Understanding Shoulder Injuries
The shoulder is the most mobile joint in the body - and that mobility comes at a cost. Its shallow socket and complex arrangement of muscles, tendons, and ligaments make it vulnerable across sport, work, and daily life. It is one of the most common presentations on the Sunshine Coast, affecting swimmers, surfers, overhead athletes, and active people of all ages across Noosa, Maroochydore, and Caloundra.
Rotator Cuff Injuries
- Rotator cuff tendinopathy - Chronic pain and weakness, often related to overuse or age-related changes. Usually responds well to progressive strengthening.
- Partial and complete tears - May be managed conservatively or surgically depending on size, symptoms, and activity demands.
- Calcific tendinitis - Calcium deposits within the rotator cuff causing acute pain. Shockwave therapy and ultrasound-guided needling are effective options.
Shoulder Instability & Dislocations
- Acute shoulder dislocation - Requires assessment, imaging, and a rehabilitation plan with consideration of surgical stabilisation.
- Recurrent instability - Repeated dislocations suggesting structural damage that may benefit from surgical repair.
- Labral tears (SLAP lesions) - Tears of the cartilage rim of the shoulder socket causing pain, clicking, and instability.
AC Joint Injuries
The acromioclavicular joint sits at the top of the shoulder. AC joint injuries are common in falls onto the point of the shoulder (cycling crashes, tackles, surfing wipeouts). Grading ranges from mild sprains to complete dislocations.
Frozen Shoulder
Frozen shoulder (adhesive capsulitis) causes progressive stiffness and pain, significantly limiting range of motion. Options include structured physiotherapy, corticosteroid injections, and hydrodilatation.
Other Shoulder Conditions
- Impingement syndrome - Pain with overhead activities due to compression of subacromial structures.
- Subacromial bursitis - Inflammation of the bursa overlying the rotator cuff.
- Biceps tendinopathy - Pain at the front of the shoulder.
- Referred pain - Shoulder pain can sometimes originate from the neck.