https://www.cogphysio.co.uk/cog-physiotherapy-blog daily 0.75 2026-05-15 https://www.cogphysio.co.uk/cog-physiotherapy-blog/understanding-shoulder-impingement-and-rotator-cuff-related-shoulder-pain-what-does-the-research-actually-say monthly 0.5 2026-05-15 https://images.squarespace-cdn.com/content/v1/697df30e7bd49f5e14815961/1778862268404-NBP1CKAFWI3XVXP8ORMX/unsplash-image-5TcVAZmmxpY.jpg Blog - Understanding Shoulder Impingement and Rotator Cuff Related Shoulder Pain: What Does the Research Actually Say? https://images.squarespace-cdn.com/content/v1/697df30e7bd49f5e14815961/17d1dd9b-6f08-4b9c-bd6a-ea8a9f9e7bce/Rotator+Cuff.png Blog - Understanding Shoulder Impingement and Rotator Cuff Related Shoulder Pain: What Does the Research Actually Say? - The rotator cuff consists of four muscles that help stabilise and control the shoulder joint during movement. Supraspinatus Helps lift the arm out to the side Commonly involved in shoulder pain and tendinopathy Infraspinatus Helps rotate the arm outward (external rotation) Important for shoulder stability during pulling and overhead movements Teres Minor Assists with external rotation of the shoulder Works closely with the infraspinatus Subscapularis Helps rotate the arm inward (internal rotation) Provides significant front-of-shoulder stability https://images.squarespace-cdn.com/content/v1/697df30e7bd49f5e14815961/1778862680548-GUZYDV9VOJ2B80SAND0G/unsplash-image-cbdRcyFsCwI.jpg Blog - Understanding Shoulder Impingement and Rotator Cuff Related Shoulder Pain: What Does the Research Actually Say? Scans can sometimes be useful, but research consistently shows that imaging findings do not always correlate well with pain levels. For example: Many pain-free adults have rotator cuff tears on MRI Tendon degeneration is common with age Structural changes do not always require surgery Imaging alone cannot explain movement tolerance or strength capacity This is why a detailed physical assessment is often more valuable than relying purely on scan results. Physiotherapy assessment focuses on: Movement quality Strength Load tolerance Functional limitations Irritability levels Sport or work demands https://images.squarespace-cdn.com/content/v1/697df30e7bd49f5e14815961/27e72701-1d2f-48b1-9f69-b739d524a532/IMG_4490+2.jpg Blog - Understanding Shoulder Impingement and Rotator Cuff Related Shoulder Pain: What Does the Research Actually Say? Hands-on physiotherapy techniques can help reduce pain and improve short-term movement tolerance, particularly when combined with exercise rehabilitation. Treatment may include: Joint mobilisation Soft tissue techniques Movement retraining Thoracic mobility work However, research suggests manual therapy works best as part of a broader rehabilitation plan rather than as a standalone solution. https://images.squarespace-cdn.com/content/v1/697df30e7bd49f5e14815961/8e13055c-7f01-46e0-997d-ee8d57ffb636/IMG_4685.jpg Blog - Understanding Shoulder Impingement and Rotator Cuff Related Shoulder Pain: What Does the Research Actually Say? - Written By Harry Liniker BSc MSc MCSP Lead Physiotherapist and Founder, COG Physiotherapy Farnborough https://www.cogphysio.co.uk/cog-physiotherapy-blog/tendon-pain-explained-why-it-happens-and-how-to-fix-it-properly monthly 0.5 2026-05-15 https://images.squarespace-cdn.com/content/v1/697df30e7bd49f5e14815961/1775740950254-0A01P00PW7XFTMXN4XJS/unsplash-image-O1igsrxDQzQ.jpg Blog - Tendon Pain Explained: Why It Happens and How to Fix It Properly - Make it stand out Whatever it is, the way you tell your story 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Worse) - Written By Harry Liniker BSc MSc MCSP Lead Physiotherapist and Founder, COG Physiotherapy Farnborough https://www.cogphysio.co.uk/cog-physiotherapy-blog/wrist-and-elbow-pain-common-causes-and-how-physiotherapy-can-help monthly 0.5 2026-05-15 https://images.squarespace-cdn.com/content/v1/697df30e7bd49f5e14815961/bb20db7f-fbe2-4d4b-8221-fe870a357dd6/towfiqu-barbhuiya-3AsiVDsZnHg-unsplash.jpg Blog - Wrist and Elbow Pain: Common Causes and How Physiotherapy Can Help - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/697df30e7bd49f5e14815961/e9f27e3a-0eb6-4693-ba14-8b097e4d7d41/pexels-kindelmedia-7298399.jpg Blog - Wrist and Elbow Pain: Common Causes and How Physiotherapy Can Help https://images.squarespace-cdn.com/content/v1/697df30e7bd49f5e14815961/8e437d19-e615-4549-9664-b19dd14c3f80/IMG_4685.jpg Blog - Wrist and Elbow Pain: Common Causes and How Physiotherapy Can Help - Written By 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