Shoulder Pain


We use our bodies so repetitively in ways we are not designed for and sometimes this can lead to shoulder neck pain and a result of postural causes.

Staying in prolonged postures (for example – sitting at a desk all day) can lead to shortening and chronic contraction of certain muscles, lengthening and weakening of others and associated pain.

This muscular pain may lead to restrictions in movement and can occasionally irritate the nerves passing through the shoulder and chest which supply the arm. This may cause pain and pins and needles in the arm or hand.

At Hardiman Performance our staff our experts in the assessment of posture and will be able to diagnose the source of your pain, it’s cause and provide you with effective treatment to decrease your symptoms.

Rotator Cuff

The rotator cuff muscles and the small muscles in your shoulder which are responsible for orientating the position of your arm in the shoulder socket. For this reason the rotator cuff is involved in almost every shoulder problem.

These muscles are highly active at all times of the day and are therefore prone to overuse injury and strains. If the shoulder is compromised the rotator cuff muscles will likely be strained as a result.

Rotator cuff strains are very common and can effect us all, office worker to athlete. Rotator cuff pain will commonly be felt at the front or side of your shoulder.

As the shoulder joint relies so much on the rotator cuff for its integrity, imbalance in these muscles can lead to lots of pain, joint restriction and often night pain.

This may mimim the symptoms of but is not to be confused for a frozen shoulder, a completely separate condition.

Despite the complexity at the shoulder, its reliance on muscular balance makes it very responsive to osteopathic treatment.


Frozen Shoulder

Adhesive Capsulitis commonly known as Frozen Shoulder is a condition which leads to inflammation and adhesion’s within the shoulder joint. These adhesion’s lead to severe shoulder restrictions and pain.

The frozen shoulder has 3 stages which span over 18 months and unfortunately osteopathic treatment cannot change the longevity or the physiology of the condition. If you have a true Frozen Shoulder, you have it for the duration.

The good news is that lots of more common shoulder issues (which are more more responsive to treatment) are often misdiagnosed as frozen shoulder. If you are suffering with shoulder pain which has been diagnosed as frozen shoulder it is always worth getting a second opinion.

Finally the lack of shoulder movement in a condition like frozen shoulder can cause the muscles of the shoulder to shorten which may lead to compensation in the upper back and neck and increased pain.  For this reason, it is advised to have these areas worked on to maintain function and prevent any excess symptoms as a result of lack of movement.


In cases of traumatic dislocation it is advised to visit the hospital to have the shoulder relocated under x -ray. This helps to avoid any complication with nerve impingement and can rule out any fracture caused during the trauma.

It is common for patients to experience significant pain in the shoulder region post dislocation due to the strains placed on the tissues during the trauma. Our osteopaths are experts in diagnosing what tissues are leading to pain and will provide effective treatment and rehab to relieve any symptoms.

It is also common for recurrent dislocations to occur and for that reason it is advised that a period of rehab is followed post shoulder dislocation. Our osteopaths will be able to guide you through and provide you with tailored rehabilitation programmes aimed at getting the shoulder back to full function, decreasing any pain and strengthening the musculature in order to prevent future dislocation.

Thoracic Outlet Syndrome

Thoracic outlet syndrome (TOS) is a condition which leads to irritation of the nerves near the shoulder joint causing pain and a host of neurological symptoms into the shoulder, arm and hand. Altered sensation, pins and needles, numbness, weakness and muscle twitching are all symptoms you want to look out for with TOS.

TOS commonly occurs as a result of mechanical issues such as tight muscles and poor posture. For this reason it is highly responsive to treatment. TOS is highly common in sedentary groups who spend long periods of time sitting.


There are lots of other common conditions which we see every day in practice which can effect your shoulder. If you do have have any pain of concerns please do not hesitate to call us on 01582 318980.

The shoulder is also a region which can mask more serious systemic symptoms ie from the heart, lungs, stomach etc.  Our osteopaths are highly trained to screen for any signs of organic pathology and will refer you immediately if we suspect the symptoms to be of a more serious concern.