Shoulder Pain

Helen and many other physiotherapists had the great privilege to attend by Professor Jeremy Lewis ‘s Consultant Physiotherapist, Professor of Musculoskeletal Research London.

This is to develop a better understanding and knowledge of the clinical anatomy and biomechanics of the shoulder girdle and to appreciate the importance of standing how shoulders interfere in many aspects of our lives.


Shoulder pain is the second most common cause of chronic pain.  Up to 34% of people over the age of five years will experience shoulder pain and this becomes a bigger problem as one gets older.  Only between 21 to 50% report complete recovery from shoulder pain after six months and at least 40 to 54% of people report ongoing symptoms for up to one to 3 years.


There are many different causes of shoulder pain which causes both clinicians and people to find that shoulder assessment is quite complex. No clinician will agree on the source of the pain. This adds to immense confusion for the patient who is trying to work out where the symptoms are coming from. there’s not only just the shoulder that can be involved the pain may be coming from the cervcial and the thoracic region. Add to the diagnostic dilemma.

So one can argue that many of the tests that one has to use for the shoulder may not be very accurate such as the tea awful can tests do not selectively activate the supraspinatus. In fact the test activates more than 13 muscles explains Prof Jeremy Lewis. Even the Orthopedic Tests cannot diagnose all the structures of the Bursae there are between 6 to 12 Bursae I around the shoulder, and these bursts I have the greatest nerve innovations and are full of chemicals including potentially the highly irritable P substance.





It is therefore really quite difficult to isolate exactly soft tissue is irritated in highly irritable painful shoulder.

Out of interest it is possible to use focus or radial shockwave therapy over the painful shoulder joint to reduce some of the pain and stiffness and then it is then possible to commence some gentle exercises

Helen has attended Jo Gibson`s Steps to Success CPD and Jo Gibson`s Shoulder Instability as well at Professor Jeremy Lewis`s The Shoulder Theory and Practice

Shoulder rehabiltation and management has developed and moved on very fast in the last 5 years so the exercises and management has changed

Helen has the online course on Jo Gibson Shoulder Steps to Success which everyone can get an opportunity to see parts of the shoulder exercises diagnosis as assessment if you come in with shoulder pain


Edinburgh Osteopath Helen How has over twenty-eight years experience of treating patients at the How Osteopathic Clinic (Trinity Edinburgh). Registered Osteopath Helen combines the latest advances in osteopathy with a gentle patient-centred approach to diagnosis and treatment ensuring that osteopathic treatment at the How Clinic is suitable for a wide-range of conditions including; back pain, neck pain, shoulder pain, knee conditions Helen uses Video Clips exercises educational information and outcome which is sent to your computer smartphone or iphone if you wish Treatment at the How Osteopathic Clinic is tailored to the individual and where necessary uses a combination of osteopathic techniques including, Traditional Osteopathy, Cranial Osteopathy, Electrotherapy, Vibrotherapy and Sports Remedial Massage. The holistic approach to osteopathy at the How Osteopathic Clinic, in addition to a full one hour treatment sessions, is designed to alleviate symptoms rapidly and can often significantly reduce the number of osteopathic treatments required. One of the few Osteopaths in Edinburgh and in Britain who uses the unique, gentle fleximatic vibrotherapy or shockwave therapy massage equipment combined with traditional osteopathic techniques in order to to find, feel and palpate those hard fibrotic bands of muscles which accumulate over the years of prolonged sitting, Helen has attended conferences held throughout the country; Helen has been using Shockwave Therapy for over 3 years now for Patella Tendons , Achilles Tendons Plantar Fasciitis and Tendon pain Hips, Upper Proximal Hamstring tendinopathy along with rehabilitation loading Contact Helen How, Registered Osteopath, 14 Craighall Gardens, Edinburgh EH6 4RJ To make an appointment contact Helen on 131 551 1044 or Text /Call 07889304762