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Shoulder pain physiotherapy in Etobicoke
Assessment and treatment for rotator cuff problems, frozen shoulder, impingement and rehabilitation after shoulder surgery, using exercise and hands-on treatment.
Shoulder problems we treat
Shoulder pain can make reaching, lifting, dressing and sleeping on your side harder. These are the shoulder problems we see most often.
Rotator cuff injuries
Rotator cuff tendon pain and tears from a fall, lifting, or gradual overuse.
Frozen shoulder
Painful, steadily increasing stiffness that limits how far you can lift or turn the arm.
Impingement and bursitis
Pain on the side or front of the shoulder when lifting the arm or reaching overhead.
Dislocation and instability
A shoulder that has dislocated or feels loose or unstable.
After shoulder surgery
Rehabilitation after rotator cuff repair, stabilization surgery, fracture repair or shoulder replacement.
Shoulder arthritis
Pain and stiffness from wear of the shoulder joint.
Your first visit: a thorough assessment
We start by finding out what is causing your pain and what you want to get back to doing. Your physiotherapist will:
- Ask how the pain started, which movements hurt, and how it affects work, sleep and daily tasks
- Measure how far the shoulder moves, both on its own and with help
- Test rotator cuff and shoulder blade strength, and use specific tests to pinpoint the problem
- Check your neck, since neck problems can cause pain felt in the shoulder, and review any imaging reports you bring
You leave with a clear explanation, a treatment plan, exercises to start at home, and an estimate of how many visits to expect.
How we treat shoulder pain
Treatment is built around your assessment. It usually combines:
- Exercise therapy. Progressive strengthening of the rotator cuff and shoulder blade muscles, matched to your stage of recovery
- Manual therapy. Joint mobilization and soft tissue techniques to ease pain and restore movement
- Range of motion work. Gradual stretching and mobility for frozen shoulder and after surgery
- Pain relief. TENS, interferential current (IFC) and ultrasound, used alongside exercise rather than on their own
- Acupuncture. Available with Xuemin (Simon) Li, R.TCM.P., if you would like to add it to your care
- Advice for work and daily life. Sleeping positions, lifting and reaching, and how to keep working while the shoulder recovers
When to seek urgent care: call 911 if shoulder or arm pain comes with chest pain, shortness of breath, sweating or nausea, as this can be a sign of a heart problem. Go to the emergency department after a fall or injury if the shoulder looks deformed or you cannot move your arm.
Shoulder pain: common questions
Do I need a doctor's referral?
No. In Ontario you can see a physiotherapist directly. Some insurance plans require a referral for reimbursement, so check your plan.
Do I need an X-ray or MRI first?
Usually not. Most shoulder problems can be assessed and treated without imaging. If your assessment suggests you need imaging or a specialist review, we will tell you and refer you to your doctor.
How long does frozen shoulder take to improve?
Frozen shoulder usually improves slowly, often over many months. Physiotherapy helps you keep and regain movement and manage pain during that time.
I had shoulder surgery. When can I start physio?
We follow your surgeon's guidelines on timing and restrictions. Bring any instructions or protocol you were given.
How many visits will I need?
It depends on your condition, how long you've had it and your goals. We give you an estimate after your first assessment.
Do you direct bill?
Yes. We direct bill most extended health plans, WSIB and auto insurers, and help you complete and submit claim forms.
Book a shoulder assessment
100 Humber College Blvd, Suite 210, near Etobicoke General Hospital. Serving Etobicoke, Rexdale, West Humber and nearby areas.