168. How to explain shoulder pain to patients. Physio Edge Shoulder Success podcast with Jo Gibson
Feb 20, 2025
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Jo Gibson, an expert in upper limb rehabilitation from Liverpool, shares insights on effectively communicating shoulder pain to patients. She discusses how medical terms can shape perceptions and expectations, often leading to fear or confusion. Through a compelling case study, Jo illustrates the struggles of patients with chronic pain and the need for supportive dialogue. Listeners will learn practical strategies to empower patients, foster confidence, and enhance understanding, ultimately improving treatment outcomes.
The language used to describe shoulder pain significantly affects patients' perceptions, influencing their fear levels, recovery expectations, and treatment choices.
Engaging with patients' narratives and employing a biopsychosocial approach can foster a collaborative environment that enhances their understanding and recovery outcomes.
Deep dives
Understanding the Impact of Terminology on Patient Perception
The language used to describe shoulder pain plays a crucial role in shaping patients' perceptions of their condition and treatment options. Terms like 'impingement' can create fear and anxiety, leading patients to believe they require invasive procedures or surgeries. Conversely, using less alarming terms or providing positive context can reduce perceived severity and increase their confidence in rehabilitation. It is essential for healthcare professionals to check patients' understanding of these terms and discuss their implications to avoid unnecessary distress.
The Role of Patient Narratives in Treatment
Patients often come to healthcare providers with a complex understanding of their pain, shaped by their experiences and previous consultations. Listening to patients about what they have been told and what it means to them is vital, as it influences their beliefs and treatment preferences. Failure to acknowledge their narratives can perpetuate cycles of fear and avoidance, diminishing their quality of life and complicating recovery. Engaging in open discussions helps clarify misconceptions and fosters a collaborative approach to treatment.
Promoting a Biopsychosocial Approach to Shoulder Pain
The understanding of shoulder pain has evolved towards a biopsychosocial model, recognizing it as multifactorial rather than merely biomechanical. Research indicates that overly specific diagnoses, like 'rotator cuff tear,' can inadvertently heighten stress and worsen patients' outlook on treatment. Using broader terms, such as 'subacromial pain,' alongside robust educational support can help manage expectations and encourage active participation in recovery. By preparing patients for what to expect and reinforcing positive movement narratives, healthcare providers can enhance treatment outcomes and patient satisfaction.
How do the terms we use influence a patient’s understanding of their shoulder pain, their recovery expectations, and even their treatment choices? In this episode of the Physio Edge Shoulder Success Podcast, Jo Gibson (Upper Limb Rehabilitation Specialist Physio), explores the power of language in physiotherapy and how our explanations can either support or hinder a patient’s progress.
Drawing on research and real-world clinical experience, Jo discusses a compelling case study:
Persistent shoulder pain after multiple treatments – A patient with years of ongoing pain, failed surgeries, and various diagnoses struggles to make sense of their condition. Despite normal imaging, they avoid activity and seek repeated treatments, caught in a cycle of fear and uncertainty.
Jo unpacks key questions around patient communication:
How do diagnostic labels like "impingement" or "rotator cuff tear" shape patient beliefs?
Why do patients often focus on the most negative aspects of their diagnosis?
How can we explain shoulder pain in a way that reassures rather than reinforces fear?
You’ll also gain practical strategies to:
Explore what patients understand about their diagnosis and how it influences their behavior.
Use language that encourages confidence and movement rather than avoidance.
Identify non-verbal cues that indicate uncertainty or distress in your patients.
With evidence-based insights and actionable communication tips, this episode will help you refine your patient interactions and improve rehabilitation outcomes.
Listen now to discover how small changes in your language can make a big impact on your patients’ recovery.
Click on an image below to access these free resources from Jo Gibson and Clinical Edge
The handout for this podcast consists of a transcript associated with this podcast.
Shoulder: Steps to Success online course with Jo Gibson
Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess
Free trial Clinical Edge membership
Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial