Month: May 2025

CERVICAL RADICULOPATHY

Posted on by Dr Dharam

What is Cervical Rediculopathy?

Cervical radiculopathy is a condition that occurs when a nerve root in the cervical spine becomes compressed or irritated. As a result, the neck may radiate pain, weakness, numbness, or altered feeling to the hand, arm, or shoulder. At Elite Physiotherapy & Sports Injury Centre, we use cutting-edge physiotherapy methods and premium treatment modalities to diagnose and treat cervical radiculopathy.

Causes of Cervical Radiculopathy

Cervical radiculopathy is most commonly caused by:

  • Cervical disc herniation
  • Degenerative conditions such cervical spondylosis or osteoarthritis
  • Osteophytes, or bone spurs, impinging on nerve roots
  • Traumatic injuries sustained in accidents or sports
  • Bad posture and extended bending of the neck
  • repetitive strain injuries brought on by sports or ergonomics at work

These factors can compress or inflame the cervical nerve roots, triggering neurological symptoms.

The nerve root may get crushed if the cervical disc protrudes or if degenerative changes take place. Normal nerve function is disrupted by this mechanical compression and the inflammatory reaction that goes along with it. Trauma can make the process worse by causing abrupt movement or direct force, which can result in spinal misalignment or disc bulging.

Clinical Features and Symptoms

Cervical radiculopathy presents with:

  • Burning or sharp neck pain that spreads to the hand or arm
  • Tingling or numbness in particular dermatomal patterns
  • Weakening of the muscles in the affected myotomes
  • Diminished brachioradialis, triceps, or biceps reflexes
  • Restricted cervical range of motion
  • Symptoms that are exacerbated by neck motions like rotation or extension

Diagnosis at Elite Physiotherapy & Sports Injury Centre

We follow a comprehensive, hands-on assessment approach:

  • Taking a thorough medical history to determine the beginning, aggravating, and relieving factors
  • Analyzing posture to spot abnormalities that could be causing nerve compression
  • Functional assessments to look at compensatory patterns and movement constraints

Special orthopedic physiotherapy tests we use include:

  • Spurling’s Test: Replicating arm pain by rotating and extending the neck while applying pressure
  • Shoulder Abduction Relief Sign: When the hand is placed on the head, the symptoms go away.
  • The Upper Limb Tension Test (ULTT): It measures the upper extremities’ neuronal tension.
  • Cervical Distraction Test: Nerve root compression is indicated by symptom alleviation with mild traction.
  • Deep tendon reflex testing and myotomal strength assessment: To determine which nerve roots are affected.

We advise an MRI or X-ray if necessary to validate the clinical results.

Physiotherapy Management at Elite Physiotherapy & Sports Injury Centre

Our centres at various location in Delhi & NCR offers personalized physiotherapy care for cervical radiculopathy. We use evidence-based protocols and modern therapeutic technology to ensure optimal outcomes.

Manual Therapy

  • Decompression of nerve roots with manual or mechanical cervical traction
  • Restoring segmental alignment and mobility through joint mobilizations
  • Release of soft tissue for adjacent muscles, such as the levator scapulae, scalenes, and upper trapezius
  • Neural mobilizations to enhance mobility and lessen nerve stress

Therapeutic Exercise

  • To stabilize the neck, strengthen the deep cervical flexors.
  • Exercises for postural adjustment to lessen mechanical stress
  • Stabilization of the scapula to support the upper back
  • Stretching gently for muscles that are shortened, including the pectorals and upper trapezius
  • Depending on personal deficiencies, strengthening weak muscles

Postural and Ergonomic Training

We guide patients in adopting proper workstation ergonomics, sleeping positions, and posture correction techniques for daily living.

Advanced Modalities at Elite Physiotherapy

We integrate cutting-edge modalities to accelerate healing, reduce pain, and enhance recovery:

High-Intensity Class IV Laser Therapy

  • This therapy provides deep tissue penetration and stimulates cellular repair. It reduces inflammation and improves nerve function.

CRET Therapy (Capacitive Resistive Electric Transfer)

  • CRET improves local blood circulation and tissue healing. It’s effective in reducing muscle tightness and promoting nerve recovery.

Super Inductive System (SIS)

  • SIS provides high-intensity electromagnetic stimulation. It helps with pain relief, muscle activation, and reduction of nerve irritation.

Shock Wave Therapy (Radial)

  • Used selectively when muscle spasm and myofascial pain are present. It promotes circulation and desensitizes trigger points.

Cryotherapy

  • Useful in acute phases to reduce inflammation and relieve nerve pain. We use localized ice therapy for safe and targeted cooling.

Electrotherapy

  • TENS and Interferential Therapy (IFT) help reduce pain and modulate nerve irritation without side effects.

Why Choose Elite Physiotherapy for Cervical Radiculopathy?

  • Expertise in sports and spinal injuries
  • Personalized one-on-one sessions with certified physiotherapists
  • Advanced physiotherapy devices and modalities
  • Emphasis on correcting the root cause, not just symptom relief
  • Integration of manual therapy, functional rehab, and neurodynamics
  • Clean, professional, and athlete-friendly environment

Conclusion

If left untreated, cervical radiculopathy can significantly impair quality of life. At Elite Physiotherapy & Sports Injury Centre, we provide long-lasting comfort and healing by combining clinical knowledge with cutting-edge rehabilitation equipment. We customize your treatment plan to meet your unique needs and objectives, whether you work in an office or are an athlete.

Visit our clinic or explore more at www.elitephysiotherapy.in to book your consultation today and take the first step toward a pain-free neck and stronger spine.

SHOULDER PAIN: AC JOINT PATHOLOGY

Posted on by Dr Dharam

What is AC Joint Pathology?

AC joint pathology can significantly impact an individual’s everyday activities and athletic pursuits, especially contact and overhead sports. The acromion, a portion of the scapula, and the clavicle are joined at the top of the shoulder by the acromioclavicular (AC) joint. This tiny joint is essential for shoulder mobility and load transfer between the axial skeleton and upper limb.

Causes of AC Joint Pathology

AC joint pathology may arise from various causes, including:

  • Trauma or Injury: A direct blow to the shoulder, frequently sustained in contact sports or falls.
  • Repetitive Overuse: Athletes who engage in overhead exercises like weightlifting, swimming, or throwing are said to exhibit repetitive overuse.
  • Degenerative changes: Include osteoarthritis brought on by aging or long-term joint stress.
  • Muscular weakness and postural imbalances: Can change biomechanics and concentrate load on the AC joint.

The most typical mechanism is a fall with the arm adducted on the shoulder tip. This stress damages the AC ligaments by pushing the acromion downward about the clavicle. In extreme situations, there may be obvious clavicular displacement due to the rupture of the coracoclavicular ligaments.

Signs, Symptoms, and Clinical Features

Patients with AC joint pathology may present with:

  • Localized shoulder pain in the upper part
  • Swelling and an obvious deformity or protrusion at the AC joint
  • Pain during overhead or cross-body arm motions
  • Restricted range of motion, especially when flexion and abduction are occurring
  • Shoulder girdle muscle weakness
  • Feelings of clicking or grinding when moving the shoulders

Diagnostic Methods at Elite Physiotherapy and Sports Injury Centre

We use a thorough approach to diagnosis at Elite Physiotherapy and Sports Injury Centre. Our Physiotherapist integrates advanced clinical reasoning and specialized orthopedic examinations with physical and functional assessments. These consist of:

  • Cross-body Adduction Test: Passive horizontal shoulder adduction is used to replicate pain.
  • The AC Resisted Extension Test: Measures the amount of pain experienced when the shoulder is at 90° flexion and internal rotation while resisting horizontal abduction.
  • O’Brien’s Test: By stressing the joint when the shoulder is internally rotated and extended to 90 degrees, O’Brien’s Test distinguishes between labral pathologies and AC joints.
  • Palpation and Observation: Finding step-off abnormalities, edema, and soreness.
  • Functional Testing: Analysis of scapular rhythm, muscular imbalances, and biomechanics in tasks particular to sports is known as functional testing.

Advanced and Personalized Physiotherapy Management at Elite Physiotherapy

The focus of our care at Elite Physiotherapy and Sports Injury Centre is on precise, evidence-based therapies that are customized for each patient. To lessen discomfort, enhance function, and avoid recurrence, we place a high priority on conservative, non-surgical treatment.

1. Pain Management and Inflammation Control

  • Cryotherapy: Aids in the early stages of acute pain relief and inflammation reduction.
  • High-Intensity Class 4 Laser Therapy: Effectively lowers chronic pain, improves circulation, and encourages cellular healing.
  • Shockwave therapy (if chronic): Promotes tissue regeneration and is helpful for calcific deposits or chronic tendinopathies of the AC joint.
  • CRET Therapy: Through capacitive and resistive energy transfer, CRET therapy promotes deep tissue repair, particularly in cases of fibrosis or persistent joint stiffness.

2. Joint and Soft Tissue Mobilization

Our manual therapy techniques focus on restoring joint alignment and tissue extensibility:

  • Joint mobilizations of the AC and scapulothoracic joints
  • Myofascial release for tight shoulder and neck muscles
  • Soft tissue mobilization for rotator cuff and deltoid muscles

3. Neuromuscular Re-education

We employ targeted neuromuscular retraining to restore proper scapular mechanics and shoulder rhythm. This includes:

  • Biofeedback-based exercises
  • Scapular stabilization drills
  • Closed-chain kinetic exercises for proprioceptive enhancement

4. Strengthening and Conditioning

Progressive strengthening is essential to restore dynamic stability. Focus areas include:

  • Rotator cuff and scapular stabilizers
  • Core and kinetic chain muscles
  • Resistance band and weight-based exercises

We carefully monitor training intensity to avoid joint overloading.

5. Functional Rehabilitation and Return to Sport

As the condition improves, we integrate sport-specific drills and correct movement patterns. This ensures safe return to activity and reduces risk of reinjury.

  • Plyometric training and proprioception drills
  • Athletic taping or bracing, if needed
  • Performance analysis and correction

6. Advanced Modalities and Supportive Therapies

  • Super Inductive System (SIS): Stimulates muscle contractions and enhances neuromuscular control without physical strain.
  • Hydrotherapy: When applicable, it offers resistance with minimal joint stress, ideal for early mobilization.

Why Choose Elite Physiotherapy and Sports Injury Centre?

Our centre combines clinical excellence with advanced physiotherapy technologies. We guide each treatment with a comprehensive assessment and a personalized rehabilitation plan. Our commitment to athlete-centric care ensures faster recovery, optimal performance, and long-term joint health.

At Elite Physiotherapy, we don’t just treat symptoms; we correct the root cause. Whether you’re a competitive athlete or a fitness enthusiast, our specialized programs ensure you return stronger and pain-free.

Conclusion

Timely and professional physiotherapy care can effectively manage acromioclavicular joint disease. Elite Physiotherapy & Sports Injury Centre provides unmatched care that is customized to meet your needs thanks to our state-of-the-art modalities, evidence-based therapies, and sophisticated diagnostics. To start your path to recovery and optimal performance, schedule your consultation right now.

ROTATOR CUFF DISORDERS

Posted on by Dr Dharam

Rotator cuff disorders are among the most common causes of shoulder pain and dysfunction in athletes and the general population. Our specialty at Elite Physiotherapy and Sports Injury Centre is the use of cutting-edge clinical evaluations and evidence-based therapies in the diagnosis and treatment of various disorders.

What Is the Rotator Cuff?

The four muscles that make up the rotator cuff are the subscapularis, infraspinatus, teres minor, and supraspinatus. In addition to facilitating arm motions like lifting and rotation, these muscles stabilize the shoulder joint. When overuse or damage causes these tendons to become irritated, inflamed, or torn, disorders result.

Causes of Rotator Cuff Disorders

Disorders of the rotator cuff can result from:

  • Repeated overhead motions (found in weightlifting, tennis, and swimming, for example)
  • Poor shoulder biomechanics or posture
  • Falling on an outstretched arm is an example of acute trauma.
  • Aging-related degenerative changes
  • Scapular dyskinesis or imbalances in the muscles
  • Poor training methods or inadequate warm-up

Clinical Features and Symptoms

Common signs and symptoms include:

  • Sharp or dull shoulder pain, particularly when performing overhead tasks
  • Arm weakness, especially during external rotation or abduction
  • Sleep is being disrupted by night pain, particularly while laying on the side that is affected.
  • restricted range of motion
  • Shoulder clicking or catching sensation
  • Atrophy of muscles in chronic conditions

Diagnostic Approach at Elite Physiotherapy

We use a comprehensive functional and physical evaluation to identify rotator cuff disorders. Our thorough assessment consists of:

  • Assessing posture to find scapular winging or changed shoulder mechanics
  • Testing for rotator cuff integrity using strength and range of motion
  • Checking for localized tenderness or swelling
  • Finding compensatory patterns using functional movement screening

These evaluations help us develop individualized and successful treatment programs.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

Our facility provides a thorough, superior physiotherapy treatment plan that is customized to the patient’s condition, objectives, and sport-specific requirements. Our main goals are tissue healing, functional restoration, muscle retraining, and pain alleviation.

1. Manual Therapy

  • Joint mobilizations to increase scapulothoracic and glenohumeral mobility
  • Release of soft tissues to lessen trigger points and tense muscles
  • Enhancing fascial mobility through myofascial release

2. Therapeutic Exercise Program

We design specific exercises for:

  • Stabilization of the scapula and neuromuscular control
  • Periscapular and rotator cuff muscle strengthening
  • Increasing proprioception and dynamic stability
  • Training in ergonomics and posture correction

To rebuild strength and endurance, we use bodyweight movements, weights, and bands in a gradual resistance training regimen.

3. Advanced Physiotherapy Modalities

We integrate cutting-edge technologies to accelerate healing and reduce recovery time:

  • Shock Wave Therapy: In chronic situations, shock wave therapy enhances tendon repair, lowers pain, and increases collagen formation.
  • CRET Therapy: Capacitive Resistive Electric Transfer, or CRET Therapy, promotes cellular regeneration and deep tissue healing, making it perfect for tendon disease.
  • Super Inductive System: The Super Inductive System (SIS) uses high-frequency electromagnetic fields to provide both functional stimulation and pain alleviation.
  • High Intensity Class 4 Laser Therapy: Encourages cellular regeneration and reduces inflammation without causing heat damage
  • Cryotherapy: In acute circumstances, cryotherapy decreases inflammation and offers instant pain relief.
  • Hydrotherapy: Promotes early mobility in a low-impact setting; particularly helpful in situations that are subacute or following surgery.

Depending on the patient’s state, each modality is applied strategically to provide the most possible benefit with no chance of aggravation.

4. Taping and Bracing

We use kinesiology taping for:

  • Relieving pain and providing proprioceptive feedback
  • When necessary, muscle contraction or activation
  • Assisting with shoulder motion during daily activities or sports

When to Seek Help

  • Consult our experts if you have ongoing shoulder pain, weakness, or trouble performing overhead tasks. Early intervention stops additional deterioration and speeds up healing.

Why Choose Elite Physiotherapy and Sports Injury Centre?

At Elite Physiotherapy and Sports Injury Centre, we offer:

  • Experienced sports physiotherapists with expertise in shoulder rehabilitation
  • Individualized treatment plans based on detailed assessment
  • Access to the most advanced physiotherapy equipment and modalities
  • A track record of successful outcomes in athletes and active individuals
  • Holistic care focusing on complete functional restoration

Conclusion

Rotator cuff disorders can significantly impact quality of life and athletic performance. Early diagnosis, detailed assessment, and expert physiotherapy management are key to optimal recovery. At Elite Physiotherapy and Sports Injury Centre, we combine manual therapy, targeted exercises, and advanced modalities to deliver exceptional care.

For appointments and detailed consultations, visit www.elitephysiotherapy.in. Let us help you regain full, pain-free shoulder function and return to your best performance.

SHOULDER OSTEOARTHRITIS

Posted on by Dr Dharam

Introduction

Shoulder osteoarthritis (OA) is a degenerative joint disease that affects the glenohumeral joint, leading to pain, stiffness, and reduced mobility. Our specialty at Elite Physiotherapy & Sports Injury Centre is offering cutting-edge, scientifically supported physiotherapy, designed to successfully treat shoulder OA.

Causes and Mechanism of Injury

The glenohumeral joint’s articular cartilage gradually deteriorating is the main cause of shoulder OA. Among the contributing elements are:

  • Age-related degeneration: Degeneration brought on by aging is common in those over 60.
  • Previous shoulder injuries: Dislocations or fractures may accelerate the degeneration of cartilage.
  • Repetitive overhead activities: Manual laborers and athletes are particularly vulnerable to repetitive overhead activities.
  • Genetic predisposition: An important factor may be family history.

Pain and restricted mobility result from the degeneration’s effects on subchondral bone alterations, osteophyte formation, and joint space constriction.

Clinical Features

Shoulder OA patients frequently exhibit:

  • Chronic shoulder pain: Gets better when you rest and gets worse when you move.
  • Stiffness: Especially after periods of inactivity.
  • Crepitus: A grating feeling when moving the shoulder.
  • Limited range of motion: Having trouble raising the arm or carrying out overhead tasks.

Diagnostic Approach at Elite Physiotherapy

Our thorough evaluation consists of:

  • A thorough patient history: Helps determine the type, severity, and timing of symptoms.
  • Physical examination: Evaluating joint mobility, muscle strength, and posture.
  • Specialized physiotherapy tests: Neer’s and Hawkins-Kennedy tests are used to assess joint integrity and impingement.
  • Functional assessments: Measuring the effect on day-to-day activities using instruments such as the Shoulder Pain and Disability Index (SPADI).

These assessments aid in creating a customized treatment strategy.

Advanced Physiotherapy Management at Elite Physiotherapy

Using a combination of manual therapy, therapeutic exercises, and cutting-edge techniques, our treatment approach aims to reduce pain, restore function, and stop more joint degradation.

Manual Therapy

Hands-on techniques are employed to:

  • Improve joint mobility: Increase range of motion in your joints with mild mobilizations.
  • Reduce muscle tension: To ease tightness, apply a soft tissue massage.

Therapeutic Exercises

Customized exercise programs are designed to:

  • Strengthen rotator cuff and scapular stabilizers: Enhancing shoulder stability.
  • Improve flexibility: Stretching activities might help you become more flexible and less stiff.
  • Enhance proprioception: Improve proprioception with workouts for balance and coordination to avoid injuries and falls.

Postural Correction and Ergonomic Advice

Educating patients on maintaining proper posture and modifying daily activities to reduce shoulder strain is integral to our approach.

Integration of Advanced Modalities

At Elite Physiotherapy, we incorporate cutting-edge technologies to augment traditional physiotherapy treatments:

Extracorporeal Shock Wave Therapy (ESWT)

  • ESWT reduces pain and encourages tissue regeneration by applying high-energy sound waves to the affected area. Research has demonstrated its efficacy in enhancing shoulder function and reducing discomfort.

Capacitive and Resistive Electric Transfer (CRET) Therapy

  • Deep tissue heating is produced by CRET therapy using radiofrequency energy, which improves blood flow and speeds up the healing process. In cases of osteoarthritis, it helps to improve joint mobility and lessen pain.

Super Inductive System (SIS)

  • High-intensity electromagnetic fields are used by SIS to activate muscles and relieve pain by stimulating neuromuscular tissue. Patients with pain-related reduced movement will find it especially helpful.

High-Intensity Class 4 Laser Therapy

  • By delivering concentrated light energy to deep tissues, this method speeds up tissue healing and reduces inflammation. It improves functional results and effectively manages chronic shoulder pain.

Hydrotherapy

  • Warm water exercise reduces joint tension and promotes efficient movement by providing buoyancy. Strength, flexibility, and general joint function are all enhanced by hydrotherapy.

Cryotherapy

  • Cold treatment numbs pain and reduces inflammation. It is very helpful for reducing discomfort after manual therapy sessions or after exercise.

Personalized Care at Elite Physiotherapy

Our team of experienced physiotherapists ensures that each patient receives individualized care tailored to their specific needs and goals. Regular assessments and progress tracking allow for timely modifications to the treatment plan, ensuring optimal outcomes.

Conclusion

Although shoulder osteoarthritis can have a major negative influence on a person’s quality of life, its effects can be effectively treated with the correct care. Elite Physiotherapy & Sports Injury Centre offers comprehensive care, intending to regain function and reduce pain by combining cutting-edge modalities with classic physiotherapy procedures.

THROWER’S SHOULDER

Posted on by Dr Dharam

What is Thrower’s Shoulder?

Thrower’s shoulder, a common overuse injury among athletes participating in repetitive overhead sports like cricket, volleyball, and javelin, is our specialty at Elite Physiotherapy & Sports Injury Centre. Our individualized, research-based strategy guarantees the best possible recovery and performance restoration.

Causes and Mechanism of Injury

Repetitive overhead actions that put a great deal of strain on the shoulder’s anatomical structures can cause a thrower’s shoulder. Important contributing elements consist of:

  • Glenohumeral internal rotation deficit (GIRD): A decrease in internal rotation range relative to the non-dominant shoulder, resulting in changed biomechanics.
  • Posterior Capsule Tightness: Restricted internal rotation results in compensatory movements and more strain on the anterior tissues.
  • Scapular Dyskinesis: Shoulder stability and function are impacted by abnormal scapular movement.
  • Muscle Imbalances: Shoulder mechanics are disrupted when internal and external rotators have disproportionately strong muscles.

Together, these elements cause microtrauma, which results in diseases such as internal impingement, labral tears, and rotator cuff tendinopathy.

Clinical Features

Athletes with a thrower’s shoulder may present with:

  • Pain: Located in the superior or posterior shoulder, and made worse by throwing.
  • Decreased Performance: Reduced accuracy and velocity of throwing.
  • Stiffness: Particularly in movements involving internal rotation.
  • Fatigue: Caused by impaired shoulder mechanics, it manifests early during activity.

Diagnostic Approach at Elite Physiotherapy

Our comprehensive assessment protocol includes:

Physical Examination

We conduct a thorough evaluation focusing on:

  • Range of Motion (ROM): Evaluating internal and external rotation abnormalities.
  • Strength Testing: Involves assessing the scapular stabilizer and rotator cuff muscles.
  • Postural Analysis: Determining the alignment of the thoracic spine and scapular placement.

Special Orthopedic Tests

Utilizing specific tests to pinpoint the affected structures:

Functional Assessment

To find the biomechanical flaws causing the injury, we examine the athlete’s throwing technique.

Advanced Physiotherapy Management at Elite Physiotherapy

Our individualized rehabilitation programs aim to restore function, alleviate pain, and prevent recurrence.

Manual Therapy

Techniques include:

  • Joint Mobilizations: Improve scapulothoracic and glenohumeral mobility through joint mobilizations.
  • Soft Tissue Mobilization: Treat rotator cuff and posterior capsule myofascial limitations.

Therapeutic Exercises

We design certain exercises to:

  • Improve ROM: Increase ROM by concentrating on posterior capsule flexibility and internal rotation.
  • Strengthen Muscles: To regain equilibrium, focus on the scapular stabilizers and rotator cuff.
  • Improve Neuromuscular Control: For synchronized movement patterns, including proprioceptive training.

High-End Modalities

We incorporate cutting-edge technologies to accelerate recovery:

Functional Training

We incorporate sport-specific drills to:

  • Reinforce Proper Mechanics:  Fix improper throwing motion patterns.
  • Develop Endurance: Strengthen your muscles to endure prolonged use.

Why Choose Elite Physiotherapy & Sports Injury Centre?

Our clinic stands out due to:

  • Expertise: In-depth understanding of shoulder injuries associated with sports.
  • Personalized Care: Rehabilitation plans that are specific to each athlete.
  • Advanced Technology: Availability of state-of-the-art treatment approaches.
  • Holistic Approach: Taking into account both the injury and the athlete’s overall performance.

Conclusion

Treatment for the thrower’s shoulder must be complex. In order to guarantee that players return to their sport stronger and more resilient, we at Elite Physiotherapy & Sports Injury Centre combine clinical experience with cutting-edge therapeutic approaches. A thorough rehabilitation program and early intervention are essential for positive results.

SHOULDER DISLOCATION

Posted on by Dr Dharam

Introduction

Shoulder dislocation is a prevalent injury, especially among athletes and active individuals. Our specialty at Elite Physiotherapy & Sports Injury Centre is offering cutting-edge, individualized treatment to promote the best possible recovery and avoid recurrence.

Understanding Shoulder Dislocation

When the head of the humerus is violently separated from the scapula’s glenoid cavity, a shoulder dislocation takes place. Joint stability is compromised by this injury, which calls for quick and efficient treatment.

Causes of Shoulder Dislocation

  • Trauma: Includes direct hits to the shoulder, falls, and motor vehicle accidents.
  • Sports Injuries: Contact or high-impact sports, such as rugby, football, and wrestling.
  • Repetitive strain: Caused by overhead tasks that gradually weaken shoulder tissues.

Due to its wide range of motion, the shoulder is prone to dislocation. The most frequent kind, anterior dislocations, are caused by an external force acting on an arm that has been abducted, stretched, and externally rotated. Although less frequent, posterior dislocations can happen as a result of internal rotation and arm adduction brought on by seizures or electric shocks.

Clinical Features

  • Intense pain: Sudden, severe shoulder pain.
  • Deformity: A noticeable change in the shape of the shoulders.
  • Limited Mobility: Inability to move the arm without experiencing severe pain.
  • Swelling and Bruising: Around the shoulder joint.
  • Tingling or numbness: These symptoms could be signs of nerve involvement.

Diagnostic Approach at Elite Physiotherapy

Physical and Functional Assessment

Our clinicians conduct a thorough evaluation, including:

  • Observation: Checking for muscle atrophy, edema, and deformity.
  • Palpation: Recognizing soreness and unusual posture.
  • Range of Motion Tests: Evaluating active and passive movements.

Special Physiotherapy Tests

Utilizing established orthopedic assessment techniques, we perform:

  • Apprehension Test: By monitoring the patient’s response during external rotation and abduction, the Apprehension Test can identify anterior instability.
  • Relocation Test: If symptoms improve when posterior pressure is applied, the relocation test confirms instability.
  • Sulcus Sign: Identifies inferior instability by noticing a depression below the acromion when downward traction is given.

Imaging

While our primary focus is on physical assessment, we may recommend imaging studies like X-rays or MRIs to rule out fractures or soft tissue injuries if necessary.

Advanced Physiotherapy Management at Elite Physiotherapy

Our center offers a comprehensive, non-phase-wise rehabilitation program tailored to individual needs.

Pain Management

  • Cryotherapy: Using cold packs to relieve pain and inflammation is known as cryotherapy.
  • High-Intensity Class 4 Laser Therapy: Penetrating deeply into the tissue promotes tissue healing and lessens discomfort.

Restoring Mobility and Strength

Manual therapy:

  • Joint mobilizations to improve mobility.
  • Soft tissue techniques to alleviate muscle tightness and pain.

Therapeutic Exercises:

  • Range of Motion (ROM): Mild motions to regain flexibility.
  • Strengthening exercises: To improve joint stability, focus on the rotator cuff and scapular stabilizers.
  • Proprioceptive Training: Enhancing neuromuscular control and joint position sensing through proprioceptive training.

Advanced Modalities

Functional Rehabilitation:

It is the process of simulating everyday tasks to guarantee a safe transition back to regular functioning.

We focus on restoring functional independence through:

  • Neuromuscular Re-education: Improving muscle control and coordination.
  • Postural Training: Adjusting body alignment to avoid further injuries.
  • Activity-Specific Training: Getting patients ready to resume sports or daily activities.

Why Choose Elite Physiotherapy & Sports Injury Centre?

  • Expert Team: Skilled physiotherapists with a focus on musculoskeletal and Sports injuries.
  • State-of-the-Art Facilities: Outfitted with cutting-edge techniques for the best possible care.
  • Personalized Care: Customized treatment regimens to achieve certain objectives.
  • Holistic Approach: Combining manual therapy, exercise, and cutting-edge technologies provides a holistic approach.

Conclusion

Quick and effective management of shoulder dislocations is essential to restore function and prevent recurrence. To guarantee the best possible recovery, we at Elite Physiotherapy & Sports Injury Centre provide thorough, evidence-based physiotherapy treatments using cutting-edge modalities. Our individualized approach aims to restore function, strength, and mobility so that patients can confidently resume their everyday activities and sports.

SHOULDER BURSITIS

Posted on by Dr Dharam

Introduction

Shoulder bursitis is one of the most frequent causes of shoulder pain. Shoulder pain can severely limit sports performance and everyday activities. To properly treat this problem and guarantee long-term comfort and healing, Elite Physiotherapy & Sports Injury Centre provides expert, cutting-edge, and customized physiotherapy solutions.

What is Shoulder Bursitis?

Shoulder Bursitis is the inflammation of the subacromial bursa, a small fluid-filled sac located beneath the acromion (the top outer edge of the shoulder blade). This bursa lessens friction while the shoulder moves by serving as a cushion between soft tissues and bones.

Inflammation or irritation of the bursa results in pain, limited movement, and discomfort when using the shoulder. It is most frequently linked to trauma, underlying shoulder problems, or repetitive overhead movements.

Causes of Shoulder Bursitis

Shoulder bursitis can result from several conditions. Typical reasons include:

  • Repeated overhead motions (often seen in throwers, swimmers, artists, and athletes)
  • Direct injury or a shoulder fall
  • Bad posture or shoulder biomechanics
  • Rotator cuff injuries
  • Calcium deposits in tendons
  • Systemic inflammatory diseases such as gout or rheumatoid arthritis
  • Infections (septic bursitis is uncommon, but it can happen)

The acromion and the rotator cuff tendons are separated by the subacromial bursa. Irritation may result from friction, compressive pressures, or repetitive microtrauma between these components. This results in thickening of the bursal walls, increased production of synovial fluid, and inflammatory changes that decrease the subacromial space and worsen impingement symptoms.

Signs and Symptoms

The following are typical clinical signs of shoulder bursitis:

  • Pain in the upper arm or outer shoulder
  • Pain made worse by lifting or overhead activities
  • Tenderness  in the lateral shoulder or larger tuberosity
  • Restricted active range of motion, particularly in flexion and abduction
  • Painful arc of abduction between 60° and 120°
  • Pain at night, particularly when resting on the afflicted shoulder
  • Swelling or warmth in severe situations

Diagnostic Approach at Elite Physiotherapy and Sports Injury Centre

At Elite Physiotherapy and Sports Injury Centre, we conduct a comprehensive physical and functional assessment to diagnose Shoulder Bursitis accurately.

  • Observation and palpation for pain, warmth, and swelling.
  • Checking for range of motion (passive and active).
  • Manual resistance testing to rule out rotator cuff tears.
  • Special Physiotherapy Tests including:
    • Neer’s Impingement Test: Indicates subacromial impingement.
    • The Hawkins-Kennedy Test: Causes pain when bursitis is present.
    • Painful Arc Test: If pain is felt between 60° and 120° abduction, it may indicate subacromial bursitis.
    • Yergason’s and Speed’s tests: To rule out tendinopathy of the biceps.
    • Drop Arm Test: To assess involvement of the rotator cuff.

To assess shoulder mechanics and find underlying biomechanical problems, we also employ functional movement screening.

To confirm the diagnosis and rule out other illnesses, imaging tests like MRIs or ultrasounds may be suggested in some situations.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

We believe in evidence-based, individualized, and goal-oriented rehabilitation. Our treatment focuses on relieving pain, restoring function, and preventing recurrence.

1. Pain and Inflammation Reduction

    We efficiently relieve pain and inflammation by using state-of-the-art modalities:

    1. Shock Wave Therapy: Promotes tissue repair, lowers inflammation, and dissolves calcium buildup.
    2. CRET Therapy (Capacitive and Resistive Electric Transfer): Deep heating technology that enhances blood flow and cellular repair.
    3. High-Intensity Class 4 Laser Therapy: Promotes healing by providing analgesic and anti-inflammatory properties that operate quickly.
    4. The Super Inductive System (SIS):  Improves neuromuscular activation and promotes deep tissue healing without physical contact.
    5. Cryotherapy: Used to reduce pain and swelling during the acute or subacute phase.

    These techniques improve the results of traditional therapy and are totally safe for shoulder bursitis.

    2. Manual Therapy

      Our knowledgeable physiotherapists employ expert hands-on methods to:

      • Mobilize the glenohumeral joint and scapulothoracic articulation
      • Release the tense soft tissues surrounding the deltoid and rotator cuff.
      • Improve the mobility of the thoracic spine and scapular rhythm
      • Perform trigger point release and myofascial release as needed

      3. Therapeutic Exercises

        We design customized exercise programs focusing on:

        • Adjusting posture and maintaining scapular stability
        • Exercises for range of motion (pulley-assisted movements, pendulum swings)
        • Exercises to strengthen the periscapular and rotator cuff muscles
        • Isometric exercise to enhance neuromuscular control and lessen pain
        • Resistance training that is gradually increased as tolerated

        Every exercise is gradually increased in difficulty to prevent discomfort and guarantee a safe return to activities.

        4. Neuromuscular Re-Education

          Our therapists place a strong emphasis on addressing muscular imbalances and poor shoulder mechanics by using:

          • Proprioceptive training
          • Kinesio taping for pain management and support
          • Retraining functional movements for everyday tasks and sports

          5. Hydrotherapy

            Hydrotherapy in a regulated aquatic setting aids in the subacute and recovery stages:

            • Reduce joint loading
            • Encourage early mobility
            • Increase muscular contraction without causing discomfort

            6. Education and Ergonomics

              We educate patients about:

              • Correct posture
              • Activity modifications
              • Ergonomic adjustments
              • Home exercise programs to sustain recovery

              Why Choose Elite Physiotherapy and Sports Injury Centre?

              At Elite Physiotherapy & Sports Injury Centre, we provide a comprehensive approach by fusing cutting-edge facilities, professional knowledge, and globally recognized physiotherapy technologies. Our goal is full function and performance restoration, not simply symptom reduction.

              We are committed to:

              • Giving individualized, one-on-one care
              • Using the newest technology to recover more quickly
              • Providing rehabilitation programs based on evidence
              • Long-term planning to prevent recurrence

              Book Your Consultation Today

              If you or someone you know is suffering from Shoulder Bursitis, don’t ignore it. Early and effective physiotherapy intervention can prevent chronic pain and dysfunction.
              Visit us at: elitephysiotherapy.in
              Book your consultation with our experts and experience advanced physiotherapy like never before.