Common Shoulder Injuries We Treat in Hakuba

Skier experiencing shoulder pain after a fall on the Hakuba ski fields

Shoulder injuries are common during the ski and snowboard season in Hakuba. High-speed falls, collisions, awkward landings, and repeated loading through the arms can all place significant stress on the shoulder.

Expert Shoulder Physiotherapy at Peak Sports Physio Hakuba

The shoulder is one of the most mobile joints in the body, which is great for movement — but it also means it can be vulnerable when forces exceed its ability to stabilise.

At Peak Sports Physio Hakuba, we regularly assess and treat shoulder injuries related to skiing, snowboarding, and mountain sports. Whether your injury happened from a single fall or developed gradually over the season, our experienced sports physiotherapists are here to help you recover and get back on the slopes safely.

Below are some of the most common shoulder injuries we treat in Hakuba, and how physiotherapy can help.

Clavicle (Collarbone) Fractures

How clavicle fractures happen in snow sports

Clavicle fractures usually occur following:

  • A direct fall onto the shoulder

  • Falling onto an outstretched arm

  • High-speed crashes or collisions

Snowboarders are particularly prone due to forward falls, while skiers often sustain collarbone fractures during collisions or awkward landings.

Common symptoms

  • Immediate pain over the collarbone

  • Swelling or visible deformity

  • Difficulty lifting or moving the arm

  • Pain with deep breathing or rolling in bed

Physiotherapy management at Peak Sports Physio Hakuba

Many clavicle fractures are managed non-surgically, often with an initial period in a sling.

Our physio team focuses on:

  • Education around healing timelines and what to expect

  • Pain and inflammation management

  • Exercises to maintain and restore shoulder and elbow movement

  • Gradual strengthening to support return to skiing or snowboarding

We work closely with local doctors and orthopaedic specialists when imaging or surgical opinions are required.

Glenohumeral (Shoulder) Joint Dislocations

How shoulder dislocations occur

The glenohumeral joint is the most commonly dislocated joint in the body. In snow sports, dislocations often happen due to:

  • Falls onto an outstretched arm

  • Sudden twisting forces during a crash

  • High-impact collisions

Anterior (front) shoulder dislocations are by far the most common in skiing and snowboarding.

Common symptoms

  • Sudden, severe shoulder pain

  • Visible deformity or “out of place” appearance

  • Inability to move the arm

  • Possible numbness or tingling down the arm

Physiotherapy treatment at Peak Sports Physio Hakuba

  • Short period of immobilisation in a sling, with referral for imaging if indicated

  • Cold therapy and compression to reduce pain and swelling

  • Manual therapy to restore movement and reduce pain

  • Taping and support strategies

Your rehabilitation program will focus on:

  • Strengthening the rotator cuff and shoulder stabilisers

  • Improving control and proprioception to reduce re-injury risk

When appropriate, we stock shoulder braces designed for this injury to support a safe and confident return to skiing or snowboarding.

Labral Injuries

How labral injuries happen

The labrum is a ring of cartilage that helps stabilise the shoulder joint. Labral injuries often occur with:

  • Shoulder dislocations

  • Repeated falls or heavy impacts

  • Forceful traction through the arm

Common symptoms

  • Deep shoulder pain or aching

  • Clicking, catching, or locking sensations

  • Feelings of instability

  • Pain with overhead or pushing movements

Physiotherapy management

  • Manual therapy, including dry needling when appropriate

  • Pain reduction and restoration of shoulder movement

Rehabilitation focuses on:

  • Improving shoulder stability

  • Strengthening the rotator cuff and scapular muscles

  • Gradual return to sport-specific movements

Persistent or severe symptoms may require imaging or surgical consultation.

Acromioclavicular (AC) Joint Injuries

How AC joint injuries occur

AC joint injuries commonly happen after:

  • A direct fall onto the point of the shoulder

  • Catching an edge while snowboarding

  • Heavy landings from jumps

These injuries range from mild ligament sprains to complete joint separations.

Common symptoms

  • Localised pain on the top of the shoulder

  • Swelling or a visible “bump” at the AC joint

  • Pain lifting the arm or lying on the affected side

  • Pain with cross-body movements

Physiotherapy treatment at Peak Sports Physio Hakuba

Most AC joint injuries are treated without surgery.

Treatment may include:

  • Ice, compression, and swelling management

  • Manual therapy to restore comfortable movement

  • Taping or bracing for support

  • Progressive exercises to:

    • Restore shoulder mobility

    • Strengthen surrounding muscles

    • Gradually return to snow sports

Higher-grade injuries may be referred for specialist review.

Rotator Cuff–Related Shoulder Pain

How rotator cuff pain develops in Hakuba

Rotator cuff pain often develops due to:

  • Repeated falls and heavy loading through the arm

  • Shoulder fatigue or poor movement control

  • Previous shoulder injuries affecting biomechanics

In snow sports, this is more commonly an overuse or load-related condition, rather than a sudden traumatic tear.

Common symptoms

  • Pain lifting the arm or reaching overhead

  • Pain when lying on the affected shoulder

  • Weakness or reduced endurance

  • Gradual onset rather than a single injury event

Physiotherapy treatment

  • Manual therapy for pain relief and improved movement

  • Targeted strengthening of the rotator cuff and scapular muscles

  • Improving shoulder mechanics and efficiency

  • Education on load modification and pain management

  • Clear guidance on safe return-to-sport loading

Why Choose Peak Sports Physio Hakuba for Shoulder Injuries?

  • Extensive experience treating ski and snowboard shoulder injuries

  • On-site assessment during the Hakuba snow season

  • Individualised rehabilitation programs

  • Access to imaging referrals, braces, and local medical networks

  • A practical, sport-specific approach to getting you back on the mountain

📍 Located in the heart of Hakuba, Peak Sports Physio Hakuba helps you recover faster, move better, and enjoy more time on the slopes.

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