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Physiotherapy for

Shoulder and upper limb

The upper limb is a complex system. We start with the function you want to recover, from everyday activities to sport.

Manual therapy for the shoulder and arm at the BeFysio clinic in Milan

Understanding the problem

Not only where it hurts.
What it stops you doing matters.

The upper limb must combine mobility, control and strength. Discomfort can arise during overhead movements, sleep, work or sport, but people with pain in the same area can have very different needs.

Through assessment, we identify the pathway for your problem. We adapt mobility work, load and exercise while continually monitoring symptoms and your capabilities, coordinating with your medical specialist after trauma or surgery.

When it may help

We begin with what
is limiting you.

These examples provide orientation but do not replace an individual healthcare assessment.

  • Pain during movement
  • Reduced strength
  • Stiffness
  • Post-operative recovery

Conditions and recovery needs

Physiotherapy may be appropriate for the conditions listed below. Assessment determines whether and how it can help; after trauma or surgery, the pathway follows the medical specialist’s guidance.

  • Rotator cuff tendinopathy and subacromial pain
  • Adhesive capsulitis, or frozen shoulder
  • Recovery after rotator cuff injuries
  • Tennis elbow and golfer’s elbow
  • Carpal tunnel syndrome, where appropriate
  • Stiffness after immobilisation
  • Recovery after shoulder, elbow or wrist injuries or surgery

How we work

A pathway that changes
with you.

  1. Individual assessment

  2. Symptom management

  3. Mobility recovery

  4. Strength and return to activity

During your assessment

What we look at.

  • Movements that increase or ease symptoms
  • Shoulder, shoulder-blade and upper-back mobility
  • Strength and capacity to tolerate load
  • The demands of work, sport or post-operative recovery

Concrete goals

Where we want to get to.

  • Regain overhead movement
  • Dress and sleep with fewer limitations
  • Rebuild arm strength and control
  • Return gradually to work or sport-specific tasks

Frequently asked questions

Before you begin,
let’s make it clear.

Should I avoid every painful movement?

Not necessarily. We often adjust load temporarily while keeping tolerable movement, based on how symptoms respond.

How important is strengthening?

Strength is often an important part of the pathway, but exercise type, dosage and progression are decided after assessment.

Do you offer post-operative rehabilitation?

Yes. We respect your surgeon’s guidance and adapt goals and progression to your stage of recovery.

When to seek urgent medical advice first

Following major trauma, with visible deformity, inability to bear weight, a very hot swollen joint with fever, or sudden loss of strength or sensation, seek prompt advice from a healthcare professional.

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The first step

We start with you.
We support you towards your goals.