The fact that her pain reduced with 10 days of physiotherapy but returned after 20 days suggests that the underlying cause (muscle imbalance, posture, weak rotator cuff/scapular stabilizers) was not fully corrected.
Short-term physiotherapy often relieves inflammation, but without continuing strengthening and mobility work, the problem tends to recur.
Next Steps
Reassess the Shoulder A physiotherapist should check which structures are involved â rotator cuff, biceps tendon, posture, or scapular movement. Sometimes neck or thoracic spine stiffness contributes to impingement too. Continue a Long-Term Physio Program Strengthen the rotator cuff (supraspinatus, infraspinatus, subscapularis, teres minor). Improve scapular control (serratus anterior, lower trapezius). Correct posture (reduce rounded shoulders/forward head). Home Exercise Routine (everyday) Pendulum swings (for gentle mobility) Isometric shoulder external rotations Scapular retractions (squeezing shoulder blades) Wall slides for mobility Lifestyle & Ergonomics Avoid overhead heavy lifting or repetitive reaching for now. Use proper posture while working, sitting, or doing household activities.
Health Tips
If pain is progressively worsening, radiating down the arm, associated with weakness or night pain, reconsult your doctor/physiotherapist to rule out rotator cuff tear or frozen shoulder. Donât stop exercises after a short pain-free period. Shoulder impingement requires at least 6â12 weeks of guided rehab for lasting results. Avoid quick return to heavy activities or gym exercises without strengthening foundation.