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Shoulder pain
My shoulder pains when sleeping on either side. Also sometimes at rest the shoulder joint pains.How do I resolve this pain through physiotherapy? The orthopaedic doctor has said that I have shoulder instability and tendon irritation.
Answers (8)
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Your symptoms suggest shoulder instability with tendon irritation, likely involving the rotator cuff and surrounding stabiliser muscles. Pain during side-sleeping and even at rest indicates inflammation and weakness of shoulder stabilisers.
Next Steps
Pain management: Icepac, ultrasound and IFT to reduce irritation.
Strengthening program: Start with isometric and closed-chain shoulder stability exercises.
Progressive rotator cuff strengthening: Theraband exercises for external rotation, internal rotation, and shoulder abduction.
Posture correction & scapular strengthening: Middle trapezius, lower trapezius, and serratus anterior activation.
Manual therapy: Soft tissue release and joint mobilization.
Health Tips
Sleep on your back or use a pillow to support the painful arm.
Avoid overhead lifting and sudden heavy activities.
Maintain good posture, avoid rounded shoulders.
Apply ice pack 10–15 mins after activity.
Be consistent with exercises for 4–6 weeks for visible improvement.
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Under a proper assessment to rule out reason for pain then exercise can be planned.
Next Steps
connect online for consultation
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For shoulder instability in physiotherapy there is a strengthening exercises will help you
Next Steps
Learn how to keep rest your shoulders
Health Tips
Do not lift weights . Do consult me for better treatment plan
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It's clearly shoulder tendonitis, you can visit nearby physiotherapy clinic and take electrotherapy for 5 days and then you will be suggested with shoulder strengthening exercises.
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Ms. Shefali Gandotra (PT)
Physiotherapist
20 yrs exp
Jammu
Apply ice packs to shoulder 2-3 times a day. Spray volini twice a day.
Next Steps
Shoulder, strengthening exercises. Ultrasonic therapy.( in clinic) will be helpful
Health Tips
Avoid sleeping on the affected side
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Dr. Afsa Rafiq (PT)
Physiotherapist
4 yrs exp
Srinagar
Based on your symptoms and previous diagnosis of shoulder instability with tendon irritation, it seems you may be having shoulder tendinitis with mild instability. This can cause pain during rest and while lying on either side.
Next Steps
Avoid sleeping on the painful
focus on shoulder stability and rotator cuff strengthening.
Use a small pillow under the arm while sleeping to reduce pressure on the joint
Apply ice pack for 10–15 minutes, 2–3 times a day to reduce inflammation
Take online consultation for detailed shoulder movement assessment is advised to rule out impingement or weakness.
Health Tips
Maintain upright posture, avoid slouching
Start with isometric shoulder exercises and scapular retraction exercises
Avoid lifting heavy objects or sudden jerky shoulder movements
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Dr. Saswati Nanda (PT)
Physiotherapist
11 yrs exp
Delhi
Hey there!
As I can check your age is 46 there can be shoulder tendinitis. I need to assess your movements all past medical history to diagnose it better. Feel free to consult with me online. Just click on the button on your right side.
Always happy to help my patients
Regards
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Dr. Avijit Das (PT)
Sports and Musculoskeletal Physiotherapist
4 yrs exp
Kolkata
Hi please take an online consultation for best diagnosis and treatment.
Next Steps
Maybe upper back muscles tight and impingement in shoulder joint
Health Tips
To follow proper upper back muscles and shoulder joint mobilisation treatment under a qualified physio.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.