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Physiotherapy

Shoulder
Pain.

The shoulder has the greatest range of motion of any joint in the body — and pays for it with inherent instability and susceptibility to injury. Our Surrey physiotherapists specialize in restoring shoulder function through precise, evidence-based rehabilitation.

Causes & Conditions

The complex
shoulder.

Shoulder pain is the third most common musculoskeletal complaint, yet it is frequently misdiagnosed. The shoulder complex involves four joints — glenohumeral, acromioclavicular, sternoclavicular, and scapulothoracic — and over 20 muscles working in precise coordination.

Rotator cuff pathology is the most common cause of shoulder pain in adults over 40. Importantly, many rotator cuff tears are asymptomatic, meaning imaging findings alone do not determine the need for surgery — clinical presentation and response to physiotherapy do.

  • Rotator cuff tendinopathy — supraspinatus, infraspinatus, and subscapularis degeneration
  • Rotator cuff tear — partial and full thickness tears from acute injury or chronic degeneration
  • Subacromial impingement syndrome — painful arc with overhead activity from bursal or tendon compression
  • Adhesive capsulitis (frozen shoulder) — progressive stiffness and pain through inflammatory, frozen, and thawing phases
  • SLAP lesion — superior labral tear causing clicking, instability, and pain with throwing
  • Shoulder instability — anterior or multidirectional instability from labral pathology or hypermobility
  • Acromioclavicular joint injury — AC joint separation and arthrosis from falls or direct impact
  • Biceps tendinopathy and rupture — long head of biceps tendon pain and distal rupture
  • Calcific tendinitis — calcium deposits in the rotator cuff causing acute severe pain
  • Post-surgical shoulder rehab — rotator cuff repair, labral repair, shoulder replacement
Our Treatment

Restore the
shoulder complex.

Manual Therapy

Glenohumeral and scapulothoracic mobilization to restore range of motion — especially critical for frozen shoulder and post-surgical stiffness.

Class IV Laser

Reduces subacromial bursitis, accelerates rotator cuff healing, and provides significant pain relief without medication.

Focused Shockwave

Breaks down calcific deposits in the rotator cuff and stimulates tendon repair in chronic tendinopathy.

IMS / Dry Needling

Rotator cuff and periscapular trigger point release — reduces guarding and restores normal movement patterns.

Rotator Cuff Rehabilitation

Progressive strengthening from isolated rotator cuff activation to full overhead loading and return to sport.

Scapular Stabilization

Retraining lower trapezius, serratus anterior, and rhomboids to restore normal scapulohumeral rhythm.

What to Expect

Accurate diagnosis,
targeted rehab.

Assessment includes active and passive range of motion, special tests for impingement, rotator cuff strength, labral integrity, and AC joint. We review any imaging and determine whether conservative physiotherapy is appropriate or whether surgical consultation is warranted.

Rotator cuff tendinopathy and impingement typically respond within 6–12 sessions. Frozen shoulder requires longer treatment — typically 12–20 sessions over 3–6 months. Post-surgical protocols depend on the surgical procedure and surgeon’s timeline.

  • ICBC direct billing for shoulder injuries from motor vehicle accidents
  • WorkSafeBC accepted for occupational shoulder injuries
  • Post-surgical protocol collaboration with your surgeon
  • Shockwave for calcific tendinitis available in-clinic
  • Return-to-throwing and overhead sport programs
  • No referral required in BC

Ready to start
your recovery?

Surrey, BC · ICBC & WorkSafeBC Accepted · Direct Billing

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