{"id":10272,"date":"2026-05-14T03:04:46","date_gmt":"2026-05-14T01:04:46","guid":{"rendered":"https:\/\/inonefisioterapia.com\/?p=10272"},"modified":"2026-05-18T03:10:14","modified_gmt":"2026-05-18T01:10:14","slug":"here-is-the-natural-and-professional-translation-for-your-title-dolor-de-hombro-al-entrenar-o-nadar-fisioterapia-deportiva-en-marbella-para-volver-sin-recaidas","status":"publish","type":"post","link":"https:\/\/inonefisioterapia.com\/en\/here-is-the-natural-and-professional-translation-for-your-title-dolor-de-hombro-al-entrenar-o-nadar-fisioterapia-deportiva-en-marbella-para-volver-sin-recaidas\/","title":{"rendered":"Here is the natural and professional translation for your title: Dolor de hombro al entrenar o nadar: fisioterapia deportiva en Marbella para volver sin reca\u00eddas"},"content":{"rendered":"

Shoulder pain when training or swimming is more common than many people think. It can appear during presses, pull-ups, overhead exercises, or after several swimming sessions. Many times, it starts as a \u201cmanageable\u201d discomfort that later begins to affect performance, rest, and technique.<\/p>\n

In athletes and active people, shoulder pain is often related to overuse, rotator cuff irritation, bursitis, or problems caused by repeated overhead movements.<\/p>\n

In swimming, this pattern is even more frequent. The Hospital for Special Surgery describes swimmer\u2019s shoulder as an overuse injury closely linked to repetition, technique, and accumulated training load. Recent literature also continues to find a connection between higher training volume and shoulder pain in swimmers.<\/p>\n

That is why, when pain appears, the question should not only be \u201chow can I push through it?\u201d but rather how to treat it properly to return without relapses. This is where sports physiotherapy in Marbella<\/strong><\/a> can make a real difference: not only by reducing pain, but also by understanding which structure is being irritated, which movement triggers it, and what needs to be corrected so you can return to training or swimming more safely.<\/p>\n

Why Does the Shoulder Hurt When Training or Swimming?<\/h2>\n

The shoulder needs mobility, strength, and control to tolerate exercises and sports performed with the arm elevated. When that movement is repeated many times, or when the training load increases too quickly, certain tissues can become irritated.<\/p>\n

The rotator cuff is a frequent source of pain, and the AAOS explains that repetitive stress from activities such as swimming, rowing, tennis, or weightlifting can overload its tendons.<\/p>\n

In people who strength train, the problem often appears with presses, lateral raises, dips, pull-ups, or shoulder exercises that the body is not tolerating well. In swimmers, beyond training volume, factors such as technique, fatigue, and loss of shoulder or scapular control also play an important role.<\/p>\n

HSS highlights that swimmer\u2019s shoulder is usually related to overuse and poor mechanics, not just isolated \u201cinflammation.\u201d<\/p>\n

That is why two people with \u201cshoulder pain\u201d may need completely different treatment plans. One person may have rotator cuff overload. Another may have bursitis. Another may have stiffness or poor scapular control. Another may have a more serious injury that requires further medical assessment.<\/p>\n

Symptoms You Should Not Ignore<\/h2>\n

Not every case of shoulder pain means you need to stop training for weeks, but there are symptoms that deserve attention.<\/p>\n

Common symptoms of overuse shoulder injuries include pain when lifting the arm, discomfort when reaching overhead, pain on the outer side of the shoulder, loss of strength, and pain at night or after training.<\/p>\n

In athletes who perform repetitive movements, the AAOS also describes pain during activity and, as the condition progresses, pain at rest or during the night.<\/p>\n

In swimming, it is also common to notice pain that appears as you continue adding meters, toward the end of the session, or the next day. In the gym, the pain usually worsens during specific movements rather than with every exercise.<\/p>\n

That detail already gives an important clue: many times, the problem is not simply \u201ctraining,\u201d but how the shoulder is being loaded.<\/p>\n

What Should You Do First if Your Shoulder Hurts?<\/h2>\n

The first step is not to panic, but it is also not wise to keep training exactly the same way and hope it disappears.<\/p>\n

If every session makes the pain worse, the most sensible approach is to temporarily adjust the load. That may mean reducing volume, avoiding exercises that trigger the discomfort, modifying range of motion, or temporarily stopping certain overhead movements.<\/p>\n

Current guidelines on rotator cuff tendinopathy prioritize a complete clinical assessment and progressive load management, not prolonged absolute rest.<\/p>\n

It is also important to avoid two very common mistakes: continuing to train exactly the same despite the pain, or stopping all shoulder movement completely for too long.<\/p>\n

In many overuse shoulder conditions, exercise-based rehabilitation is a central part of treatment. The goal is not only to \u201creduce inflammation,\u201d but to restore tolerance to effort and improve movement quality.<\/p>\n

How a Physiotherapist in Marbella Can Help You<\/h2>\n

A good physiotherapist in Marbella<\/strong> should not limit treatment to the painful area alone.<\/p>\n

The first step is to assess your case carefully: when the pain started, which exercises or swimming strokes make it worse, whether there is loss of strength, how your scapula moves, whether there is a lack of thoracic mobility, and which loading patterns may be keeping the problem active.<\/p>\n

The 2025 clinical practice guideline on rotator cuff tendinopathy emphasizes the importance of a detailed clinical history, a complete physical examination, and the identification of relevant mechanical and psychosocial factors.<\/p>\n

After that assessment, physiotherapy in Marbella<\/strong> can help you in several ways. One goal is to reduce pain and stiffness. Another is to recover useful movement. A very important goal is to rebuild strength and control so the shoulder can tolerate sport again.<\/p>\n

ChoosePT and AAOS describe physiotherapy as a key part of conservative management, using mobility exercises, strengthening, scapular work, and progression toward sport-specific function.<\/p>\n

In practice, this often includes work on:<\/p>\n