Further resources

Shoulder joint pain can be characterized as the combined cause of several factors, so it is worth dealing with the most significant symptoms at the beginning of the treatment, and then expanding the treatment goals in parallel with their reduction. Reducing pain is a primary task, because sterile inflammation can initiate degenerative processes or become a reducer of this process due to the formation of weaker, less resistant tissue. 

Resting is not the right response to the indication of acute pain, but intervention as soon as possible, which is primarily achieved by regaining the range of motion and restoring the balance of the stabilizer muscles. The lack of movement not only initiates degenerative processes in the soft tissues and joints, but also causes the nerves to become immobile. Physiotherapy intervention cannot be drastic. Strong pain makes the nervous system even more sensitive through reflex muscle spasm. Fixation of patterns of pain-avoiding movements causes abnormal performance, the reduction of which should be an important goal in medium and long-term plans. In the absence of this, the continuous overloading of certain anatomical formulas causes further irritation and thus tension and circulatory disturbances, initiating a negative emotional state, the circulus vitiosus of pain.  Chronic pain no longer has an indicative role. It develops into a complex and difficult-to-treat syndrome if it persists for a long time. In addition to psychological and social disorders, neuroplasticity also causes structural changes, making recovery significantly more difficult.