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From Pitch to Pressing: Leading the Way in Shoulder Pain Recovery

From Pitch to Pressing: Leading the Way in Shoulder Pain Recovery

by | May 10, 2025 | Return to Sport, Shoulder, Sport, Sports Injury

Understanding Rotator Cuff Pain in Active Populations

Shoulder pain, particularly rotator cuff (RC) injuries, is one of the most common complaints among athletes and active individuals. The rotator cuff, comprising the supraspinatus, infraspinatus, teres minor, and subscapularis, stabilises the shoulder and enables dynamic overhead movement. Athletes in cricket, tennis, AFL, and CrossFit are especially prone to strain this system through repetitive, high-load movements (Desmeules et al., 2025).

At Praxis Physiotherapy, we specialise in managing rotator cuff injuries with precision. Our expertise spans throwing athletes, tennis players at our Coops Club location, contact sports like AFL, and recreational CrossFit athletes — ensuring tailored care across sporting domains.

Tailored Treatment Backed by Clinical Evidence

Current guidelines recommend avoiding over-reliance on imaging and emphasize active rehabilitation. Many rotator cuff cases can be effectively managed without surgery, using structured, progressive rehab programs including resistance training, neuromuscular re-education, and load management (Desmeules et al., 2025).

Key strategies include:

  • Individualised education about the condition and recovery timeline
  • Isometric and isotonic strengthening of shoulder stabilizers
  • Use of validated outcome tools (e.g., handheld dynamometry, ROM apps) to track progress
  • Selective adjuncts, such as manual therapy or taping, when needed for short-term symptom relief

In persistent or complex cases, our close collaboration with shoulder and knee surgeon Dr. Kelly Macgroarty ensures a seamless escalation pathway and expert review.

man throwing yellow, blue, and red Mikasa ballThe Athletic Shoulder: Why Sport-Specific Rehab Matters

The demands placed on a shoulder in throwing or overhead sports are extreme. During a cricket bowl or tennis serve, angular velocities can reach 7000–7500°/s, and forces on the shoulder joint can exceed bodyweight (Wilk et al., 2009). These actions demand both mobility and stability—a balance referred to as the “thrower’s paradox.”

Our assessments go beyond the shoulder joint, considering the entire kinetic chain — from trunk control to hip mobility — to ensure optimal movement integration and minimize overload (Cools et al., 2021).

The Evidence on Rehabilitation & Prognosis

Recent guidelines emphasize exercise-based rehab as the most effective first-line intervention. Strength gains and symptom reduction are typically seen within 12 weeks if appropriately dosed (Desmeules et al., 2025). Furthermore, the longer pain persists, the lower the likelihood of full recovery from physiotherapy alone (Chester et al., 2013).

In terms of injury prevention, shoulder-focused warm-up programs — such as FIFA 11+, the Oslo Shoulder Program, and sport-specific throwing drills — have shown a moderate to large effect size in reducing injury risk (Liaghat et al., 2023).

Return to Sport: Measured, Not Rushed

Our return-to-sport protocols are designed to ensure both readiness and resilience. We use objective criteria:

  • Strength benchmarks (e.g. ER/IR ratio)
  • Symmetry comparisons
  • Fatigue tolerance testing
  • Sport-specific drills and reactive control

Whether you’re pressing overhead in a CrossFit WOD, tackling in AFL, or ramping up bowling loads in cricket, our protocols ensure a safe and confident return.

Prevention: Not an Afterthought

Our clinic philosophy incorporates injury prevention from the first session (PREVENT | PREPARE | PERFORM). For athletes at our Coops tennis facility, we screen for scapular dyskinesis and GIRD (glenohumeral internal rotation deficit). For CrossFitters, we optimise loading strategies and lifting technique.

Prevention is an ongoing cycle: screen, intervene, reassess. It’s not just about avoiding injury—it’s about building capacity and sustaining high performance (Cools et al., 2021).

Conclusion

Rotator cuff pain doesn’t have to be a long-term setback. With expert diagnosis, individualised rehab, and a sport-specific return plan, most athletes recover without surgery. At Praxis, we combine cutting-edge evidence with clinical experience — and our collaboration with orthopaedic surgeon’s and sports medicine practitioners means you’re in expert hands every step of the way. For more on throwing specifically, check out our blog where we put the Praxis team to the test!

Ready to take control of your shoulder pain? Book an appointment today and let our team guide you back to strength, confidence, and performance.

📍 Clinics in Teneriffe, Buranda, and Carseldine

💪 Trusted by athletes. Backed by evidence. Here for everyone.

References

  1. Desmeules, F. et al. (2025). Rotator Cuff Tendinopathy: Diagnosis, Nonsurgical Medical Care, and Rehabilitation: A Clinical Practice Guideline. Journal of Orthopaedic & Sports Physical Therapy, 55(4), 235–274.
  2. Wilk, K.E. et al. (2009). Shoulder Injuries in the Overhead Athlete. Journal of Orthopaedic & Sports Physical Therapy, 39(2), 38–54.
  3. Cools, A.M. et al. (2021). The Challenge of the Sporting Shoulder: From Injury Prevention Through Sport-Specific Rehabilitation Toward Return to Play. Annals of Physical and Rehabilitation Medicine, 64, 101384.
  4. Chester, R. et al. (2013). Predicting Response to Physiotherapy for Musculoskeletal Shoulder Pain: A Systematic Review. BMC Musculoskeletal Disorders, 14, 203.
  5. Liaghat, B. et al. (2023). Diagnosis, Prevention, and Treatment of Common Shoulder Injuries in Sport: Grading the Evidence. British Journal of Sports Medicine, 57, 408–416.
Strong Bones, Strong Runner: Understanding and Treating Stress Fractures

Strong Bones, Strong Runner: Understanding and Treating Stress Fractures

by | May 8, 2025 | Return to Sport, Running Injuries, Sports Injury

Understanding Stress Fractures in Runners: Risk, Recovery, and Prevention

Stress fractures are a frustrating reality for many runners. Characterised by small cracks or severe bone reactions due to repetitive load, these injuries can derail training for weeks or months, and in some cases, end seasons or careers. While they are most commonly associated with endurance sports like distance running, the underlying mechanisms are multifactorial and complex. This blog explores the current understanding of stress fractures in runners — including emerging research, rehabilitation strategies, and how to lower your injury risk.

What Is a Stress Fracture?

A stress fracture is a type of bone stress injury (BSI), an overuse injury caused by the accumulation of microdamage in bone tissue due to repeated loading. Unlike acute fractures that result from a single traumatic event, stress fractures occur when repetitive sub-threshold forces — like running — outpace the bone’s capacity to repair itself (Hoenig et al., 2022).

Bone is a dynamic tissue that remodels in response to stress. However, when this remodeling process cannot keep up with microdamage accumulation — due to either an increase in training load or inadequate recovery — bone strength deteriorates. This can progress from a stress reaction to a stress fracture and, if untreated, to a complete fracture (Bergman & Kaiser, 2025; Coslick et al., 2024).

Why Are Runners So Prone?

Running, by nature, imposes repeated high loads on the lower limbs. The tibia (shin bone), metatarsals, femur, and pelvis are frequent stress fracture sites in runners (Hadjispyrou et al., 2023). Several factors contribute to the elevated risk in this group:

  • Training Errors: Rapid increases in volume or intensity, excessive hill work, or high mileage without adequate rest periods.

  • Bone Geometry: Martin & Heiderscheit (2023) found associations between proximal femur geometry and increased stress fracture risk, suggesting that individual anatomical differences can affect how load is distributed through the skeleton.

  • Energy Deficiency: Low energy availability, often associated with disordered eating or high training demands, can impair bone remodeling and increase injury risk — particularly in female athletes.

  • Surface and Footwear: Hard surfaces, old or inappropriate shoes, and poor running biomechanics can all contribute to abnormal load distribution and localized bone stress.

High-Risk vs Low-Risk Locations

Not all stress fractures are created equal. According to Coslick et al. (2024), stress fractures are categorized based on location and associated risk of complications:

  • Low-risk sites (e.g., posterior tibia, fibula, second metatarsal shaft) typically heal well with conservative treatment.

  • High-risk sites (e.g., anterior tibia, navicular, femoral neck, and sacrum) are more likely to progress to non-union or full fracture and may require surgical management.

A nuanced understanding of the fracture location helps guide both treatment duration and rehabilitation intensity.

The Cumulative Risk Concept

Traditional models have viewed stress fractures as the result of isolated risk factors. However, Hamstra-Wright et al. (2021) propose a more integrated concept: the cumulative risk profile. This model acknowledges that risk factors — like energy deficiency, training load spikes, biomechanics, menstrual history, and previous BSIs — rarely occur in isolation.

In this framework, stress fractures occur when the athlete’s “load capacity” is exceeded by their “training load.” What’s striking is that two runners could follow the same training program but respond very differently based on their individual capacity, bone density, and recovery habits.

Clinically, this means runners must be assessed holistically. It also underscores the importance of individualized training plans, particularly during return-to-run phases.

Diagnosis and Imaging

Early symptoms of a stress fracture include localized pain that worsens with activity and settles with rest. As the injury progresses, pain can persist with walking or even at rest.

Unfortunately, standard X-rays often miss early bone stress injuries. MRI is the gold standard, able to detect bone marrow edema (early stress reaction) before a fracture line develops (Coslick et al., 2024; Bergman & Kaiser, 2025). Bone scans and CT can also be used in specific cases.

Rehabilitation and Return to Running

The cornerstone of stress fracture management is load reduction — typically involving rest from impact activities for 4–8 weeks depending on the site and severity. During this time, runners can usually continue cross-training (e.g., cycling, swimming) to maintain cardiovascular fitness.

A gradual return-to-run program should be guided by symptom response, starting with walk–run intervals and progressing to continuous running. Strength and conditioning plays a vital role in both rehabilitation and prevention — building muscular resilience to offload bony structures. Calf, hip, and core-focused strength work can significantly reduce recurrence risk and should form part of a comprehensive return-to-run strategy. (You can learn more about how we use strength and conditioning at Praxis Physiotherapy to support our runners here)

Coslick et al. (2024) emphasises the value of a multidisciplinary approach involving physiotherapists, sports physicians, dietitians, and coaches.

Preventing Stress Fractures: What Runners Can Do

While not all BSIs are preventable, runners can reduce their risk by addressing modifiable factors:

  • Progress training gradually: Avoid spikes in weekly mileage (>10% per week) and ensure at least one rest day.

  • Fuel adequately: Runners with low energy availability are at significantly increased risk, particularly females with menstrual disturbances.

  • Build strength: Muscle fatigue reduces shock absorption. Strengthening the calves, glutes, and trunk can reduce bone loading.

  • Check your shoes and form: Replace runners every 500–800 km and consider a running gait assessment, especially if you have a history of injury.

  • Listen to your body: Early symptoms like persistent aching, pinpoint bony pain, or pain that lingers after a run shouldn’t be ignored.

Emerging Insights: Bone Shape and Load Distribution

Martin & Heiderscheit’s (2023) biomechanical analysis highlights the role of pelvis and femoral geometry in modulating stress distribution through the lower limb. This helps explain why some runners — even those with ideal training habits — may still suffer stress fractures. Their work supports the growing trend of using 3D imaging and gait analysis in injury risk profiling.

The Bottom Line

Stress fractures in runners are complex, multifactorial injuries that require a careful balance of training load, nutrition, and recovery. While new imaging and biomechanics research has enhanced our ability to diagnose and understand them, the best approach remains holistic — considering both the runner’s physiology and their environment.

pair of blue-and-white Adidas running shoes

At Praxis Physiotherapy, we manage bone stress injuries in athletes of all levels. Whether you’re dealing with your first tibial stress reaction or a sacral stress fracture during marathon prep, we can help guide your recovery and reduce your future risk.

If you’re interested in how stress fractures affect other athletes — like fast bowlers in cricket — read our blog on lumbar spine stress fractures here.

Until next time, Praxis what you Preach

📍 Clinics in Teneriffe, Buranda, and Carseldine

💪 Trusted by athletes. Backed by evidence. Here for every body. 

References

Bergman, R., & Kaiser, K. (2025). Stress Reaction and Fractures. In StatPearls. StatPearls Publishing. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK507835/

Coslick, A. M., Lestersmith, D., Chiang, C. C., Scura, D., Wilckens, J. H., & Emam, M. (2024). Lower extremity bone stress injuries in athletes: An update on current guidelines. Current Physical Medicine and Rehabilitation Reports, 12(1), 39–49. https://doi.org/10.1007/s40141-023-00456-6

Hamstra-Wright, K. L., Huxel Bliven, K. C., & Napier, C. (2021). Training load capacity, cumulative risk, and bone stress injuries: A narrative review of a holistic approach. Frontiers in Sports and Active Living, 3, 665683. https://doi.org/10.3389/fspor.2021.665683

Hadjispyrou, S., Hadjimichael, A. C., Kaspiris, A., Leptos, P., & Georgoulis, J. D. (2023). Treatment and rehabilitation approaches for stress fractures in long-distance runners: A literature review. Cureus, 15(11), e49397. https://doi.org/10.7759/cureus.49397

Hoenig, T., Ackerman, K. E., Beck, B. R., Bouxsein, M. L., Burr, D. B., Hollander, K., Popp, K. L., Rolvien, T., Tenforde, A. S., & Warden, S. J. (2022). Bone stress injuries. Nature Reviews Disease Primers, 8, 26. https://doi.org/10.1038/s41572-022-00352-y

Martin, J. A., & Heiderscheit, B. C. (2023). A hierarchical clustering approach for examining the relationship between pelvis–proximal femur geometry and bone stress injury in runners. Journal of Biomechanics, 160, 111782. https://doi.org/10.1016/j.jbiomech.2023.111782

Jumper’s Knee (Patellar Tendinopathy)

Jumper’s Knee (Patellar Tendinopathy)

by | May 17, 2022 | Knee, Return to Sport, Sports Injury, Tendon

Do you play a jumping sport such as volleyball, basketball or AFL? Have pain in the front of your knee when jumping, landing or changing direction? Have you lost some jumping power recently? Well read on friends as you may have a grumbly knee tendon.

Summary:

  • Patellar tendinopathy is summarised clinically as pain and dysfunction in the patellar tendon
  • Most commonly affects jumping athletes from adolescence to early middle age.
  • Return to sport can be slow with physio useful as a front line management tool
  • Often requires prolonged rehabilitation centred around education, strength training and load management

Jumper’s knee (or patellar tendinopathy) as its name suggest predominantly affects athletes who engage in sports which require large volumes of jumping. Jumping dynamically loads the knee and places large loads on the patellar tendons due the large and repeated requirements of the thigh muscles (quadriceps). These include sports that require repeat jump / landing efforts and/or high volumes of load during training and competition. Elite adolescent male athletes tend to be at a higher risk, especially if you play volleyball.

Mid Potion Achilles Tendinopathy Location

Like most injuries, patellar tendinopathy reflects an overload of the tissue and a failed healing response. Tendons tend to most susceptible to long periods of dynamic loading given their role in storing and releasing energy like a spring. The stiffer the spring, the more effective the spring and the more punishment it can take before the function deteriorates.

This injury is one that can be mild or moderate in nature and as such allow playing to some degree. As such, player’s tend to not to miss a lot of games like more “traditional” injuries such as ankle sprains or hamstring tears. It can typically slowly present and have a “warm up phenomena” (as in it can get better during a game), however aches after activity and the next morning. The pain is often at the very bottom of the knee cap, and on the space between the kneecap and the top of the shin bone where the tendon lies.

Key management strategies include ensuring the correct diagnosis and an understanding of tendon pathology (for more on tendon pathology, check out this blog). From there, pain management strategies and workload management is a key tenant to rehabilitation. Above and beyond workload management and good patient education, we at Praxis Physio also test the strength and range of the hip, knee and ankle musculature as well as jumping / landing biomechanics to understand where the likely reasons are for your knee pain.

After a comprehensive assessment, targeted and graduated strengthening is provided. The premise of these early phases are to reduce pain, improve strength, improve function, increase power (specifically the energy storage potential of the tendon) then finally sports specific training and management on symptoms.

As someone who has had an 18 month history of patellar tendinopathy, I personally can attest to the frustration this injury provides. I made many mistakes along my rehabilitation journey – though this was before I was a physiotherapist and took a clinical interest in tendinopathies. Thankfully, the research has come a long way in the last decade, so if you are having ongoing knee pain that you suspect is jumper’s knee, book in with us so we can get you jumping back to your best.

Until next time, Praxis what you Preach.

Stephen Timms

FACT OR FICTION FRIDAY || Overuse injuries need rest and are because I’m doing too much

FACT OR FICTION FRIDAY || Overuse injuries need rest and are because I’m doing too much

by | Dec 20, 2019 | Gym and Strength, Pain, Return to Sport, Sports Injury

ANSWER: FICTION (Mostly – stay with us here) 🙊 Do you keep getting injured when you get back into your usual training after a period of rest 😤? The first graph shows a 65-day cycle of an Olympic athlete. The red lines indicate when the athlete was injured. Looking at the multi-coloured line, you can see that the injuries both occurred when the acute to chronic workload ratio was at its peak. Essentially that means that the loads that preceded the injury were too high relative to the longer term loading of the tissue 😫. This is typically called an overuse injury! Then along comes Mr/Ms physio and looks at the above cycle and says to the Olympian, “Come on mate, we can do better than this…” 😎 Ta da. The second graph shows the yellow section outlining the above 65-day period.
Mid Potion Achilles Tendinopathy Location

As you can see, training following this period is much more frequent and at higher intensities. So do we still assign the original injuries to overuse injuries given the athlete was able to handle much more relatively quickly after?! A better term would be a training load error and something that a sporting physio can help you with 👌. This is a particularly important thing to know given the holidays are just around the corner 🎅!

Get in touch with us if you want to train more with less injuries, or are looking to return to training! 📞(07) 3102 3337 or book online.

Team Praxis

PREVENT | PREPARE | PERFORM

Drew, M. K., & Purdam, C. (2016). Time to bin the term ‘overuse’ injury: is ‘training load error’ a more accurate term? Br J Sports Med, 50(22), 1423. doi:10.1136/bjsports-2015-095543

Stingers AKA Neural traction injuries

Stingers AKA Neural traction injuries

by | Dec 17, 2019 | Nerve Pain, Pain, Shoulder, Sports Injury

SUMMARY:

  • Stingers are essentially a tractioning of the neural system
  • This can cause pain, movement and sensation changes
  • Chronic traction to the nervous system can have a cumulative effect on nerve function
  • The more damage to the nerve, the more serious the outcome
  • We shouldn’t be as dismissive of “stingers”, particularly if they are recurrent
  • Physiotherapy has a role to play

STINGERS:

Stingers have been the catch cry of many contact sports over the years. Often dismissed as ‘just a stinger’, trauma to the nervous system should probably be taken a little more seriously, as we delve into detail today.

Stingers are most commonly experienced in contact sports whereby the shoulder of a players is forcefully depressed, as experienced with a tackle in NRL or union. A large range of motion over a short period of time can result in a ‘traction’ of the Brachial Plexus (a network of nerves formed from exiting branches of the spinal cord in the neck that transverse to the shoulder and arm). Thus network of nerves sends signals from your spinal cord to your shoulder, arm and hand and thereby providing feeling and movement to these regions.

BACKGROUND:

To understand a stinger injury, a clear understanding of nerves and nerve related injuries is required. A nerve is an enclosed, cable-like bundle of nerve fibres called axons, in the peripheral nervous system. A nerve provides a common pathway for the electrochemical nerve impulses that provide a number of functions, including getting our muscles to move!

Seddon and Sunderland present a five-grade classification scale for nerve related injuries[1-4]. Figure 1 illustrates the physiological changes that occur through each grade of injury. Essentially it outlines the greater amount of disruption to the anatomy of the nerve.

The more damage to the nerve, the more serious the outcome. Table 1 outlines the three different grades of stinger injuries.[4, 5] The most common stinger is a grade 1 injury, which represents a neurapraxia, or nerve stretch injury, without axonal disruption.[4] In an acute setting, this can result in motor and sensory loss/changes, which usually resolve within minutes.[1, 4] Grade 2 and 3 involve a higher degree of nerve injury, usually involving a crush, transection or compression mechanism.[1]

Chronic traction to the nervous system can have a cumulative effect on nerve function. This is termed “chronic stinger syndrome” and represents a distinct entity from acute stingers that may reflect long- standing structural changes of the subaxial spinal canal and chronic irritation/degeneration of the exiting nerve root complex.[4, 6]. This sounds complex but essentially means

Mid Potion Achilles Tendinopathy Location

A Clinical Example from Zac

“During a Gridiron match, a player was injured whilst making a tackle. I reviewed the player on field and he was unable to utilise his right upper limb (full paralysis) from shoulder down to his hand. The player was removed from the field immediately to be further assessed and monitored. A complete neurovascular assessment was performed, assessing motor function/strength, sensation, reflexes, and vascular status, as well was the cervical spine. Motor and sensation changes were the only deficits noted and were reviewed frequently. After roughly five minutes, the player demonstrated full upper limb motor strength and sensation, with nil lingering symptoms. In collaboration with the patient, it was decided he would return to match play immediately. The patient was monitored throughout the game and reported no further symptoms.”

Figure 2 shows a proposed decision tree when managing stinger injuries.[4] This clinical example outline above fits the Grade 1 Mild category as he was able to return to competition with nil lingering symptoms. Despite the lack of symptoms during the game, it is recommended the patient be reviewed again both after the game and weekly for two weeks to ensure a full resolution of symptoms.[4, 7]

The role for neural mobilisation?

Current non-surgical management involves rest, pain control and resistance training[4]. Though not explored within the literature, neural mobilization may have an important role in patients with persistent symptoms, such as Grade 1 moderate to severe, and more recurrent neuropraxias. Though not assessed in this specific population, there is evidence for neural tissue management being superior to minimal intervention for pain relief and reduction of disability in nerve related chronic musculoskeletal pain.[8] It is biologically plausible that recurrent neuropraxias may respond in a similar way, utilising neural mobilisation (tensioning or sliding) and mobilisation of surrounding structures.

Management of persistent Grade 1 injuries may differ slightly, specifically if the suspected mechanism of injury was through traction rather than compression. The nerve structures may have a heightened sensitivity to tensioning based techniques due to the similar mechanism of injury and may respond better acutely to sliding techniques which limit the strain on the nerve and focus on excursion. Tensioning techniques may be important in the sub-acute phase by loading the patient’s nervous system (i.e. increased strain) in preparation for return to function (i.e. tackling with acute traction on the brachial plexus).

In summary, perhaps we shouldn’t be as dismissive of “stingers”, particularly if they are recurrent for you! If you have any questions or would like to see one of our physios regarding your injury, feel free to contact us on (07) 3102 3337 or book online on our website

Till next time, Praxis what you Preach

Team Praxis

Prevent | Prepare | Perform

REFERENCES:

Menorca, R.M.G., T.S. Fussell, and J.C. Elfar, Nerve physiology: mechanisms of injury and recovery. Hand clinics, 2013. 29(3): p. 317-330.

Tsao B, B.N., Bethoux F, Murray B, Trauma of the Nervous System, Peripheral Nerve Trauma. 6th ed. In: Daroff: Bradley’s Neurology in Clinical Practice. 2012.

Sunderland, S., A classification of peripheral nerve injuries producing loss of function. Brain, 1951. 74(4): p. 491-516.

Ahearn, B.M., H.M. Starr, and J.G. Seiler, Traumatic Brachial Plexopathy in Athletes: Current Concepts for Diagnosis and Management of Stingers. J Am Acad Orthop Surg, 2019.

Feinberg, J.H., Burners and stingers. Phys Med Rehabil Clin N Am, 2000. 11(4): p. 771-84.

Presciutti, S.M., et al., Mean subaxial space available for the cord index as a novel method of measuring cervical spine geometry to predict the chronic stinger syndrome in American football players. J Neurosurg Spine, 2009. 11(3): p. 264-71.

Aldridge, J.W., et al., Nerve entrapment in athletes. Clin Sports Med, 2001. 20(1): p. 95-122.

Su, Y. and E.C. Lim, Does Evidence Support the Use of Neural Tissue Management to Reduce Pain and Disability in Nerve-related Chronic Musculoskeletal Pain?: A Systematic Review With Meta-Analysis. Clin J Pain, 2016. 32(11): p. 991-1004.

Shoulder Pain

Shoulder Pain

by | Dec 6, 2019 | Gym and Strength, Pain, Shoulder, Sports Injury

Do you have a ‘good’ and ‘bad’ shoulder? Have you been putting up with that grumbly shoulder for weeks, months or even years? Shoulder pain can but a real dampener on your activity levels – but it doesn’t need to!

We at Praxis, pride ourselves on taking the time to listen, assess and accurately diagnose your shoulder pains. Some of the more common complaints we hear are:

  • Sharp, dull, deep, aching pains around the shoulder
  • ‘Popping’ or ‘crackling’ sounds or feelings in the shoulder joint
  • Pain in the mornings after lying on that side
  • A feeling of the arm ‘separating’, ‘popping out’, ‘slipping’ or feeling unstable
  • Losing power when doing overhead tasks such as swimming, throwing or gym work
  • Pains, pins and needles and numbness down the arms or pain up into the neck
  • The shoulder feeling stiff and sometimes even “frozen”

So whether your symptoms are as a result of wear and tear or an acute trauma from sport, general life or occupation, we are here to help. The shoulder needs to be strong AND mobile so if yours isn’t, then contact us today on (07) 3102 3337 or book in online We are located at 4 convenient locations around Brisbane. Teneriffe, Woolloongabba, Bowen Hills and Carseldine.

Team Praxis,

PREVENT | PREPARE | PERFORM