Shoulder pain that responds to being rebuilt properly.
The shoulder trades stability for movement, which is what makes it so capable and so easily irritated. Most shoulder pain is not a tear that needs fixing.
“Josh was very knowledgeable and made me feel at ease instantly. My journey to repair my shoulder began yesterday and within 24 hours he has made such a difference. Less pain and more movement so soon wasn't expected.”
How I approach shoulder pain
I see a range of shoulder problems, including rotator cuff related shoulder pain, rotator cuff tears, shoulder instability and dislocations, and frozen shoulder.
There isn't a one size fits all treatment for shoulder pain. Everything is based around what we find during the assessment and what you need.
I'll look at how the problem started, what you're struggling with, your movement, strength and loading capacity, as well as the wider factors that may be influencing your symptoms.
— Josh Devine, Specialist MSK Physiotherapist
Common presentations
There isn't a one size fits all treatment. Everything is based on what we find in the assessment.
Rotator cuff related pain
The most common presentation. Usually a loading and capacity issue that responds well to graded strengthening.
Rotator cuff tears
A finding on a scan does not automatically explain symptoms. Many are found in people with no pain at all.
Instability and dislocations
Needs accurate assessment and a properly structured return to activity and sport.
Frozen shoulder
A distinct condition with recognisable stages. Getting the stage right matters enormously.
Rebuild the cuff, restore the movement
Progressive strengthening of the rotator cuff and surrounding musculature. This is the part that produces lasting change.
Most shoulder pain is not a tear that needs fixing.Find out what is actually going on and how to rebuild it.
“I wish I hadn't left it so long to get help from Josh. My shoulder pain was so painful but I received help and guidance from the first appointment that helped me so much and aided a quick recovery.”
How we treat shoulder pain
Understand how it started
What you're struggling with, your movement, strength and loading capacity, plus the wider factors influencing symptoms.
Address what you're avoiding
People commonly struggle with reaching, lifting, exercise, sport or sleeping, and start avoiding movements out of worry.
Treatment alongside loading
Soft tissue work or joint mobilisation where appropriate, alongside exercise, movement and progressive loading.
Give you the tools to manage it
The aim isn't to treat the shoulder and send you away. It's to build confidence and get you back to what matters.
Back doing what they love
Came in injured, left with a plan that worked.
Back doing what they love
Came in injured, left with a plan that worked.
- Accurate diagnosis from the first session
- A clear explanation of what was happening
- Structured, progressive rehabilitation
- A safe return to full activity
What our patients say
A Difference Within 24 Hours
“Josh was very knowledgeable and made me feel at ease instantly. My journey to repair my shoulder began yesterday and within 24 hours he has made such a difference. Less pain and more movement so soon wasn't expected.”
Avoided A Steroid Injection
“I had really bad shoulder and collar bone pain caused by an AC joint for at least 6 months. I was told if it doesn't get better in 4 weeks I would have to have a steroid injection. Thanks to Josh I didn't need one.”
Kept Training Through It
“Went to see Josh about an issue with my shoulder and he laid out a plan for me to work on, showing what stretches and exercises to do to improve the problem while still being able to train.”
What good looks like
Not sure what is wrong?
Answer 3 quick questions and we'll point you the right way.
A shoulder assessment would help.
Based on your answers, a full assessment would establish exactly what is involved and which stage you are at, which changes the treatment entirely.
Common questions
Is my shoulder pain a rotator cuff tear?
How long does frozen shoulder take?
Why does it hurt more at night?
Will I need an injection?
Do I need a referral?
Find us
Visit our private clinic in Medway for your assessment.
BetterMe Physiotherapy
9 Eastwood Meadow
Rainham, Gillingham
ME8 8FA
Parking
Dedicated parking is available for all our patients directly outside the clinic.
Opening hours
Mon – Fri 09:00 – 21:00
Saturday 09:00 – 18:00
Sunday 09:00 – 14:00
Get in touch
Ready to use your shoulder again?
Book an assessment and get an accurate diagnosis plus a plan that rebuilds it properly.