top of page

Shoulder Pain Physical Therapy in Nashville

Can physical therapy help shoulder pain without surgery?

Often, yes. In randomized trials, shoulder impingement surgery did no better than placebo surgery, and exercise therapy matched surgery for small rotator cuff tears not caused by a major injury [1][2][3]. Your physical therapist rebuilds strength and control around your lifting, climbing, or daily demands.

What causes shoulder pain?

Shoulder pain in active adults usually follows a change in load: more pressing or pulling volume, a new climbing or swimming routine, or a busy stretch at a desk. Rotator cuff changes also become more common with age and often cause no pain at all [4]. A painful shoulder usually needs more strength and capacity, not rest alone.

What are the most common shoulder conditions we treat?

  • Rotator cuff tendon pain and tears

  • Shoulder impingement (subacromial pain)

  • Frozen shoulder (adhesive capsulitis)

  • Shoulder instability

  • Shoulder pain from lifting, CrossFit, or climbing

  • Clicking or popping with pain

  • Rehab after shoulder surgery, with your surgeon's clearance

How do we treat shoulder pain?

We test motion, strength, and how the shoulder blade moves, then treat with:​

​

  • Progressive strengthening for the hip, thigh, and calf

  • Manual therapy and dry needling when appropriate

  • Load changes that keep you training while the knee settles

  • Movement and running form changes where they help

  • A clear return plan for running, lifting, or sport

How long does shoulder pain recovery take?

Most people need 3 to 6 visits in total, and meaningful relief often comes within the first one or two. Many people start with weekly visits, then space them out as they improve. Frozen shoulder is the exception. It often takes many months to fully resolve, and we can space your visits out to fit that longer timeline.

When should you see a doctor first?

Seek medical care promptly, or call 911 where noted, if you have:

​

  • Sudden inability to lift your arm after a fall or heavy lift

  • A visible deformity after an injury

  • Shoulder or arm pain with chest pain, shortness of breath, or sweating (call 911)

  • A hot, swollen shoulder with fever

Where can you get shoulder pain treatment in Nashville?

Available at all three of our clinics:
 

Common questions about shoulder pain

Do I need an MRI for shoulder pain?

Usually not at first. Rotator cuff tears are common on the imaging of people with no shoulder pain, especially after age 50 [4]. We will refer you if you have significant weakness after an injury or are not improving.

Should I get a cortisone shot for shoulder pain?

For rotator cuff tendon pain, cortisone can ease pain in the short term, but reviews of randomized trials have not shown lasting benefit [5].

Can I keep lifting with shoulder pain?

Usually, with changes. We adjust exercise selection, range, and load so you can keep training while the shoulder recovers.

Why does my shoulder click?

Clicking without pain is usually harmless. Clicking with pain, weakness, or a feeling of instability is worth an evaluation.

Cost and Booking

Do I need a referral?

No. You can schedule directly with us without a physician referral.

What does physical therapy cost?

Orthopedic visits are a flat $185, and pelvic floor visits (including postpartum) are a flat $195. We are a cash-based practice, so there are no copays, deductibles, or insurance limits on your care. We can provide documentation for out-of-network reimbursement, and HSA and FSA cards are accepted.

Ready to Get Started?

Book a one-on-one evaluation with a licensed physical therapist.
No referral needed.

References

  1. Paavola M, Malmivaara A, Taimela S, et al. Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: randomised, placebo surgery controlled clinical trial. BMJ. 2018;362:k2860.
     

  2. Beard DJ, Rees JL, Cook JA, et al. Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial. Lancet. 2018;391(10118):329-338.
     

  3. Kukkonen J, Joukainen A, Lehtinen J, et al. Treatment of nontraumatic rotator cuff tears: a randomized controlled trial with two years of clinical and imaging follow-up. J Bone Joint Surg Am. 2015;97(21):1729-1737.
     

  4. Teunis T, Lubberts B, Reilly BT, Ring D. A systematic review and pooled analysis of the prevalence of rotator cuff disease with increasing age. J Shoulder Elbow Surg. 2014;23(12):1913-1921.
     

  5. Coombes BK, Bisset L, Vicenzino B. Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials. Lancet. 2010;376(9754):1751-1767.

Questions about Shoulder Pain Treatment?

Get in touch so we can start working together.

bottom of page