Chiropractic and Rehab for Shoulder Tendinopathy and Instability
Shoulder pain is one of the leading reasons patients seek physiotherapy and chiropractic care at Forge Rehab and Performance. Whether it’s rotator cuff tendinopathy from repetitive overhead activity or persistent instability following a dislocation, these injuries can be stubborn and limiting — especially for active individuals and athletes.
But with the right approach, recovery can be clear, structured, and effective.
At Forge Rehab and Performance in Calgary, we take a modern, rehab-first approach to shoulder tendinopathy and instability. We combine the best of physiotherapy, chiropractic care, strength and conditioning, and objective testing tools — ensuring each patient gets a personalized plan that leads to measurable, meaningful progress.
Understanding Shoulder Tendinopathy and Instability
Shoulder injuries involving the rotator cuff are often misunderstood. Here’s a quick breakdown:
Shoulder Tendinopathy
This refers to irritation, degeneration, or dysfunction of the rotator cuff tendons — usually due to overload, underuse, or poor load management. It often develops over time and may present as:
Pain during or after activity
Weakness in overhead movement
Discomfort when sleeping on the shoulder
Loss of range of motion
Shoulder Instability
Instability occurs when the shoulder joint is unable to stay centred within its socket. This may follow a traumatic event (like a dislocation) or result from chronic muscular imbalance. Signs include:
Sensation of “slipping” or “giving way”
Hesitancy with overhead movements
Decreased confidence in sport or training
History of dislocations or subluxations
These issues often overlap, especially in active populations — making assessment and treatment both critical and complex.
The Forge Approach: What Makes Us Different?
We Use Objective Data to Guide Progress
At Forge, we don't guess — we measure.
Using tools like handheld dynamometers, we assess shoulder strength across key movement patterns (internal/external rotation, abduction, flexion). This gives us:
Baseline data to understand where you're starting
Side-to-side comparisons to identify asymmetries
Real-time tracking of strength gains over time
This data helps us build smarter rehab plans — and gives you clear proof of progress.
We Rebuild the Whole System — Not Just the Symptom
Your rehab plan won’t be generic. It’s a progressive, structured program that includes:
Multi-angle strength training: Strengthening through various positions and planes to build joint control
Tempo-based loading: Eccentrics, isometrics, and controlled reps to target tendon adaptation
Movement exposure: Daily low-load activity to promote tissue resilience without flaring symptoms
Integrated global conditioning: Supporting your full return to training or sport
We combine manual therapy, exercise therapy, and return-to-sport progressions — all tailored to your needs and performance goals.
Rehab Philosophy: Clinical, Flexible, and Focused
Here’s what we prioritize at Forge when treating shoulder tendinopathy and instability:
Start with tolerable loads — Lower reps and moderate weights can stimulate adaptation without aggravation.
Use variety strategically — We program across positions (side-lying, standing, prone), tempos (eccentric, isometric), and movement planes.
Load daily, but gently — Frequent, low-level loading encourages tissue healing and reduces reactivity.
Pain isn’t a red flag — it’s data — We teach clients how to interpret pain safely and use it to modulate activity, not avoid it.
Protocols are just a starting point — We adapt research-backed strategies to fit your sport, life, and preferences.
People come first — We don’t just treat the shoulder — we consider stress, sleep, training history, recovery, and your personal goals.
Measurable Results You Can Feel and See
Our patients often report:
Increased shoulder strength and endurance
Improved range of motion
Decreased pain with activity
Confidence in overhead positions
Smoother return to sport, training, or work
We use progress metrics to keep you informed and motivated — so you’re always clear on where you’re at and what’s next.
Ready to Get Back to Performance?
If shoulder pain is slowing you down, we can help. At Forge Rehab and Performance, our chiropractors, physiotherapists, and strength professionals work together to deliver effective, evidence-informed care.
Whether you're an athlete, active professional, or just want to move better without pain — a tailored rehab plan can make all the difference.
