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Our Services

Shoulder Pain - Rotator Cuff Injury

What is the rotator cuff?

The rotator cuff consists of 4 muscles that form a “cuff” around the ball of the upper arm where it fits together with the shoulder blade. These muscles connect the upper arm to the shoulder blade and keeps the shoulder joint together. In other words, the rotator cuff gives stability to the shoulder.

What injuries are commonly seen at the rotator cuff?

Rotator cuff tear:  an injury tears, an often weakened (from wear and tear), rotator cuff tendon.

Symptoms:  pain and weakness in the arm

Rotator cuff tendinitis:  a repetitive strain injury, often caused by regular activities where the arm is used in the ranges of 90 degrees elevation and higher.

Symptoms:  painful shoulder, with or without referral down the arm.

Rotator cuff impingement:  often occurs after repetitive, small injuries to the tendons. This causes scar tissue build-up, pinching the tendon between the ball of the upper arm and the bony protrusion of the shoulder blade above it.

Symptoms:  Similar to a tendinitis

Frozen shoulder:  the ball of the upper arm “sticks” to the shoulder blade where it comes together.

Symptoms:  shoulder pain and stiffness

Subacromial bursitis:  inflammation of the soft “cushion” of fluid between the rotator cuff and the bony protrusion from the shoulder blade.

Symptoms:  local pain and even swelling

How can physiotherapy help?

The physiotherapist will, after a thorough assessment, treat the relevant muscle(s) with various manual or electrotherapy techniques. They will also help with pain management and give advice on resting periods etc.

Furthermore the therapist will educate you on the possible causes of your injury and advise you on changes you can make in order to prevent future injury. This education will most likely include exercises and stretches in order to improve your posture and movement mechanics.

In severe cases the physiotherapist will be able to refer you for further radiological investigations or to a specialist to assist with the management of the condition.


How I work

I assess and treat every patient holistically, taking into account the physical, emotional and biochemical aspects. I spend time to determine the root cause of the problem and to educate my patients on what I have discovered. I involve my patient in his/her rehabilitation by way of discussions, coaching and home exercise programs, which I tailor to their schedule and current activity level. I work together with my patients in order to rehabilitate them back to personal power, wellness and wholeness.

Benefits of using Monique De Beer Physiotherapist

Relieving symptoms, but treating the

Education in understanding your problem

Focus on prevention of future problems

Provide appropriate home exercise
program to facilitate self-management

Aim for an average of 3 treatments






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Support and Guarantee

I guarantee that I will use all my knowledge and experience responsibly towards achieving the best outcome for my patients. I am available to answer questions, upgrade exercise programs and just give general advice and support if patients, present or past, are unsure about managing their conditions.

Why use me?

Take a comprehensive history

Provide undivided attention for the duration of the treatment

Treat you as a whole person, not just a sum of symptoms

I believe in making a correct diagnosis

Referral to the appropriate specialist if needed

Know your injury