Typical shoulder complaints
- Painful arc when lifting the arm sideways
- Night pain when lying on the affected side
- Loss of overhead strength: throwing, swimming, climbing, overhead work
- Diagnosed calcific tendinitis
- Increasing stiffness up to frozen shoulder
- Rehab after rotator cuff repair, dislocation or shoulder replacement
- Shoulder-neck pain radiating into the arm
Background
What drives shoulder pain
Rotator cuff overload
The most common cause: capacity and load do not match – not because something is "pinched".
Scapular control
Without stable scapular guidance the cuff works in a poor position. Scapular training often changes symptoms faster than local treatment.
Capsule & stiffness
In frozen shoulder the capsule itself changes. Phase-appropriate treatment is key – aggressive stretching makes it worse.
Calcium deposit
Calcifications respond well to radial shockwave therapy combined with cuff strengthening.
Our approach
Your shoulder rehab step by step
Shoulders need patience and dosing. We work with measured strength values.
Session 1 · assessment
Identify the driver
Mobility, rotator strength testing, scapular control, cervical screening, review of MRI or ultrasound findings.
Phase 1 · calm down
Sleep without pain
Load adjustment, manual therapy, radial shockwave for calcific tendinitis, isometrics for pain modulation.
Phase 2 · strength & control
Load the arm again
Progressive cuff strengthening, scapular training, push and pull patterns through increasing ranges.
Phase 3 · overhead
Back to sport & work
Overhead loading, throwing or striking progression, grip and trunk strength, load management for work.
Building blocks
What we work with
Shockwave Therapy
Radial – activates tissue regeneration in stubborn tendon problems.
Manual Therapy
Joint and tissue techniques to quickly restore mobility and modulate pain.
Performance Lab
EMG, strength and jump diagnostics: we measure deficits instead of guessing.
Medical Equipment Training
Progressive strength work on medical devices – the lever for lasting capacity.
Sports Physiotherapy
Pro-level return-to-sport – Bundesliga practice applied to your rehab.
Acute Consultation
Appointment within 24–48 h for acute complaints – no waiting for weeks.
What we base this on
- For subacromial shoulder pain, structured exercise therapy matches surgery in several randomised trials (e.g. Beard et al., Lancet 2018).
- Radial shockwave therapy leads to calcium resorption and functional improvement in calcific tendinitis.
- After cuff repair, criteria-based load progression determines the final result.
FAQ