Category: Shoulder Pain

Anterior Shoulder Pain

Posted on by Dr Dharam

Pain in the front of the shoulder joint is referred to as anterior shoulder pain. It frequently arises from irritation, inflammation, or damage to the structures surrounding the shoulder capsule, rotator cuff, or biceps tendon. Athletes, exercise fanatics, and even office professionals may experience this pain as a result of bad posture or repetitive strain.

At Elite Physiotherapy and Sports Injury Centre, we regularly treat athletes who suffer from anterior shoulder pain as a result of repetitive tension and muscular imbalance, particularly those who play overhead sports like badminton, swimming, and wrestling.

Causes of Anterior Shoulder Pain

Several musculoskeletal and soft-tissue conditions can lead to pain in the front of the shoulder, such as:

  • Biceps Tendonitis: Inflammation of the long head of the biceps tendon.
  • Subscapularis Tendinopathy: Overuse of the subscapularis muscle that causes discomfort is known as subscapularis tendinopathy.
  • Labral Tear (SLAP lesion): An injury to the superior labrum, where the biceps tendon attaches, is known as a labral tear (SLAP lesion).
  • Shoulder Impingement Syndrome: Compression of soft tissues during arm raising.
  • Acromioclavicular (AC) Joint Pathology: Pain radiating to the anterior aspect is known as acromioclavicular (AC) joint pathology.
  • Postural Dysfunction: Overload is caused by postural dysfunction, which includes a rounded shoulder position and scapular dyskinesia.

Clinical Features

Front shoulder pain, particularly while lifting or performing overhead tasks.

  • Weakness when flexing or rotating inside.
  • A catching or clicking feeling in the shoulder.
  • Nighttime discomfort, particularly when lying on the affected side.

Diagnostic Methods and Examination

A detailed clinical examination is essential for accurate diagnosis. Physiotherapists at Elite Physiotherapy perform a biomechanical assessment, posture analysis, and palpation to locate tenderness.

Special Tests Used:

  1. Speed’s Test: Evaluates the pathophysiology of the biceps tendon.
  2. Yergason’s Test: Verifies the biceps tendon’s integrity.
  3. The Hawkins-Kennedy Test detects impingement.
  4. Lift-Off Test: Identifies weakness in the subscapularis muscle.
  5. O’Brien’s Test: Labral involvement is evaluated using O’Brien’s Test.

Imaging tests like MRIs and ultrasounds are used if necessary to confirm the diagnosis and rule out more serious structural damage.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

At Elite Physiotherapy and Sports Injury Centre, physiotherapists provide personalized and evidence-based treatment for anterior shoulder pain. Our approach focuses on pain relief, restoring mobility, and improving shoulder stability through advanced physiotherapy techniques and modern modalities.

1. Pain Reduction and Inflammation Control

  • Shock Wave Therapy: Promotes tendon repair and breaks down scar tissue.
  • Super Inductive System (SIS):  Uses deep electromagnetic stimulation to improve blood flow and ease tense muscles.
  • High-Intensity Laser Therapy: Effectively reduces inflammation and encourages deep tissue repair.
  • Dry Needling and Cupping Therapy: Tight anterior shoulder muscles can have their knots released and their circulation improved with dry needling and cupping therapy.

2. Manual Therapy and Soft Tissue Mobilization

  • Glenohumeral joint mobilizations help relieve capsular tightness.
  • Myofascial release and trigger point therapy target overactive muscles like the pectoralis major and biceps.

3. Restoring Range of Motion (ROM)

Gentle stretching of the anterior capsule and strengthening of the posterior muscles restore balance.

Exercises include:

  • Pendulum swings
  • Shoulder external rotation with the theraband
  • Sleeper stretch
  • Scapular setting exercises

Progressive ROM work ensures pain-free functional mobility.

4. Strengthening and Stabilization

Rehabilitation focuses on the rotator cuff, scapular stabilizers, and core.
Key exercises include:

  • Resistance band external rotation
  • Prone Y, T, and W exercises
  • Scapular retraction drills
  • Closed-chain stability training (wall push-ups, weight shifts)

These exercises help build strength and prevent recurrence.

5. Neuromuscular Re-education

Retraining the shoulder’s movement pattern is essential once the pain subsides. We assist players in regaining shoulder control and stability during dynamic actions like grappling and throwing by using proprioceptive training and SIS.

6. Return to Sport or Activity

We create rehabilitation plans tailored to certain sports once full strength and mobility have returned. For instance, swimmers prioritize rotator cuff endurance and symmetry, whereas wrestlers concentrate on shoulder stability under load, and cricketers concentrate on overall shoulder integrity

Conclusion

If left untreated, anterior shoulder pain can severely restrict daily and athletic activities. In order to provide quicker, more durable healing, we at Elite Physiotherapy and Sports Injury Centre combine cutting-edge modalities like Shock Wave, SIS, High-Intensity Laser, Dry Needling, and Cupping Therapy with sophisticated diagnostic procedures.

Our individualized treatment programs help you return stronger and pain-free by addressing the underlying biomechanical reasons of your pain.

Visit Elite Physiotherapy and Sports Injury Centre right now for professional assessment and cutting-edge physiotherapy treatment if you’re dealing with chronic shoulder pain.

Scapular Dyskinesia: And Advanced Physiotherapy Management

Posted on by Dr Dharam

Introduction

Often disregarded, scapular dyskinesia is a major contributor to shoulder pain, dysfunction, and problems with athletic performance. Using thorough evaluations and evidence-based physiotherapy treatments, we at Elite Physiotherapy and Sports Injury Centre are experts at diagnosing and treating this issue. For the best recovery, our clinic uses a combination of manual therapy, functional training, and premium modalities like Class 4 High-Intensity Laser, CRET Therapy, and Super Inductive System (SIS).

What is Scapular Dyskinesia?

When the shoulder blade (scapula) moves abnormally during shoulder motion, it is referred to as scapular dyskinesia. If left unchecked, this abnormal movement can cause pain, decreased mobility, and even rotator cuff damage by upsetting the entire shoulder complex.

Causes of Scapular Dyskinesia

  • Muscle imbalances (tightness or weakness in the rhomboids, trapezius, or serratus anterior)
  • Round shoulders and bad posture
  • Overuse injuries, particularly in sports involving overhead
  • Disorders that impact the spinal accessory nerves or the long thoracic nerve
  • Prior shoulder surgeries or injuries
  • Lack of scapular stability exercises and improper training methods

Signs and Symptoms

  • Visible asymmetry in scapular motion
  • Medial or inferior border prominence during arm movement
  • Shoulder pain, particularly during overhead activity
  • Muscle fatigue and tightness around the neck or upper back
  • Audible clicking or snapping in the scapula
  • Reduced shoulder strength or performance
  • Postural imbalance or winging of the scapula

Clinical Assessment at Elite Physiotherapy

At Elite Physiotherapy and Sports Injury Centre, we prioritize thorough assessment using functional and physical evaluation techniques:

  • We begin with postural inspection to assess static scapular positioning.
  • Dynamic Scapular Movement Tests
    • Scapular Assistance Test (SAT)
    • Scapular Retraction Test (SRT)
    • Wall Push-Up Test
    • Lateral Scapular Slide Test
  • These special tests help us pinpoint scapular dysfunction patterns.
  • We assess the strength and activation of the serratus anterior, trapezius, and rotator cuff muscles.
  • Athlete-specific or daily movement tasks are analyzed using video-assisted feedback for real-time correction.

Personalized Physiotherapy Management

At Elite Physiotherapy, we offer individualized care based on the goals, activity level, and condition of each patient. We don’t employ a phase-based or general strategy. Rather, we use a combination of manual therapy, corrective exercise, and technology-assisted rehabilitation to directly treat the underlying reasons.

1. Manual Therapy

  • Overactive muscles such as the levator scapulae or pectoralis minor might leak soft tissue.
  • Joint mobilizations for the scapulothoracic or thoracic spine
  • Trigger point and myofascial release therapy

2. Neuromuscular Re-Education

  • Training in proprioception to enhance neuromuscular control
  • Using closed-chain scapular control exercises to integrate kinetic chains

3. Corrective Exercise Program

  • Using body weight and elastic resistance to stabilize the scapula
  • Rhomboids, serratus anterior, and lower and middle trapezius strengthening
  • Exercises for correcting posture
  • Using eccentric loading in conjunction with tendon retraining

Why Choose Elite Physiotherapy for Scapular Dyskinesia?

In addition to having cutting-edge modalities, our center is fueled by extensive clinical knowledge. What sets us apart is this:

  • Thorough functional evaluation tailored to sportsmen and busy people
  • Protocols for evidence-based physical therapy that address the underlying problem
  • Sports physiotherapists with experience who have worked in elite rehabilitation
  • Integration of contemporary technology for a quicker and more durable recovery
  • Individualized sessions that guarantee complete focus and customized development

Final Thoughts

If left untreated, scapular dyskinesia can impair shoulder health and sports performance. Our goal at Elite Physiotherapy and Sports Injury Centre is to restore mobility, function, and balance through accurate diagnosis and skilled physiotherapy care. We use cutting-edge technology and individualized treatment to help you heal more quickly, safely, and robustly.

Schedule an evaluation at www.elitephysiotherapy.in right now if you or someone you know suffers from scapular instability or shoulder trouble.

Shoulder Labrum Injury: Physiotherapy Management at Elite Physiotherapy

Posted on by Dr Dharam

Introduction

A shoulder labrum injury is a common yet often overlooked condition that can significantly impact shoulder stability, mobility, and performance. Using premium physiotherapy services and cutting-edge methods, we at Elite Physiotherapy and Sports Injury Centre in Delhi and Gurugram provide a thorough, cutting-edge, and individualized approach to treating labral injuries.

What is a Shoulder Labrum Injury?

The fibrocartilaginous rim that surrounds the glenoid shoulder socket is called the labrum. In addition to improving joint stability and deepening the socket, it serves as an anchor point for the biceps tendon and several ligaments. A labral tear, which is injury to this structure, can impair shoulder function, strength, and control.

Labral injuries commonly affect overhead athletes, weightlifters, and active individuals, often resulting from trauma, overuse, or degenerative changes.

Causes of Shoulder Labrum Injuries

For focused treatment, it is essential to comprehend the underlying cause. Typical reasons include:

  • Trauma: Being struck directly in the shoulder or falling on an outstretched arm.
  • Repetitive Overhead Activities: Baseball, swimming, tennis, and volleyball are among the sports that frequently include repetitive overhead activities.
  • Heavy Weight Lifting: Particularly when biomechanics are compromised.
  • Sudden Pulling Forces: A sudden pull on the arm.
  • Shoulder Dislocation: An anterior labrum rupture (Bankart lesion) is frequently the outcome of shoulder dislocation.

Mechanism of Injury

Usually, labral injuries are caused by:

  • Compression Forces: Compression forces include things like hitting the shoulder directly.
  • Torsional Stress: Twisting while the arm is stabilized.
  • Excessive Range of Motion: Excessive range of motion might cause the capsule to extend too much and tear the labrum.

Signs and Symptoms

  1. Deep, vague shoulder pain
  2. Clicking, popping, or grinding sensation
  3. Weakness or fatigue during activity
  4. Loss of range of motion
  5. A feeling of instability or looseness
  6. Pain with overhead movements or lifting

Types of Labrum Tears

  • SLAP Tear (Superior Labrum Anterior to Posterior): Common in athletes; affects the top of the labrum.
  • Bankart Lesion: Involves the anterior-inferior portion; often from dislocations.
  • Posterior Labral Tear: Seen in contact sports or due to repetitive strain.
  • Degenerative Labrum Tear: Often age-related or due to chronic wear and tear.

Diagnosis at Elite Physiotherapy

At Elite Physiotherapy and Sports Injury Centre, we emphasize accurate diagnosis using a combination of:

Physical Assessment

  • Apprehension and Relocation Test: Indicates instability and anterior labrum involvement.
  • O’Brien’s Active Compression Test: Detects SLAP tears.
  • Crank Test: Assesses labral integrity under rotation and compression.
  • Biceps Load Test II: Evaluates SLAP lesion with elbow flexion and resisted supination.

Functional Assessment

  • Evaluation of shoulder biomechanics
  • Scapular movement analysis
  • Postural and muscular imbalances
  • Sport-specific movement evaluation

When is Surgery Required?

Surgery may be considered when:

  • The tear is large and unresponsive to conservative management
  • There is a frequent shoulder dislocation
  • There is severe instability affecting daily and sports activities
  • Associated with significant rotator cuff or biceps tendon pathology
  • No improvement with at least 6–8 weeks of structured physiotherapy

At Elite, we aim to avoid surgery wherever possible by delivering targeted physiotherapy that promotes healing and restoration.

Physiotherapy Management at Elite Physiotherapy

We provide an evidence-based, sport-specific, non-surgical approach tailored to each patient’s lifestyle and athletic goals.

Pain Management

We begin by reducing pain and inflammation using:

  • Cryotherapy: Controlled cold therapy to reduce swelling
  • High-Intensity Class 4 Laser: Speeds up tissue healing and reduces pain
  • Super Inductive System (SIS): Stimulates deep tissue repair through magnetic field therapy

Manual Therapy Techniques

  • Joint Mobilization: To improve glenohumeral mechanics
  • Soft Tissue Mobilization: For surrounding muscles like the rotator cuff, deltoid, and scapular stabilizers
  • Myofascial Release: Enhances circulation and relieves tightness

Advanced Modalities

  • CRET Therapy: Promotes deep tissue healing by improving vascularity and cellular regeneration
  • Shockwave Therapy: Used with caution if coexisting calcific tendonitis is present, and used in case of chronic conditions.
  • Dry Needling and Taping: As needed to support tissue relaxation or stability

Corrective Exercise Prescription

  • Scapular stabilization and control
  • Rotator cuff strengthening
  • Neuromuscular control of the shoulder complex
  • Proprioceptive training
  • Postural correction and ergonomic education

Hydrotherapy

We may incorporate gentle aquatic exercises early in rehab to promote low-impact mobility and strengthening without overloading the joint.

What Makes Elite Physiotherapy Unique?

  • Expert Sports Physiotherapists with experience treating Olympic and national-level athletes
  • State-of-the-art Equipment, including Class 4 Laser, CRET, SIS, and advanced cryo-therapy units
  • Personalized Care with sport-specific rehabilitation goals
  • Detailed Assessment Protocols based on the latest clinical reasoning and hands-on experience
  • Holistic Approach addressing the root cause, not just the symptoms

Conclusion

A shoulder labrum injury can be frustrating and functionally limiting, especially for athletes and active individuals. The right physiotherapy strategy doesn’t just make recovery possible—it maximizes your potential to come back stronger than before.

At Elite Physiotherapy and Sports Injury Centre, we combine clinical expertise, cutting-edge modalities, and athlete-centric care to deliver lasting recovery and enhanced shoulder function.

If you’re experiencing persistent shoulder pain or instability, book your appointment today at www.elitephysiotherapy.in and take the first step towards pain-free, powerful shoulder performance.

BICEPS TENDINITIS

Posted on by Dr Dharam

What is Biceps Tendinitis?

Biceps tendinitis is a prevalent condition characterized by inflammation of the biceps tendon, leading to pain and functional limitations in the shoulder region. Our specialty at Elite Physiotherapy & Sports Injury Centre is providing individualized, research-based physiotherapy treatments to manage this condition effectively.

Causes of Biceps Tendinitis

  • Overuse: The biceps tendon can be strained by repetitive overhead motions, which are typical in sports like baseball, tennis, and swimming.
  • Age-related Degeneration: As people age, their tendon strength gradually declines, leaving them more vulnerable to inflammation.
  • Acute Injuries: The biceps tendon may sustain damage by unexpected stress, such as falling on an outstretched arm.

Because the biceps tendon’s long head passes through the shoulder joint, overhead motions might put stress on it. Microtears, inflammation, and eventually tendinopathy can result from repetitive tension.

Clinical Presentation

  • Anterior Shoulder Pain: Localized pain in the front of the shoulder, anterior shoulder pain is frequently made worse by overhead exercises.
  • Tenderness: Bicipital groove pain when palpated.
  • Weakness: Less strength in elbow and shoulder motions.
  • Snapping Sensation: A snapping sensation occurs as the tendon moves within the groove when the arm is moved.

Diagnostic Approach at Elite Physiotherapy

  • Range of Motion (ROM) Testing: Assessing elbow and shoulder range of motion to find restrictions.
  • Strength Assessment: Assessing muscle strength in order to identify deficiencies.
  • Special Tests:
    • Speed’s Test: Biceps tendon involvement is indicated by pain experienced during resisted shoulder flexion.
    • Yergason’s Test: Pain during external rotation and resisted supination suggests biceps tendinopathy.
    • Palpation: Determining whether the bicipital groove is tender.

Physiotherapy Management for Biceps Tendinitis

  • Pain Management
    • Cryotherapy: Using cold packs to numb and reduce inflammation in the affected area.
    • Nonsteroidal Anti-inflammatory Drugs (NSAIDs): Doctors use nonsteroidal anti-inflammatory drugs (NSAIDs) to control pain and swelling under proper medical supervision.
  • Therapeutic Modalities
    • Radial Extracorporeal Shock Wave Therapy (rESWT): Using acoustic waves, radial extracorporeal shock wave therapy (rESWT) helps chronic tendinopathies heal.
    • High-Intensity Class 4 Laser Therapy: Improves tissue repair by penetrating deep tissues to lessen pain and inflammation.
    • Super Inductive System (SIS): The Super Inductive System (SIS) uses high-intensity electromagnetic fields to activate muscles and reduce pain.
    • Hydrotherapy: Hydrotherapy involves performing exercises in water to increase range of motion and reduce joint tension.
  • Exercise Therapy
    • Stretching exercises: Mild stretches to increase biceps and surrounding muscle flexibility.
    • Strengthening exercises: Increase the stability of your elbows and shoulders with progressive resistance training.
    • Postural Training: Postural training corrects posture to reduce excessive strain on the shoulder complex.
  • Manual Therapy
    • Soft Tissue Mobilization: Methods for increasing circulation and releasing tense muscles.
    • Joint Mobilization: Improving joint mobility and decreasing stiffness.

Why Choose Elite Physiotherapy & Sports Injury Centre?

  • Personalized Treatment Plans: Made to fit each patient’s requirements and objectives.
  • Advanced Modalities: Availability of state-of-the-art treatments such as Class 4 Laser Therapy and rESWT.
  • Experienced Professionals: A group of knowledgeable physiotherapists with a focus on musculoskeletal disorders.
  • Comprehensive Care: We assist our patients along their rehabilitation process, from the first evaluation to complete recovery.

Conclusion

Biceps tendinitis can significantly affect both daily activities and athletic performance if not properly managed. An organized physiotherapy program combined with early intervention is essential for a successful recovery. At Elite Physiotherapy & Sports Injury Centre, we’re dedicated to providing the highest quality care to help our patients restore function and return to the activities they love.

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.