Shoulder Pain and Rotator Cuff Injuries

Shoulder pain can make everyday activities such as reaching, sleeping on your side, lifting or exercising uncomfortable. The rotator cuff can be involved in shoulder pain, but there are a number of structures and factors that may contribute to your symptoms. At Living Health Group, we assess your symptoms, movement and activity demands before developing an individualised management plan based on your needs and goals.

Dr Lisa Gadd (Osteopath) providing hands-on treatment to a patient's shoulder and upper back
Osteopathy · Myotherapy · Remedial MassageWheelers Hill, near Glen Waverley

Understanding the Rotator Cuff

The rotator cuff is a group of four muscles and their tendons that help support and move the shoulder. These muscles are involved in many everyday and sporting activities, including reaching, lifting and movements above shoulder height.

Rotator cuff-related pain can present in different ways, and changes to the tendons may sometimes be seen on imaging in people with and without shoulder pain. This is why scan findings are considered alongside your symptoms, movement, strength and clinical assessment.

Depending on your presentation, management may include changes to aggravating activities, progressive strengthening and movement exercises, alongside hands-on treatment where appropriate. Your plan is tailored to your symptoms, activity demands and goals.

A Living Health Group practitioner providing hands-on treatment through a patient's upper back and shoulder

Common Signs and Symptoms

  • Pain or discomfort when reaching overhead, behind your back or out to the side
  • Pain when lying on the affected shoulder, which may disturb sleep
  • Weakness or fatigue with lifting, carrying or other shoulder activities
  • Pain or restriction with certain shoulder movements or positions

A sudden loss of strength or significant difficulty moving the shoulder following a fall or other injury should be assessed promptly. Shoulder pain can have a number of different causes, so an assessment can help determine what may be contributing to your symptoms and guide an appropriate management plan.

How We Approach Rotator Cuff Injuries

Your care starts with understanding your symptoms, how your shoulder is affecting you and the activities you need or want to do. From there, we develop an individualised management plan based on your assessment, needs and goals.

1. Assess

We assess your shoulder movement and strength, the activities or positions that aggravate your symptoms, and the demands placed on your shoulder through work, exercise and everyday life.

2. Treat

Depending on your presentation, management may include advice around activity and load modification, alongside hands-on treatment where appropriate.

3. Build

Progressive shoulder and rotator cuff strengthening may be incorporated into your rehabilitation, with exercises tailored to your symptoms, assessment findings and activity demands.

4. Return

Where appropriate, we develop a gradual plan for returning to overhead work, gym, sport and other activities based on your symptoms, strength, function and individual goals.

Meet our practitioners

Rotator cuff injury treatment at Living Health Group is exercise-led, with hands-on care from our osteopaths, myotherapist and remedial massage therapist alongside. Shoulder pain that is affecting sleep, work or training is worth having assessed.

Dr Lisa Gadd (Osteopath), Founder and Clinical Director, Osteopath at Living Health Group

Dr Lisa Gadd (Osteopath)

Founder and Clinical Director, Osteopath

Women’s health, persistent pelvic pain and the musculoskeletal changes that come with hormonal transitions. Lisa also contributes to the medical team at Mulgrave Football Club.

Dr Andrew Moerenhout (Osteopath), Osteopath at Living Health Group

Dr Andrew Moerenhout (Osteopath)

Osteopath

Neck and back pain, sporting injuries and movement-related conditions, with exercise-based rehabilitation and dry needling where appropriate.

Dr Tully Loomes (Osteopath), Osteopath at Living Health Group

Dr Tully Loomes (Osteopath)

Osteopath

Sporting injuries and rehabilitation, low back pain, neck pain and headaches, hip and knee conditions, and work or lifestyle-related pain.

Arthur Mamalis, Myotherapist and Remedial Massage Therapist at Living Health Group

Arthur Mamalis

Myotherapist and Remedial Massage Therapist

Muscle and joint concerns in people with physically demanding work and active lifestyles, using hands-on treatment and movement strategies.

Meet the whole Living Health Group team →

Shoulder pain and rotator cuff injury treatment

Assessment, hands-on care and progressive shoulder strengthening at our Wheelers Hill clinic, near Glen Waverley.

Dr Lisa Gadd (Osteopath) providing hands-on treatment to a patient's upper back
A patient completing a supervised strength exercise with an osteopath at Living Health Group
An osteopath reviewing VALD strength testing results with a patient at Living Health Group

Common questions

My scan says I have a rotator cuff tear. Do I need surgery?
Not everyone with a rotator cuff tear requires surgery. Management will depend on factors such as your symptoms, strength, function and individual circumstances, alongside any imaging findings. If surgical or medical review may be appropriate, we can recommend discussing this with your GP or an appropriate medical practitioner.
Why does my shoulder hurt at night?
Shoulder pain can sometimes become more noticeable at night or when lying on the affected side. Changing your sleeping position or using pillows for support may help make you more comfortable. We can discuss strategies based on your symptoms and what works for you.
How long does shoulder rehabilitation take?
Recovery time varies depending on your symptoms, how long they have been present, the nature of the injury and the activities you want to return to. We monitor your progress and adjust your rehabilitation plan as needed rather than setting a fixed recovery timeframe.

Ready to Get Started?

Book an appointment at our Wheelers Hill clinic, near Glen Waverley. We’ll take the time to understand your concerns, assess what may be contributing to your symptoms and tailor your care to your individual needs and goals.

This page provides general information only and is not intended to provide a diagnosis or replace individual healthcare advice. Outcomes vary between individuals. Our practitioners assess each person before recommending care. Osteopaths at Living Health Group are registered with AHPRA.
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