Restore Your Reach & Sleep Without Pain.

How do you decide what is causing shoulder pain?

We start with your story and a hands-on OPD exam to separate tendon overload, stiffness, instability, or neck-referred pain. Impingement hurts in a specific arc, arthritis feels deeper and stiffer, and neck referral changes with neck movement.

We compare both shoulders, test strength and control, and check the elbow, wrist, and nerves when symptoms travel down the arm. X-rays or ultrasound are used only when they add clarity. A first visit usually takes around 20-30 minutes. If neck referral is likely, see Spine & Nerve Pain Care.

MRI is used only when it changes the plan. We treat the person, not the scan.

Can shoulder pain improve without surgery?

Physiotherapy is not just a list of exercises. Early focus is on restoring smooth movement and teaching the shoulder blade to support the arm, so stiffness does not worsen with the wrong movements. As pain settles, we build rotator cuff strength and endurance. If you need structured rehab, see Physiotherapy & Rehab.

We use injections only when inflammation blocks progress, and we recommend surgery only when exam and imaging clearly match the symptoms.

What should I expect with frozen shoulder?

1. Step 1

   Freezing

   Pain grows, often worse at night.

2. Step 2

   Frozen

   Stiffness dominates daily movement.

3. Step 3

   Thawing

   Gradual return of motion.

Frozen shoulder (adhesive capsulitis) moves through stages: freezing pain (often worse at night), frozen stiffness, and gradual thawing with small gains in movement.

What helps depends on the stage. Early on, pain control and gentle motion are key. In the middle stage, guided stretching takes center stage. In the late stage, strengthening matters. It is often time-limited, but progress can be uneven.

Do rotator cuff tears need rehab or repair?

Rotator cuff tears range from frayed, partial splits to larger gaps that weaken lifting power. Small or moderate tears often respond to physiotherapy that restores scapular control and tendon strength, and many patients improve without surgery.

Larger tears show up as night pain, overhead weakness, or a shoulder that will not hold. If strength is truly down and imaging confirms a repairable tear, we discuss repair. If strength is good, rehab comes first.

What does shoulder instability or dislocation mean?

A shoulder that slips out or feels like it might slide is different from simple pain. Dislocations can happen with a fall or a sudden twist.

Rehab focuses on dynamic stability: the muscles that keep the ball centered in the socket while you move. Surgery is considered when dislocations repeat, the shoulder feels unreliable despite good rehab, or a labral tear is clearly limiting stability.

When does shoulder arthroscopy help?

Arthroscopy can be effective for repairable rotator cuff tears, labral injuries with instability, and mechanical catching that matches the exam and scan. It does not reliably help when pain is diffuse, the joint is arthritic, or the main issue is stiffness rather than a structural tear.

For a broader view of surgical options and recovery, see Arthroscopy & Sports Injuries. If you want a clear opinion, we review your exam and imaging and tell you the best option. You can book a focused OPD visit if you want clarity.

What does shoulder recovery and rehab look like?

Recovery is easier when you know the rhythm. In the first 0-2 weeks, focus on pain control, safe movement, and protecting any repair. In weeks 2-6, you build range of motion and begin light strengthening. From weeks 6-12 and beyond, strength and control return in layers.

Poor sleep, skipped rehab, or heavy lifting too early can slow recovery. Diabetes, smoking, and long gaps between sessions can also delay progress.

Sleep matters: use a supportive pillow and avoid long stretches on the painful side. For Delhi commutes or Metro rides, use a backpack with two straps and keep the load light.

When should I seek urgent care for shoulder pain?

Seek urgent care if you have sudden weakness after a fall, a shoulder that dislocates and feels unstable, fever with joint pain, or progressive numbness and hand weakness. These signals need timely assessment rather than watchful waiting.

What is the next step for shoulder pain?

If shoulder pain is limiting your work, sleep, or exercise, a focused evaluation can bring clarity. The goal is to match the right treatment to your condition and pace so you can plan your life without anxiety.

We review your case and tell you the next step clearly. We explain expected costs clearly and keep care cost-effective without cutting corners. If you want that clarity, you can request an OPD appointment.