Shoulder Osteoarthritis Pain Management – Southampton Physio
What is the best treatment for shoulder osteoarthritis?
Shoulder osteoarthritis (OA) can feel frustrating. Everyday tasks like reaching overhead, lifting a kettle or even sleeping comfortably can become painful or awkward. Many people worry that arthritis means the shoulder is “worn out” and that surgery is inevitable.
The good news: most people with shoulder osteoarthritis do not need an operation. Research shows that movement and strength are the most effective ways to reduce pain, protect the joint and keep you independent. At Southampton Physio, our role is to give you the plan, support and reassurance you need to keep doing the things that matter most to you.
Symptoms and Causes of Shoulder Osteoarthritis
Osteoarthritis is a condition where the protective cartilage inside a joint becomes thinner over time. In the shoulder, this can cause:
- A deep, aching pain around the joint
- Stiffness or a “grinding” sensation (crepitus) when moving
- Reduced range of motion, especially overhead or behind the back
- Pain that worsens with activity or after rest
- Disrupted sleep if you roll onto the affected side
It’s important to know that these changes are part of the natural ageing process. Many people show signs of arthritis on scans but have little or no pain. In fact, research suggests that pain is influenced as much by lifestyle, stress and how we use the shoulder as by what an X-ray shows.
Causes and risk factors include:
- Ageing – risk increases from 50 years onwards
- Previous injuries – dislocations or rotator cuff tears can increase likelihood
- Repetitive load – manual work or heavy sport over time
- Genetics – family history can play a role
Frozen shoulder vs OA:
- Frozen shoulder: sudden stiffening of the capsule, resolving in 12 - 18 months
- Osteoarthritis: gradual change inside the joint itself, usually long-term but manageable
How Physiotherapy Helps
Physiotherapy is one of the most effective ways to manage shoulder osteoarthritis without surgery. Our goal isn’t simply to reduce pain in the short term but to help you build lasting strength and mobility so your shoulder can cope with daily life.
Treatment usually includes:
- Education and reassurance
- Exercise therapy – strengthening and mobility
- Hands-on care – mobilisation and massage
- Pacing and lifestyle strategies
Exercise Therapy
Exercise is the foundation of shoulder OA treatment. Research shows it improves function and reduces pain, even when X-rays look severe. We’ll guide you through safe, graded strengthening, starting with simple movements before progressing to real-world tasks.
Manual Therapy and Pain Relief
Manual therapy can provide short-term relief, making it easier to move and exercise. Think of it as a bridge: it helps you feel more comfortable so you can engage in the exercises that create long-term change.
Other Treatment Options
Not every treatment suits every person. Options include:
- Medication – painkillers or anti-inflammatories (with GP advice)
- Injections – corticosteroid (short-term relief), hyaluronic acid (mixed evidence)
- Surgery – usually a last resort if conservative care has failed
What to Expect at Southampton Physio
Your first appointment is about clarity and confidence. We’ll start with a thorough assessment: listening to your story, understanding how your symptoms affect daily life and ruling out red flags.
You’ll leave knowing:
- What’s happening inside your shoulder
- Which exercises to begin with
- How often we recommend sessions
- What goals we’ll work towards
Success Stories
One of our patients, a 62-year-old keen gardener, worried she’d need surgery. She struggled with daily tasks. Through a 12-week plan of mobility, strengthening and pacing, she regained confidence and returned to gardening without reliance on painkillers.
Frequently Asked Questions (FAQs)
Can shoulder OA be reversed?
No, but symptoms can be managed effectively.
How do I sleep with shoulder arthritis?
Support your arm with a pillow, avoid pressure on the affected side.
Does exercise make OA worse?
No. Movement protects joints and reduces pain.
Are supplements useful?
Evidence is limited. Exercise and lifestyle changes are more effective.
How long does it take to feel better?
Many notice improvements within weeks of starting a tailored programme.
Booking
Take the Next Step
Living with shoulder osteoarthritis doesn’t have to mean giving up the things you love. With the right support, you can reduce pain, move more freely and stay stronger for longer.
👉 Book your Shoulder Osteoarthritis Consultation in Southampton today and take the first step toward lasting relief.
Not ready to book yet? Explore our resources, read patient stories or join a workshop to learn more about managing arthritis.
Disclaimer
This information is for education only and is not a substitute for personal medical advice. Consult a qualified professional for individual care.