Shoulder pain - melbourne

The shoulder is a complicated joint to manage!

The shoulder is one of the most complicated joints in the body to assess and treat because it involves lots of joints, muscles, nerves and movements!

Think of your shoulder joint like a golf ball sitting on top of a tee. At any given time there is only 20-30% of the golf ball surface in contact with the tee. The better we are at keeping the golf ball as close to the centre of the tee as possible during movements, the greater the function we will have and the less likely we are to develop aches and pains.

People struggling with shoulder pain will often struggle with activities above shoulder-height (ie. hanging washing), movements that require their arm moving behind their body (ie. undoing bra, putting on seat belt) or will mention troubling sleeping on the affected side.

Some potential causes of shoulder pain:

● Postural issues at work
● Neck or upper back tightness
● Increased overhead activities
● Shoulder impingement
● Sub-acromial syndrome
● Bursitis / labral tear
● Frozen shoulder
● Rotator cuff tendinopathy
● Muscle strain or tear
● Repetitive strain

In our experience, shoulder pain is often due to three main factors:

1. Increased levels of overhead arm exercise / activities
2. Sudden increase physical activity amount or intensity
3. Underlying weakness in the rotator cuff muscles

At Six Core Outcomes, as qualified Osteopaths and Biomedical Scientists we believe the most important thing is to determine the “root cause” of your symptoms and work together to prevent them from coming back.

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how do we treat shoulders at six core outcomes?


A typical appointment at Six Core Outcomes for shoulder complaints will involve ruling out any serious conditions before performing a comprehensive functional movement screen. By looking at how you move and using our state-of-the-art AxIT Strength System we can create a baseline for treatment and rehabilitation. 

Using our function-based approach rather than a pain-based treatment model it allows us to establish a working theory on the underlying root-cause of the pain symptoms.  

Some of our most-used shoulder techniques include:

● Assessing the scapulohumeral rhythm
● Strength testing the rotator cuff
● Dry needling & cupping for tight muscles 
● Upper back, neck & joint mobilisations
● Shoulder stability exercises
● Activity modifications


Depending on your specific presentation your appointment may include:

● AxIT System strength testing
● Functional movement screening
● Neurological & orthopaedic tests
● Dry needling / functional cupping
● Electrotherapy (TENS / e-stim)
● Joint mobilisations
● General soft tissue work
● Stretches & strength exercises
● Ergonomic recommendations
● Activity modifications
● Lifestyle adjustments

At Six Core Outcomes we live at the intersection of manual therapy and movement science. We assess tissues and joints and if needed will use restorative input (dry needling, cupping, mobilisations etc) to decrease pain, release tight muscles and remove barriers to movement.

So whilst your appointment may include manual therapy or restorative input, we appreciate the short-term nature of the benefits and will aim to progress you to a movement-based intervention as soon as your body allows.

Remove the guesswork from your pain

Stop missing out on doing what you love. Life’s too short. Book an appointment today.