symptoms of tendinitis and bursitis, promote healing, and prevent recurrence.

Common Causes of Tendinitis and Bursitis

1. Overuse and Repetitive Motion
   • What is it? Repetitive movements in sports, work, or daily activities can place excessive strain on tendons and bursae, leading to inflammation.
   • Symptoms: Gradual onset of pain, swelling, and stiffness in the affected joint, often worsening with activity.
2. Injury or Trauma
   • What is it? Sudden injuries or direct impact to a joint can lead to inflammation of the tendons or bursae, causing acute pain and swelling.
   • Symptoms: Immediate pain, swelling, and difficulty moving the affected joint.
3. Poor Posture or Biomechanics
   • What is it? Improper posture or poor movement patterns, especially during physical activities, can place excessive stress on certain joints and tendons, leading to tendinitis or bursitis.
   • Symptoms: Chronic or recurring pain that worsens with specific activities or postures.
4. Age-Related Changes
   • What is it? As we age, tendons lose elasticity and become more prone to injury, making tendinitis more common in older adults. Similarly, bursae can become less effective in cushioning joints, leading to bursitis.
   • Symptoms: Persistent pain, stiffness, and reduced range of motion in the affected joint.
5. Underlying Conditions
   • What is it? Conditions such as arthritis, gout, or diabetes can increase the risk of developing tendinitis or bursitis.
   • Symptoms: Pain, inflammation, and swelling in multiple joints, often accompanied by other systemic symptoms.

Symptoms of Tendinitis and Bursitis

• Pain: Often localized to the affected tendon or joint, and worsens with movement or activity.
• Swelling: The area around the tendon or bursa may become swollen, red, or warm to the touch.
• Stiffness: Difficulty moving the affected joint, particularly after rest or in the morning.
• Weakness: In some cases, tendinitis or bursitis may cause muscle weakness or reduced strength in the affected area.
• Tenderness: The area may be tender to the touch, and pressing on the tendon or bursa may cause sharp pain.

How Active Pulse Physiotherapy Can Help with Tendinitis and Bursitis

At Active Pulse Physiotherapy, we offer a comprehensive approach to treating tendinitis and bursitis, focusing on reducing pain, improving mobility, and preventing recurrence. Our treatment plans are customized to each patient’s specific condition, activity level, and recovery goals.

1. Comprehensive Assessment and Diagnosis

Our first step in treating tendinitis or bursitis is a thorough assessment of your condition. This includes:

• Medical history review: Understanding the onset of your symptoms, any activities that may have contributed to the condition, and previous injuries or treatments.
• Physical examination: Assessing the range of motion, strength, and areas of tenderness in the affected joint.
• Functional testing: Identifying specific movements or activities that aggravate your symptoms.

If necessary, we may refer you for imaging tests such as X-rays or ultrasounds to confirm the diagnosis and rule out other conditions.

2. Manual Therapy

Manual therapy is an essential part of our treatment approach, focusing on relieving pain and restoring mobility. Techniques we use include:

• Soft tissue mobilization: Hands-on massage and myofascial release to reduce tension and inflammation in the surrounding muscles and tendons.
• Joint mobilization: Gentle movements to improve the range of motion in the affected joint and reduce stiffness.
• Trigger point therapy: Targeting specific areas of muscle tightness or knots to relieve pain and improve function.

3. Targeted Exercise Program

Strengthening and stretching exercises are key components of your recovery plan, helping to restore function and prevent future injuries. Our physiotherapists will design a personalized exercise program that includes:

• Strengthening exercises: Focused on rebuilding strength in the muscles that support the affected tendon or joint. This reduces the strain on the tendon or bursa and promotes long-term recovery.
• Stretching exercises: Gentle stretches to improve flexibility in the affected area and reduce stiffness, preventing further injury.
• Range of motion exercises: Gradual movements designed to restore full movement in the joint without causing additional stress on the inflamed tissues.

4. Pain Relief Modalities

To help manage pain and inflammation, we may use a variety of modalities, including:

• Heat or ice therapy: Applying heat or cold packs to reduce pain and inflammation in the tendon or bursa.
• Ultrasound therapy: Using sound waves to promote tissue healing and reduce inflammation in deeper tissues.
• Electrical stimulation (TENS): A technique that uses mild electrical currents to block pain signals and promote muscle relaxation.

5. Ergonomic and Postural Education

Our physiotherapists provide guidance on how to modify your activities to prevent further strain on the affected tendon or bursa. This includes:

• Postural correction: Teaching you how to maintain proper posture during daily activities, work, or sports to reduce stress on your joints and tendons.
• Ergonomic adjustments: Recommending changes to your workstation, footwear, or equipment to improve body mechanics and prevent flare-ups.

6. Taping or Bracing

In some cases, taping or bracing may be used to provide additional support to the affected joint or tendon, reducing stress and allowing the tissues to heal. Techniques such as kinesiology taping can help relieve pain and improve mobility during recovery.

7. Education and Self-Care Strategies

We believe that education is essential for long-term recovery and prevention. Our physiotherapists will teach you:

• Home exercise routines: To continue building strength and flexibility between sessions.
• Self-care techniques: Including when to use heat or ice, how to modify your activities, and strategies to manage pain and inflammation at home.

8. Injury Prevention

Our treatment doesn’t end with recovery. We provide long-term strategies to help you avoid future episodes of tendinitis or bursitis, including:

• Gradual return to activity: We’ll guide you in safely resuming your work, sports, or daily activities to avoid re-injury.
• Strength and flexibility maintenance: We’ll create a maintenance exercise program that focuses on keeping the affected area strong and flexible, reducing the risk of recurrence.

Why Choose Active Pulse Physiotherapy for Tendinitis and Bursitis?

At Active Pulse Physiotherapy, we take a patient-centered approach to treating tendinitis and bursitis, focusing on hands-on care, personalized treatment plans, and long-term recovery. Our team provides:

• Tailored treatment plans: Based on your specific condition, goals, and activity level.
• Experienced physiotherapists: Our therapists are skilled in treating musculoskeletal conditions, including tendinitis and bursitis, using the latest evidence-based techniques.
• Patient education: We empower you with the knowledge and tools to manage your condition and prevent future injuries.

Whether you’re dealing with chronic tendinitis or an acute episode of bursitis, we’re here to help you recover quickly and safely, and get back to your favorite activities, pain-free. Let Active Pulse Physiotherapy guide you through your healing journey, with comprehensive care and support.

Shoulder Pain

Understanding Shoulder Pain

The shoulder is a highly mobile joint that allows for a wide range of motion, making it prone to injury and pain. Shoulder pain can arise from issues with the muscles, tendons, ligaments, or bones that support and move the shoulder joint. Pain in the shoulder can affect daily activities, such as lifting objects, reaching overhead, or even sleeping, and can vary from mild discomfort to severe, debilitating pain.

At Active Pulse Physiotherapy, we specialize in diagnosing and treating shoulder pain using a holistic approach that targets the root cause of the pain and provides long-lasting relief.

Common Causes of Shoulder Pain

1. Rotator Cuff Tendinitis
   • What is it? The rotator cuff is a group of muscles and tendons that stabilize the shoulder joint. Overuse, repetitive motions, or strain can cause inflammation of these tendons, leading to pain and limited mobility.
   • Symptoms: Pain when reaching overhead or behind the back, weakness in the shoulder, and difficulty lifting objects.
2. Rotator Cuff Tear
   • What is it? A rotator cuff tear occurs when one or more of the tendons in the rotator cuff are torn, either partially or completely. This can happen due to overuse or an acute injury.
   • Symptoms: Sharp pain, weakness, difficulty lifting the arm, and limited range of motion.
3. Shoulder Impingement Syndrome
   • What is it? Impingement occurs when the tendons of the rotator cuff become compressed between the bones in the shoulder, leading to inflammation and pain.
   • Symptoms: Pain when lifting the arm, reaching overhead, or lying on the affected shoulder.
4. Frozen Shoulder (Adhesive Capsulitis)
   • What is it? Frozen shoulder is a condition that causes stiffness and pain in the shoulder joint due to inflammation and thickening of the joint capsule. It usually develops gradually and can last for months to years.
   • Symptoms: Progressive stiffness, reduced range of motion, and persistent pain, especially at night.
5. Bursitis
   • What is it? Shoulder bursitis is the inflammation of the bursa (small fluid-filled sacs) in the shoulder, which cushion the tendons and bones. This condition can result from overuse, injury, or repetitive motions.
   • Symptoms: Pain and tenderness in the shoulder, especially with overhead movements or pressure on the shoulder.
6. Shoulder Arthritis
   • What is it? Arthritis in the shoulder occurs when the cartilage in the joint wears down over time, causing pain, stiffness, and reduced range of motion. Osteoarthritis is the most common type affecting the shoulder.
   • Symptoms: Dull, aching pain, stiffness, and difficulty with shoulder movement.
7. Shoulder Dislocation or Instability
   • What is it? Shoulder dislocations occur when the upper arm bone (humerus) comes out of the shoulder socket. This can cause instability in the joint, leading to recurrent dislocations or subluxations (partial dislocations).
   • Symptoms: Severe pain, a visibly deformed shoulder, and an inability to move the arm. Instability may cause a feeling of the shoulder “slipping” out of place.
8. Tendinitis
   • What is it? Inflammation or irritation of the tendons in the shoulder, often due to repetitive activities or overuse.
   • Symptoms: Pain with movement, stiffness, and tenderness along the tendon.
9. Labral Tears
   • What is it? The labrum is a ring of cartilage that surrounds the shoulder socket. A tear in the labrum can result from acute injury, repetitive shoulder motions, or dislocation.
   • Symptoms: Pain, clicking, or locking in the shoulder, especially during overhead activities.

Symptoms of Shoulder Pain

• Pain: Either localized in the shoulder or radiating down the arm, which can vary from sharp to dull.
• Stiffness: Difficulty moving the shoulder, particularly when reaching overhead or behind the back.
• Weakness: Feeling of instability or weakness in the shoulder, making it hard to lift or carry objects.
• Swelling or tenderness: Inflammation in and around the shoulder joint.
• Limited range of motion: Difficulty moving the shoulder through its full range of motion.
• Clicking or popping sounds: Often associated with labral tears or rotator cuff issues.

How Active Pulse Physiotherapy Can Help with Shoulder Pain

At Active Pulse Physiotherapy, we offer evidence-based, individualized treatment plans to address the root causes of your shoulder pain. Our goal is to relieve pain, restore mobility, and improve function, allowing you to return to your normal activities without discomfort.

1. Comprehensive Assessment and Diagnosis

Our first step in treating shoulder pain is a detailed assessment to identify the specific cause of your pain. This includes:

• Medical history review: Discussing your symptoms, previous injuries, and activities that may have contributed to the condition.
• Physical examination: Assessing your shoulder’s range of motion, strength, and areas of pain or tenderness.
• Specialized tests: Performing functional tests to identify the underlying issue, such as impingement, rotator cuff tears, or instability.

If needed, we may refer you for imaging tests, such as X-rays, ultrasounds, or MRIs, to get a clearer picture of the problem.

2. Manual Therapy

Manual therapy plays a key role in relieving pain and improving shoulder mobility. Our physiotherapists use hands-on techniques, including:

• Joint mobilization: To improve the movement of the shoulder joint and restore normal function.
• Soft tissue mobilization: Including massage, myofascial release, and trigger point therapy to reduce muscle tension and improve circulation.
• Stretching and mobilization: To release tight muscles and tendons, improving flexibility and reducing stiffness.

3. Strengthening and Range of Motion Exercises

A personalized exercise program is essential for rebuilding strength, improving flexibility, and restoring function in the shoulder. Our physiotherapists will guide you through exercises that are tailored to your specific condition, including:

• Strengthening exercises: Targeting the rotator cuff muscles and other supporting muscles to improve shoulder stability and function.
• Range of motion exercises: Gradual exercises to restore full mobility in the shoulder joint without aggravating the pain.
• Posture correction: Exercises to correct poor posture, which often contributes to shoulder pain, especially in people who sit for long periods or engage in repetitive motions.

4. Pain Relief Modalities

To help manage pain and inflammation, we may use various modalities such as:

• Ice or heat therapy: Applying cold or heat to the shoulder to reduce swelling and alleviate pain.
• Electrical stimulation (TENS): Using mild electrical currents to block pain signals and promote muscle relaxation.
• Ultrasound therapy: Using sound waves to promote tissue healing and reduce pain in deep tissues.

5. Posture and Ergonomic Training

Poor posture and improper movement mechanics often contribute to shoulder pain. Our physiotherapists provide:

• Postural correction: Techniques to improve your posture during daily activities, work, or sports to reduce strain on the shoulder.
• Ergonomic advice: Guidance on optimizing your workspace or activity setup to minimize stress on the shoulder joint.

6. Education and Self-Management

We believe in empowering our patients to take control of their recovery. Our physiotherapists will provide:

• Home exercise programs: Specific exercises you can continue at home to maintain progress between sessions.
• Pain management techniques: Guidance on how to manage your symptoms with stretches, ice/heat application, and activity modification.

7. Injury Prevention and Long-Term Maintenance

Once your pain is under control, we focus on preventing future shoulder issues through:

• Strength and flexibility maintenance: Continuing a tailored exercise program to ensure that the shoulder remains strong and mobile.
• Education on body mechanics: Teaching proper techniques for lifting, carrying, and other activities to avoid re-injury.
• Sports-specific rehabilitation: For athletes, we offer sport-specific rehab programs that help you return to your activities safely and effectively.