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Physiotherapy for Shoulder Impingement and Rotator Cuff Injuries

Shoulder pain can interfere with daily life—from brushing your hair to lifting groceries. Two common causes are shoulder impingement and rotator cuff injuries. These conditions affect millions of people each year, especially athletes and older adults. The good news? Physiotherapy offers effective, non-surgical solutions that can reduce pain, restore movement, and prevent future injuries.

In this blog, we’ll explore how physiotherapy helps treat shoulder impingement and rotator cuff injuries, the signs and symptoms to watch for, and what to expect during treatment.

What Is Shoulder Impingement?

Shoulder impingement occurs when the tendons or bursa (a fluid-filled sac) in your shoulder are compressed or “pinched” by surrounding bones during arm movement. This can lead to inflammation, pain, and limited motion.

Common Causes of Shoulder Impingement

  • Repetitive overhead movements (e.g., swimming, painting, tennis)

  • Poor posture

  • Weak or imbalanced shoulder muscles

  • Bone spurs

Signs and Symptoms

  • Pain when lifting your arm

  • Difficulty reaching behind your back

  • Shoulder weakness

  • Pain that worsens at night

What Is a Rotator Cuff Injury?

The rotator cuff is a group of four muscles and tendons that stabilize the shoulder and allow for a wide range of motion. Injuries may involve inflammation (tendinitis), tears, or strains.

Causes of Rotator Cuff Injuries

  • Sudden trauma (like a fall)

  • Repetitive use or overuse

  • Age-related wear and tear

Symptoms of a Rotator Cuff Injury

  • Dull ache in the shoulder

  • Weakness when lifting or rotating the arm

  • Crackling sensation during movement

  • Limited range of motion

How Physiotherapy Helps With Shoulder Injuries

Initial Assessment and Diagnosis

A physiotherapist will begin by performing a detailed physical examination and taking a complete health history. They may use clinical tests to assess strength, range of motion, and joint function.

Personalized Treatment Plan

Each person is different. A custom physiotherapy plan will be developed based on your specific injury, lifestyle, and goals.

Pain Management Techniques

  • Manual therapy to release tight tissues

  • Ice or heat application

  • Electrical stimulation (e.g., TENS)

  • Ultrasound therapy

Restoring Strength and Mobility

Strengthening and stretching exercises are core components of recovery.

  • Stretching exercises improve flexibility

  • Strength exercises target rotator cuff muscles and scapular stabilizers

  • Postural correction helps reduce shoulder strain

Education and Prevention

A physiotherapist educates you on proper mechanics, posture, and ergonomic adjustments to prevent recurrence.

Sample Physiotherapy Exercises for Shoulder Recovery

Pendulum Stretch

Let your arm hang and swing it in small circles. This gentle motion helps reduce stiffness.

Wall Angels

Stand with your back against a wall and slowly raise your arms in a “snow angel” motion to improve shoulder mobility.

Scapular Squeezes

Squeeze shoulder blades together to strengthen postural muscles.

Always consult your physiotherapist before starting any exercises.

Benefits of Physiotherapy for Shoulder Impingement and Rotator Cuff Injuries

  • Non-invasive pain relief

  • Improved mobility and function

  • Strengthened shoulder and back muscles

  • Decreased risk of re-injury

  • Better posture and body mechanics

FAQ: Physiotherapy for Shoulder Injuries

How long does it take to recover from shoulder impingement?

Recovery varies, but many patients see improvement in 6–12 weeks with consistent physiotherapy.

Can physiotherapy heal a torn rotator cuff without surgery?

Small to moderate tears can often be managed with physiotherapy alone. Severe tears may need surgery.

Is it safe to exercise with shoulder impingement?

Yes, but exercises should be tailored and supervised by a physiotherapist to avoid aggravation.

Do I need a referral to see a physiotherapist in British Columbia?

No referral is needed. You can book an appointment directly with a physiotherapist.

Why Choose Pitt Meadows Physiotherapy Clinic?

At Pitt Meadows Physiotherapy & Sports Injury Clinic, we specialize in treating shoulder injuries with personalized care and evidence-based methods. Our experienced team is dedicated to helping you return to the activities you love—pain-free.

We also treat:

  • Sports injuries

  • Post-surgical rehab

  • Motor vehicle accident injuries

  • Chronic pain

Book your consultation today by calling (604) 465-8733 or visiting our contact page.

Final Thoughts

Shoulder injuries can be frustrating, but they don’t have to be permanent. With the right physiotherapy approach, you can reduce pain, restore movement, and regain strength. Whether you're dealing with shoulder impingement or a rotator cuff injury, starting physiotherapy early makes all the difference.

Take the first step toward recovery today.

Call Pitt Meadows Physiotherapy & Sports Injury Clinic at (604) 465-8733 or visit www.pittmeadowsphysio.ca to book an appointment.

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We provide same-day physiotherapy appointments for healthcare workers, first responders, and seniors. With over 50 years of combined experience, our team has been delivering high-quality care since 1991. We proudly serve residents of Pitt Meadows, Maple Ridge, Port Coquitlam, Coquitlam, and Langley, helping individuals recover from a wide range of injuries. We are available six days a week to accommodate your needs.

Email: pittmeadowsphysio@gmail.com

Phone: (604) 465-8733

Address: 19133 Ford Road Pitt Meadows, BC, V3Y 2R5 Canada

Website: https://www.pittmeadowsphysio.ca/contact-us

Facebook: https://www.facebook.com/pittmeadowsphysioclinic/

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