Weeks 1–2
Pain
Calm the pain down.
Joint mobilization, soft tissue work and functional dry needling calm the irritated tendon and quiet the muscles guarding it, starting visit one.
What We Treat
You’ve quietly stopped reaching for the top shelf with that arm. Sleeping on that side is off the table. Rotator cuff, impingement, a tight capsule: the fix depends on which one, and that’s what the first visit is for.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Your shoulder trades stability for motion. The ball sits on a shallow socket, so the rotator cuff and the muscles that steer your shoulder blade have to keep it centered through every reach. When the shoulder blade stops moving well, and it usually does when those muscles fatigue, the space the cuff tendons travel through gets tighter. The tendon gets pinched at the same point on every rep, which is the catch you feel at shoulder height. If the joint capsule itself tightens instead, motion disappears in every direction, and even reaching behind you is hard.
That is why it hasn’t settled down. The mechanics are what keeps irritating the tendon, so rest only pauses the input and the first real reach starts it over. Working around it makes it worse: your neck and upper back take over, which changes how the shoulder blade sits and narrows that space further. An evaluation that looks for the cause separates a cuff problem from a stiff capsule from a shoulder blade that isn’t doing its job. All three hurt in the same spot. None of them get the same plan.
The Honest Truth
Nobody regrets starting too early.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for shoulder pain.
Weeks 1–2
Pain
Joint mobilization, soft tissue work and functional dry needling calm the irritated tendon and quiet the muscles guarding it, starting visit one.
Weeks 2–6
Prime
Overhead motion comes back in order: the shoulder blade first, then the joint, with the capsule stretched only as fast as it tolerates.
Weeks 6–10
Perform
Rotator cuff and shoulder blade strengthening under progressive load, so the joint stays centered when you reach, lift and carry.
Weeks 10+
Prevent
Overhead work, carrying and throwing get retested under real load before you’re cleared to go all-in. That’s the endpoint, not just another appointment.
His treatment and care of past injuries enabled me to return to my daily activities in no time! Since I was thoroughly pleased the first time, I insisted on receiving his care for the second time for my injured shoulder; Alpha Therapy gave me the assurance and confidence I needed to move forward!
Shared by Rose P. · Shoulder injury
Came in with an old shoulder injury she had been working around
Back to her daily activities, and back a second time by choice
Questions, Answered
Usually not, and it’s rarely the first step. Imaging turns up cuff wear and tendon changes in shoulders that don’t hurt, so a scan alone doesn’t tell us what to treat. It also can’t show how your shoulder blade moves when you reach, which is often the actual driver. A hands-on evaluation tests motion, strength and the specific movements that reproduce your pain. We screen for what belongs with a physician, and if imaging is warranted, we help you get it.
Yes, with the right movements at the right load. Hurt doesn’t always mean harm, and a shoulder that gets fully rested stiffens and loses strength, which makes the next reach hurt more. Tendons actually need load to get healthier, just not the load that pinches them. Your evaluation finds the range and the angles your shoulder tolerates today, and a licensed physical therapist works there with you and moves the line as you earn it.
A stiff capsule and an irritated cuff move on different clocks, so the honest answer comes after we’ve examined your shoulder. What you get then is a plan with an endpoint: four phases, Pain, Prime, Perform, Prevent, each with a job and a way to know you’ve earned the next one. You’ll know which phase you’re in every visit, and what’s left. We go over what it takes and what it costs before you commit to any of it.
No referral needed. Louisiana is a direct access state, so you can be evaluated by a licensed physical therapist without going through a physician first. We run a benefits check before your first visit, so you know your coverage in advance, and a Good Faith Estimate is available if you’re paying out of pocket. We accept Medicare, Medicaid, Blue Cross Blue Shield, Aetna, Cigna, Humana, UnitedHealthcare, TRICARE, TriWest and Peoples Health, plus workers’ compensation and auto accident claims.
Yes, and here’s why. A tear on a report is a finding, not a verdict, and imaging finds them in shoulders that work fine. What decides how your shoulder feels is whether the rest of the cuff and the shoulder blade can keep the joint centered under load. That is trainable. If you and your surgeon do choose repair, everything we build first is what you’ll be rehabbing from, so the work isn’t wasted either way. We’ll tell you honestly which road your exam points to.
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A real person calls you back
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That’s the hard part done. We’ll call during business hours to lock in your time.
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