Shoulder Pain

Frozen shoulder, impingement and rotator cuff issues

What is it?

Shoulder complaints are the third most common complaint in physiotherapy practice. The shoulder joint is the most mobile joint in the body, making it vulnerable to injuries. At Physical Studio we have extensive experience in diagnosing and treating all types of shoulder complaints.

From frozen shoulder and impingement to rotator cuff tears and instability: shoulder complaints can have a wide range of causes. Pain can develop gradually from overuse or occur suddenly after a fall or trauma.

Our specialized therapists use ultrasound to directly assess the condition of tendons, muscles and bursae in the shoulder. This enables us to create an accurate treatment plan targeting your specific complaint.

Common causes

Rotator cuff injury (tendinitis or tear)
Impingement syndrome
Frozen shoulder (adhesive capsulitis)
Shoulder instability or dislocation
Bursitis
Osteoarthritis of the shoulder joint
Overuse from sport or work

How we diagnose

Diagnostics for shoulder complaints is one of our specialties. We start with an extensive movement examination and specific shoulder tests. Ultrasound plays a central role: we assess the rotator cuff tendons, bursae and the joint in real time. This provides immediate insight into the cause of your complaints without the need for an MRI. With a biomechanical assessment we map muscle strength and movement patterns.

Treatment approach

Our shoulder treatment is structured in three phases. In the first phase we focus on pain reduction through manual therapy and possibly dry needling. In the second phase we work on restoring mobility and stability with targeted exercise therapy. In the third phase we build strength with personal training specifically targeting the shoulder and surrounding muscles. This integrated approach ensures complete recovery.

Expected recovery

Recovery times for shoulder complaints vary considerably. An impingement often improves within 4-8 weeks. A frozen shoulder can take 6-12 months. Rotator cuff injuries typically require 8-16 weeks of rehabilitation. We monitor your progress with objective measurements.

When to seek help

Seek help for persistent shoulder pain lasting more than two weeks, pain that disrupts your sleep, limited shoulder mobility, or if you cannot raise your arm above shoulder height. After a fall or trauma to the shoulder, it is wise to schedule an appointment immediately.

Frequently asked questions

What is the difference between impingement and frozen shoulder?

With impingement, tendons get pinched in the shoulder, causing pain when raising the arm. With frozen shoulder, the capsule becomes stiff, limiting range of motion in all directions. Both require a different treatment approach.

Is surgery needed for a rotator cuff tear?

Not always. Many rotator cuff tears, especially partial tears, respond well to physiotherapy. We assess the severity of the tear with ultrasound and advise based on that whether conservative treatment is sufficient.

Can I continue exercising with shoulder complaints?

That depends on the nature of your complaint. In many cases you can continue exercising in a modified way. We create a sport-specific training plan that accounts for your injury and recovery process.

How long does a frozen shoulder last?

A frozen shoulder has three phases and can last 12-18 months without treatment. With targeted physiotherapy and exercise therapy, recovery can be significantly accelerated.

Related conditions

Back Pain

Lower back pain, herniated disc, and other back conditions

Neck Pain

Neck pain caused by strain or poor posture, whiplash, or radiating symptoms.

Knee Pain

ACL injuries, meniscus and patellofemoral conditions

Sports Injuries

Sport related injuries like hamstring, knee, shoulder and ankle pain.

Does this sound familiar? Book an appointment.

Our physiotherapists are happy to help you with a personalized treatment plan.

Book an appointment +31 20 782 82 82