Shoulder Pain Physical Therapy | New Braunfels TX

Shoulder pain may begin gradually from daily strain or appear suddenly after reaching, lifting, or an awkward movement. Because the shoulder is one of the most mobile joints in the body, even minor dysfunction can quickly lead to pain, weakness, and loss of motion if not addressed early.

At Webb Physical Therapy Specialists, we provide expert physical therapy for shoulder pain in New Braunfels, TX. Our approach focuses on identifying the root cause of shoulder dysfunction and delivering individualized, progressive care that restores mobility, strength, and long-term function.

The shoulder relies on precise coordination between multiple joints, muscles, and connective tissues. When this system is disrupted by overuse, poor posture, or injury, pain and dysfunction often follow.

Key structures involved in shoulder movement include:

• Glenohumeral joint: Primary shoulder motion (lifting, reaching, rotation)
• Acromioclavicular (AC) joint: Helps guide overhead motion
• Scapulothoracic mechanics: Shoulder blade movement essential for stability

When alignment or movement between these structures is altered, muscles and tendons compensate, leading to irritation and breakdown over time.  Common shoulder conditions we treat include:

• Rotator cuff tendinopathy or tears
• Shoulder impingement
• Bursitis
• Labral injuries
• Shoulder instability or dislocations
• Frozen shoulder (adhesive capsulitis)

Effective treatment begins with a detailed assessment to determine what is driving your pain and movement limitations.

Your evaluation may include:

• Active and passive range of motion testing
• Rotator cuff and scapular strength assessment
• Joint and soft tissue mobility evaluation
• Neurological screening when appropriate
• Postural and movement analysis
• Review of imaging reports, if available

This thorough process allows us to accurately identify dysfunctional tissues, movement patterns, and contributing factors so treatment can be precisely targeted.

Based on your evaluation, we develop a customized treatment plan focused on restoring shoulder function while minimizing strain and preventing recurrence.

Treatment may include:

• Manual Therapy: Hands-on techniques to improve joint mobility and reduce soft tissue restriction
• Targeted Strengthening: Multi-plane exercises to restore rotator cuff and shoulder blade stability
• Postural Retraining: Strategies to reduce strain from desk work, device use, and repetitive activity
• Patient Education: Home exercises and activity guidance to reinforce progress between visits

With the right interventions matched to your specific diagnosis, many patients experience meaningful improvements in comfort, coordination, and range of motion. Our team guides progression carefully to support safe, lasting recovery.

When should shoulder pain be evaluated?
Pain following a fall or trauma, visible bruising, night pain that disrupts sleep, or difficulty lifting the arm should be evaluated promptly.

What helps relieve recurring shoulder pain?
Targeted manual therapy, improving posture, and progressive strengthening often reduce irritation and restore shoulder mechanics without invasive treatment.

Why does shoulder arthritis develop without a specific injury?
Repetitive daily stress and gradual cartilage wear can lead to degenerative changes over time, especially in a joint designed for mobility rather than stability.

Why does the top of my shoulder or neck feel tight and painful?
Prolonged upper extremity use and postural strain commonly overload the upper trapezius muscle, leading to tension, trigger points, and referred discomfort.