The pain shoulder pain creates a lot of confusion partially because much of shoulder pain comes from either the frozen shoulder, or the rotator cuff. In the past few years there has been in the attempt to do surgery on rotator cuff repairs.

Rotator cuff repairs are is not as simple as it might seem because the tendon is liable to become old and atrophy. It would appear that a normal tendon has a relatively good period of good 30 years and then as we get older it naturally deteriorates and can tear and atrophy naturally with age. With careful evidence-based research shoulder surgery looks as though it is relatively useful and appropriate if you have a rotator cuff tear and you are below the age of 65. After the age of 65 rotator cuff tear is much more complex and challenging and there is a good chance 40 to 50% of the tendon will actually re tear with in 2 years. Which is why even if there has been trauma in the older age group they prefer to give you exercise treatment rather than surgery due

The simple understanding that biologically the tissues do not heal nearly so well in the older age group, there is more muscle atrophy and wasting so rehabilitation which takes a good year after surgery and requires a great deal of effort can be most frustrating and difficult in the older age group that is over 65 years.

Here is the sample of the current papers and lectures given out by Prof Jeremy Lewis, and the wonderful Jo Gibson
shoulder surgery is most successful in the younger age group who are fit active and will follow up a good quality rehabilitation programme

Shoulder Confusion: Common Pitfalls in diagnosis and treatment by Dr Jeremy Lewis





Rotator Cuff Shoulder Pain: Exercises is an effective as Surgery Video by Dr Jeremy Lewis 

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