Upper Body Pain

Physical Therapy for Shoulder Pain

Shoulder pain can make even the simplest daily tasks like reaching for a glass, combing your hair, or lifting a bag a struggle. At Texas Alliance Physical Therapy, we help patients return to pain-free shoulder movement with expert care. Whether you’re recovering from rotator cuff injuries, shoulder impingement, or labral repair, our physical therapy programs address the root cause to restore strength, mobility, and function.


Understanding Shoulder Pain

Your shoulder is one of the most mobile and complex joints in the body, making it essential for everyday movement—but also prone to overuse, strain, and injury. Common causes of shoulder pain include rotator cuff tears, impingement, tendinitis, and joint instability. Our shoulder pain specialist provides targeted treatment to relieve discomfort, restore mobility, and strengthen the joint for long-term recovery.


Rotator Cuff Injury

Tears or inflammation in the shoulder’s stabilizing muscles can cause persistent pain and weakness. Through targeted physical therapy for shoulder pain, we help you restore muscle balance and shoulder control. Treatment may include strengthening exercises, posture correction, and manual therapy to support full recovery.


Shoulder Impingement Syndrome

When tendons are pinched during arm movement, pain limits your mobility and daily function. Our orthopedic physical therapy approach focuses on correcting movement mechanics to relieve pressure and restore proper joint motion. By improving shoulder alignment and muscle coordination, we help prevent impingement from recurring.


Shoulder Dislocation or Instability

Frequent dislocations or instability often follow trauma, overextension, or repetitive strain. Specialized physical therapy services rebuild shoulder stability, coordination, and overall joint control. Our goal is to strengthen the joint, restore functional movement, and reduce the risk of future dislocations.


Shoulder Tendinitis or Bursitis

Inflammation of tendons or bursa sacs can make even gentle movements painful and limiting. We apply advanced physical therapy techniques to reduce inflammation, improve circulation, and support soft tissue healing. Focused exercises and hands-on care help promote recovery and restore pain-free motion.


Total Shoulder Replacement

Recovery after a total shoulder replacement requires careful, progressive movement to protect the joint. Our physical therapy program focuses on reducing stiffness, improving range of motion, and rebuilding strength. We guide each step to ensure safe healing and a smooth return to daily activities.


Rotator Cuff Repair

Post-surgical rehab for rotator cuff repair emphasizes joint protection, controlled mobility, and gradual strengthening. We create personalized exercises to support tendon healing while restoring shoulder function. Our team monitors your progress closely to prevent setbacks and promote full recovery.


Labral Repair

Labral repair recovery requires a structured, progressive approach to restore shoulder stability and mobility. Our physical therapists use targeted techniques to reduce pain, improve motion, and rebuild essential muscle support. We help you move safely and confidently through each phase of healing for lasting results.


Recognizing the Signs of Shoulder Pain

When to Consult a Physical Therapist

What causes shoulder pain? Shoulder pain often begins with mild stiffness, aching, or reduced mobility—but left untreated, it can progress into long-term dysfunction that affects your entire upper body. Recognizing the early warning signs and seeking care promptly can prevent worsening symptoms and support faster recovery. A licensed physical therapist can assess your shoulder mechanics, identify the root cause, and guide you toward lasting relief.

Difficulty Lifting or Reaching Overhead

Struggling to lift your arm above shoulder height or reach behind your back can signal inflammation, impingement, or a rotator cuff injury. Physical therapy can improve joint mobility, reduce irritation, and restore proper movement patterns.

Clicking, Popping, or Grinding in the Shoulder

Noisy shoulder movement often points to labral tears, joint instability, or muscular imbalances. A physical therapist can help stabilize the joint and reduce friction through corrective exercises and manual therapy.

Radiating Pain into the Neck or Arm

Pain that extends into the neck, upper arm, or down to the elbow may indicate nerve involvement or referred pain from shoulder dysfunction. Treatment focuses on decompressing irritated structures and improving posture to relieve pressure.

Weakness or Instability During Activity

Feeling like your shoulder might “give out” during sports, lifting, or daily tasks is a sign of poor joint support or muscle imbalance. Physical therapy for shoulder pain helps to build strength, stability, and control to reduce your risk of serious injury.

Persistent Pain After Shoulder Surgery

Ongoing pain following procedures like rotator cuff or labral repair may result from scar tissue, limited mobility, or strength deficits. Post-surgical physical therapy restores function and ensures proper healing through structured, progressive care.


Treating Shoulder Pain

Physical Therapy San Antonio

If you’re wondering how to relieve shoulder pain, our treatment plans are built around restoring motion, reducing pain, and rebuilding confidence, no matter the diagnosis. At Texas Alliance Physical Therapy, we combine hands-on care, evidence-based exercise, and patient education to achieve long-term results. With consistent progress monitoring and supportive guidance, patients can expect not only pain reduction but a return to full, confident use of their shoulder.

Targeted Manual Techniques

Hands-on methods such as joint mobilization, soft tissue release, and myofascial therapy help reduce tightness and restore joint alignment. This is especially effective for shoulder impingement and tendinitis.

Strengthening and Stabilization

Progressive resistance exercises enhance the coordination of your rotator cuff and scapular muscles, which is a key focus of physical therapy treatment for shoulder pain programs.

Post-Surgical Recovery Programs

Following total shoulder replacement, rotator cuff repair, or labral repair, we offer gentle range-of-motion routines that evolve into strengthening and functional retraining.

Postural and Ergonomic Education

We provide strategies for desk setup, lifting technique, and sleeping posture to prevent re-injury. Correct alignment minimizes stress on the shoulder joint and supports long-term wellness.


From Pain to Power: Overcoming Shoulder Pain

Regaining shoulder strength means more than just easing discomfort; it’s about restoring your freedom of movement and your quality of life. Whether you’re dealing with rotator cuff injuries, recovering from shoulder dislocation, or addressing shoulder tendinitis, our mission is to help you move without limits again.

At Texas Alliance Physical Therapy, our physical therapy specialists personalize each session to your needs, ensuring every movement leads you closer to lasting relief. We believe that recovery is not just physical, it is empowering.


Start Your Journey to Pain-Free Shoulders

At Texas Alliance Physical Therapy, we specialize in restoring shoulder strength, flexibility, and function so you can move freely and live fully again. Don’t let shoulder pain hold you back from the activities you love.

Schedule your consultation today and discover how our San Antonio physical therapy clinic can help you overcome pain and rebuild confidence, one movement at a time.

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Conditions We Treat

Lower Body Pain

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Frequently Asked Questions About Shoulder Pain

What does a dislocated shoulder feel like?

A dislocated shoulder typically causes sudden, intense pain and a feeling that the joint has “slipped out” of place. The arm may look deformed, feel unstable, or be difficult to move, and muscle spasms often increase discomfort.

How long does rotator cuff repair last?

A successful rotator cuff repair can last many years, often a decade or more, especially when the tendon heals well and the patient follows proper rehabilitation. However, durability can vary based on age, tear size, tissue quality, and activity level.

What is a reverse total shoulder replacement?

A reverse total shoulder replacement is a surgical procedure where the normal ball-and-socket structure of the shoulder is switched—the ball is placed on the shoulder blade side and the socket on the arm bone. This design helps the deltoid muscle compensate for a damaged rotator cuff, improving stability and function.

How does physical therapy help with shoulder pain?

Physical therapy targets the underlying cause of shoulder pain through strengthening, stretching, and manual techniques that restore normal motion and function.

How long does it take to see results from shoulder pain therapy?

Improvements can begin within a few sessions, depending on your condition and consistency with home exercises.

Can physical therapy prevent shoulder surgery?

In many cases, yes. Strengthening and stabilizing the shoulder can often reduce the need for invasive procedures.

How to sleep with shoulder pain?

Sleep on your back or non-affected side with a pillow supporting your arm to reduce pressure on the painful shoulder. Avoid sleeping directly on the injured side.

Where is shoulder bursitis pain felt?

Shoulder bursitis pain is usually felt at the top or outer part of the shoulder and worsens with overhead movements or pressure.

Can carpal tunnel cause shoulder pain?

Yes, in some cases, carpal tunnel syndrome can cause radiating pain up the arm into the shoulder, though the primary symptoms occur in the hand and wrist.

Have more questions? Contact Us.

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