09/16/2026
What actually happens during a course of treatment for shoulder pain? Here is the whole sequence, start to finish.
Visit one is mostly assessment. History first — when it started, what changed in your activity around then, what specifically provokes it, whether it wakes you at night. Then examination: range of motion, strength through specific patterns, and the tests that separate a rotator cuff problem from subacromial pain, a stiff capsule, or pain that's actually coming from the neck.
Then we write down where we're starting. Pain scores at rest and on the movements that hurt. Range of motion in degrees. A short validated function questionnaire. And the one thing you most want back — sleeping on that side, the top shelf, a round of golf.
We set and record the treatment parameters too: wavelength, power, energy per point, number of points, and exactly where each one was placed. There's a reason for that bookkeeping. In those 17 shoulder trials, adequately dosed treatment produced clinically important pain relief — 20.41mm over placebo on its own, 16.00mm alongside exercise — and the benefit tracked closely with whether the dose was adequate. The same pattern shows up in the knee literature: 18.71mm for doses following international dosing recommendations, against 6.34mm for doses outside them.
A usual course runs two to three sessions a week for four to six weeks, then a review where we re-measure everything and compare it against the starting numbers. If the numbers aren't moving, that's information — it should change the plan, not get absorbed into a longer package.
And the part that does the heavy lifting: this is an adjunct with modest, real effects. It works alongside exercise and rehabilitation rather than replacing them.
Full article: https://venturisclinic.com/regenerative-medicine-blog/what-to-expect-from-a-course-of-treatment-for-shoulder-pain/
Haslerud 2015, Physiother Res Int 20:108–125 (PMID 25450903) · Stausholm 2019, BMJ Open 9:e031142 (PMID 31662383)
Education, not medical advice. Individual results vary.
Discover the full shoulder treatment sequence: from in-depth evaluation and measured outcomes to a documented, progress-driven rehabilitation plan.