Shoulder pain is a common and often disruptive issue – one that our Brighton chiropractors and physiotherapists are very familiar with. Whether it appears after a game of tennis, long hours at a desk or even after something as simple as reaching for a seatbelt, it can range from a dull ache to sharp discomfort, interfering with everyday tasks like dressing, lifting or sleeping.
So why is the shoulder so vulnerable to problems? The answer lies in its complexity.
The shoulder isn’t a single joint but a network of joints, tendons and muscles working together to deliver exceptional mobility. It’s the most mobile joint in the body—allowing us to lift, push, pull and rotate freely. But this mobility comes at a cost: the shoulder is inherently less stable and more susceptible to injury.
The Structure Behind the Movement
The main joint, the glenohumeral joint, is a ball-and-socket joint—but unlike the hip, its socket is shallow, more like a golf ball resting on a tee. This design favours flexibility over stability, making the shoulder reliant on surrounding soft tissues like the rotator cuff and ligaments for support. When these structures are strained, inflamed or injured, pain often follows.
Age-Related Changes and Shoulder Health
As we age, shoulder resilience naturally declines. One of the most common issues is degeneration of the rotator cuff tendons. These muscles and tendons stabilise the joint and support smooth, controlled movement. Over time, they may weaken or tear—even without a specific injury.
Other age-related changes include:
- Reduced synovial fluid, which lubricates the joint.
- Cartilage breakdown, increasing the risk of osteoarthritis.
- Stiffening of the joint capsule, contributing to conditions like frozen shoulder.
- Postural shifts and muscle imbalance, often from prolonged sitting or inactivity.
- Decreased bone density, raising the risk of fractures.
These changes can lead to stiffness, reduced range of motion and persistent discomfort.
Common Causes of Shoulder Pain
Besides the natural ageing process, shoulder pain can result from various conditions, including:
- Rotator cuff injuries or tears
- Tendonitis and bursitis
- Frozen shoulder (adhesive capsulitis)
- Impingement syndrome
- Osteoarthritis
- Referred pain from the neck
- Postural or repetitive strain
In today’s screen-heavy world, poor posture and muscle imbalances are increasingly common contributors. An accurate diagnosis is vital so the right treatment can lead to recovery.
Treatment Options: Targeted, Non-Invasive Relief
Fortunately, effective care is available. We offer both chiropractic care and physiotherapy for diagnosing and managing shoulder pain.
Chiropractors focus on improving joint function and spinal alignment. They address postural and mechanical issues that may be affecting shoulder movement. Treatment may include gentle adjustments and tailored exercises to restore mobility and reduce pain.
Physiotherapists take a functional approach to rehabilitation. After assessing movement, strength and flexibility, they develop a personalised programme that may include soft tissue release, mobility work, strengthening, taping, acupuncture or low-level laser therapy. They also provide guidance on movement patterns and posture to support long-term recovery.
How Acupuncture And Dry Needling Can Help
Both techniques use very fine needles to target specific muscles or trigger points:
Acupuncture, rooted in Traditional Chinese Medicine, helps balance the body’s energy (Qi) and has been shown to reduce pain by increasing endorphins and reducing inflammation.
Dry Needling, a modern Western technique, focuses on tight or overactive muscles, helping to release tension, improve circulation and restore function.
Our team includes practitioners trained in both methods, often using them alongside other hands-on treatments. Many patients feel an immediate improvement in mobility and pain relief after acupuncture —sometimes after just one session.
Moving Forward
While shoulder pain is common, it doesn’t have to be a lasting burden. Understanding its causes and seeking expert care can help you take meaningful steps toward recovery. With the right support, most people regain full function and return to the activities they enjoy.
Book an appointment today at Sundial to get your shoulder assessed and start your path to relief.