Active movement
Elevation, rotation, scapular rhythm and painful arc.
FRShoulder pain · Geneva
Shoulder pain assessment and rehabilitation in Geneva
Analysis of movement, strength, tendons and activity to distinguish modifiable limitations from presentations requiring medical review.
Rue de Fribourg 7 · 1201 Geneva
✓More than 20 years of clinical practice✓ASCA-recognised therapist✓NVS Class A · ISPRM
01
The shoulder must be understood in movement
Shoulder pain may involve tendons, bursa, joint, scapular control or symptoms referred from the neck. Examination looks for coherence rather than one label.
Ultrasound can complement assessment of selected superficial structures, but images are interpreted with strength, range, night pain and daily or sporting demands.
Care may combine load management, mobilisation, medical massage, exercise and selected technologies. Major traumatic pain or sudden loss of strength may require referral.
02 · IMG CLINICAL REASONING
Functional shoulder examination
The neck, shoulder blade and arm are included when symptoms require it.
Strength
Resisted tests adapted to pain level and suspected mechanism.
Tissues
Palpation and dynamic ultrasound when they can clarify the question.
Context
Trauma, night pain, global stiffness, sport, work and history.
03 · CLINICAL PATHWAY
Rebuild shoulder capacity
The plan follows phase and goal, not only the named structure.
Dose load
Reduce irritation without unnecessary immobilisation.
Recover movement
Develop useful and tolerable range.
Strengthen
Progress the cuff, scapula and functional chain.
Return
Reintroduce work tasks, sleep positions and sport.
04 · INDICATIONS
Presentations commonly discussed
- Rotator-cuff-related shoulder pain
- Stiffness and functional limitation
- Sporting or occupational overload
- Rehabilitation after trauma or surgery with medical approval
05 · FAQ
Shoulder questions
01Is ultrasound useful?＋
It can complement examination of selected tendons, bursae and superficial tissues when there is a defined clinical question.
02Must I stop all exercise?＋
Not always. Load is often modified rather than removed, according to pain and safety.
03Does a calcification explain all pain?＋
Not necessarily. Relevance depends on examination, phase and other findings.
04Is shockwave always indicated?＋
No. It is discussed for selected presentations after assessment and screening.
Your next step
Begin with a structured assessment
Contact IMG Clinic directly or complete the Clinical Pathway Engine™ beta to prepare an initial clinician-reviewed pathway.