Synapse Physiotherapy | Physio Center | Rehab Malaysia

Shoulder Pain | Sakit Bahu
Muscle Pain, Shoulder Pain

Shoulder pain (Sakit Bahu) is discomfort or sensation of pain experienced in the shoulder joint and surrounding areas. The shoulder joint is a complex structure that allows for a wide range of motion and is made up of bones, muscles, tendons, and ligaments. Any damage or inflammation in these components can lead to shoulder pain.


Common causes of shoulder pain include overuse injuries, such as repetitive movements or

improper lifting, which can strain the muscles and tendons. Additionally, conditions like rotator cuff tears, frozen shoulder (adhesive capsulitis), shoulder impingement, and arthritis can contribute to pain and limited mobility.


Shoulder pain may manifest as aching, sharp, or stabbing sensations and can be accompanied by stiffness and weakness in the affected area. It may also radiate to the neck, arm, or back. Daily activities like reaching overhead, carrying objects, or even sleeping on the affected side can exacerbate the pain.


Proper diagnosis of the underlying cause is crucial for effective treatment. Treatment options

may include rest, physical therapy, anti-inflammatory medications, and in some cases, surgical interventions. Shoulder pain can significantly impact a person’s quality of life, so seeking timely medical attention is essential to manage the pain and prevent further complications.

Goals of Physiotherapy for Shoulder Pain | Sakit Bahu

The goals of physiotherapy in treating shoulder pain are to:

Relieve pain

Physiotherapists use various techniques, such as manual therapy, stretching, and modalities like heat or ice, to alleviate pain and discomfort in the shoulder region.

Restore range of motion

Physiotherapy aims to improve the shoulder’s flexibility and restore its full range of motion, which may have been affected by injuries or conditions.

Strengthen muscles

Targeted exercises are prescribed to strengthen the muscles around the shoulder joint, including the rotator cuff muscles, to enhance stability and support.

Improve posture and mechanics

Physiotherapists work on correcting poor posture and dysfunctional movement patterns that may contribute to shoulder pain, reducing strain on the shoulder joint.

Reduce inflammation and swelling

Various techniques, like ultrasound or electrical stimulation can be used to manage inflammation and swelling in the shoulder area.

Enhance functional abilities

Physiotherapy focuses on improving the shoulder’s functional abilities to enable patients to perform daily activities with less pain and improved ease.

Prevent future injuries

Physiotherapists educate patients on proper body mechanics and exercises to prevent recurrent shoulder injuries and maintain long-term shoulder health.

Increase overall physical fitness

In addition to shoulder-specific exercises, physiotherapy may include overall fitness training to improve the patient’s overall strength, endurance, and flexibility.

Provide education and self-management strategies

Physiotherapists educate patients about their condition, treatment options, and self-management strategies to empower them to take an active role in their recovery and ongoing shoulder health.


Overall, the primary aim of physiotherapy in treating shoulder pain is to optimize function, reduce pain, and enhance the patient’s overall quality of life.

When is Physiotherapy Recommended for Shoulder Pain?

Physiotherapy is often recommended for shoulder pain when the discomfort or limited mobility is caused by musculoskeletal issues, injuries, or certain medical conditions affecting the shoulder joint. It is generally considered a conservative and non-invasive approach before considering more aggressive treatments like surgery.


Physiotherapy is recommended in the following situations:

Acute injuries

After accidents or sports-related injuries causing shoulder pain, physiotherapy can aid in the recovery process by promoting healing, reducing inflammation, and restoring function.

Overuse injuries

Repetitive activities or improper mechanics can lead to overuse injuries, and physiotherapy helps in managing pain, strengthening muscles, and improving movement patterns.

Degenerative conditions

Conditions like osteoarthritis and rotator cuff tendinopathy benefit from physiotherapy to manage pain, maintain joint function, and enhance stability.

Pre- and post-surgery

Physiotherapy can be used to prepare the shoulder for surgery, improve post-operative recovery, and enhance the success of surgical interventions.

Chronic shoulder pain

For long-lasting or recurring shoulder pain, physiotherapy offers a

comprehensive approach to alleviate pain, improve function, and prevent future flare-ups.

Frozen shoulder

Physiotherapy is essential in managing adhesive capsulitis by preventing stiffness and restoring mobility. Overall, physiotherapy is recommended for shoulder pain when the goal is to address the underlying causes, improve shoulder function, and enhance the patient’s quality of life without resorting to more invasive treatments.

Synapse Physiotherapy Treatment Available for Leg Pain

Physiotherapy treatments for leg pain may vary depending on the specific cause, severity, and individual’s overall health. Some common physiotherapy treatments for leg pain include:

Manual Therapy
Hands-on techniques, such as joint mobilization and manipulation, help reduce pain, improve joint mobility, and relax muscle tension.


Therapeutic Exercises
Tailored exercises that focus on strengthening and stretching the leg muscles can aid in relieving pain and improving function.


Soft Tissue Mobilization
Techniques like massage and myofascial release can release tension in the soft tissues and reduce pain.


Electrical Stimulation
Transcutaneous electrical nerve stimulation (TENS) and other electrical modalities can help manage pain by interfering with pain signals.


Ultrasound Therapy
This involves using sound waves to generate heat deep within tissues, promoting blood flow and aiding in tissue healing.

Synapse Physiotherapy Treatment Available for Shoulder Pain

Manual Therapy

Involves using skilled hands-on techniques to manipulate muscles, joints, and soft tissues, aiming to alleviate pain, improve mobility, restore function, and facilitate the body’s natural healing process.


Electrotherapy employs electrical currents or impulses to treat pain, promote tissue healing, and improve muscle function. It’s a non-invasive, safe, and effective modality used in physiotherapy and rehabilitation settings.

Shockwave Therapy

A non-invasive medical treatment that uses acoustic waves to stimulate tissue repair and reduce pain in conditions like tendinitis, plantar fasciitis, and calcific shoulder tendinopathy.

TECAR Therapy

Transfer of Energy Capacitive and Resistive therapy is a cutting-edge machine that uses electromagnetic waves to promote tissue healing, reduce pain, and enhance muscle function. It works by transferring energy deep into tissues, accelerating the body’s natural recovery processes.


Involves tailored made physical activities and movements prescribed by a physiotherapist to improve flexibility, strength, endurance, balance, and overall function. It aims to rehabilitate injuries, prevent recurrence, and enhance the patient’s quality of life.

Common Questions about Shoulder Pain

Shoulder pain can stem from various reasons, including:


  • Rotator cuff injuries: These involve strains or tears in the tendons and muscles around the shoulder joint.
  • Frozen shoulder: Also known as adhesive capsulitis, it involves stiffness and pain in the shoulder joint.
  • Shoulder arthritis: Osteoarthritis or rheumatoid arthritis can affect the shoulder joint, leading to pain and stiffness.
  • Bursitis: Inflammation of the bursa, the fluid-filled sacs that cushion the joints, can cause shoulder pain.
  • Shoulder dislocation or instability: Injuries that cause the shoulder joint to pop out of place or feel loose.
  • Tendonitis: Inflammation of the tendons due to overuse or repetitive motions.
  • Fractures or trauma: Broken bones or injuries can result in severe shoulder pain.

Serious shoulder pain usually involves intense, persistent pain that interferes with daily activities or is accompanied by other symptoms like swelling, bruising, inability to move the arm, or a sudden injury. Minor aches or strains tend to be less severe and often improve with rest or mild pain management techniques.

It’s advisable to seek medical attention if you experience:


  • Intense or persistent shoulder pain that doesn’t improve with rest or over-the-counter medications.
  • Difficulty in moving the shoulder or raising the arm.
  • Swelling, redness, or warmth around the shoulder joint.
  • Shoulder pain after an injury or accident.
  • Signs of infection like fever or drainage from the shoulder area.
  • Numbness or tingling in the arm or hand along with shoulder pain.

Yes, shoulder pain can be a symptom of various underlying issues such as:


Heart problems: Sometimes, heart-related issues like a heart attack can manifest as shoulder pain.

Gallbladder disease: Pain from the gallbladder can radiate to the shoulder.

Lung conditions: In some cases, lung conditions like pneumonia may cause shoulder pain.

Cervical spine issues: Nerve impingement or problems in the cervical spine can cause referred pain in the shoulder.

Several factors can increase the likelihood of experiencing shoulder pain, including:


Aging: As people age, the risk of developing shoulder problems, such as arthritis or tendonitis, increases.

Overuse or repetitive movements: Occupations or sports that involve repetitive shoulder movements can lead to strains or injuries.

Poor posture: Bad posture can strain the muscles and tendons in the shoulder region.

Previous shoulder injuries: Past injuries to the shoulder can make it more susceptible to future problems.

Certain medical conditions: Conditions like diabetes or thyroid disorders can increase the risk of shoulder issues.

Remember, it is essential to consult a healthcare professional to address specific concerns about shoulder pain, as the answers to these questions may vary depending on individual circumstances and medical history.