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Move Well, Live Well, Perform WellAuthor: Simon Gilchrist
Welcome to Move Well, Live Well, Perform Well, the podcast that explores how to optimise your movement, train effectively, recover from injuries and live stronger.Hosted by Simon Gilchrist, sports physiotherapist and founder of Mayfair Health and WellQ.Simon sits down with experts each week to share insights on movement, performance and real health challenges. From knee pain to back injuries to burnouts and recovery, they share practical advice and tips for optimising your health along the way.The podcast is powered by Mayfair Health, helping you to move better, live longer and perform at your best. Language: en-gb Genres: Health & Fitness, Medicine Contact email: Get it Feed URL: Get it iTunes ID: Get it |
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Rotator Cuff Tears & Shoulder Impingement: When to Operate, When to Load
Wednesday, 28 October, 2026
Shoulder pain is common, but knowing what is causing it and how best to treat it can be surprisingly complicated. From rotator cuff tears and frozen shoulder to the question of whether surgery is actually necessary, the right approach is not always as straightforward as it seems.In this episode, we sit down with Mr Henry Colaço, Consultant Orthopaedic Surgeon specialising in shoulder, elbow and upper limb surgery. He practises at The London Clinic and other leading London hospitals and is Clinical Lead for Upper Limb Surgery at Hampshire Hospitals NHS Foundation Trust. Having treated professional athletes, including international rugby players and UFC fighters, Henry brings extensive experience in both surgical and non-surgical shoulder care.We explore why shoulder pain can be difficult to diagnose, why findings on an MRI do not always explain symptoms, and how our understanding of conditions such as shoulder impingement has evolved.A key focus is subacromial decompression, a once-common shoulder operation that has come under scrutiny following clinical trials showing no meaningful benefit over placebo surgery. Henry explains what this means for patients and how it has changed the way clinicians approach shoulder pain.We also discuss frozen shoulder, including why it develops, how it may relate to metabolic health, and the treatment options available, from physiotherapy and steroid injections to more invasive procedures. For people with persistent shoulder pain, we explore when injections may help, how to approach rehabilitation and how long to commit to strengthening before considering surgery.The conversation also covers shoulder instability and dislocations, including how surgeons decide between rehabilitation and stabilisation procedures such as Bankart repair or Latarjet. Finally, we turn to the gym to discuss common training mistakes, exercises that may need modifying when shoulders are painful, and how to build strength and resilience for the long term.The key message? Shoulder pain does not automatically mean surgery, and an abnormal scan does not always mean something needs fixing. Understanding the underlying problem and finding the right balance between rehabilitation, progressive loading and surgery can make all the difference.🎙️ In This Episode, We CoverHenry’s journey into shoulder and upper limb surgeryWhy the shoulder is particularly vulnerable to pain and injuryShoulder impingement: is it still a useful diagnosis?Why rotator cuff tears can appear on scans without causing painSubacromial decompression and what clinical trials tell usWhy placebo-controlled surgery trials have changed shoulder treatmentFrozen shoulder: causes, symptoms and potential links with metabolic healthTreatment options for frozen shoulder, including physiotherapy, injections and surgeryWhen steroid injections may help and their limitationsThe role of physiotherapy, progressive loading and targeted strength workHow long to try rehabilitation before considering surgeryWhen shoulder surgery is genuinely necessaryShoulder dislocations and the risk of recurrent instabilityBankart repair vs Latarjet: how surgeons choose between proceduresReturning to sport after shoulder stabilisation surgeryCommon mistakes people make when training shoulders in the gymWhether exercises such as bench press, dips and upright rows need modifyingHow to build stronger, more resilient shouldersThe biggest misconceptions about shoulder pain and recovery🎯 Who This Episode Is ForAnyone experiencing persistent or recurring shoulder painPeople diagnosed with rotator cuff tears or shoulder impingementAnyone living with frozen shoulder or restricted shoulder movementGym-goers who want to train around shoulder painAthletes and active individuals recovering from shoulder injuries or dislocationsPeople considering shoulder injections or surgeryAnyone who wants to better understand MRI findings and treatment optionsHealthcare professionals interested in evidence-based shoulder rehabilitation🎙️ Powered by Mayfair HealthAt Mayfair Health, we specialise in recovery, performance and proactive wellness, helping our clients move well, live well and perform well for the long term.From physiotherapy and Clinical Pilates to strength, movement and proactive health optimisation, we take a personalised approach to helping you recover from injury, build resilience and maintain your health for the decades ahead.🔗 Website: https://www.mayfairhealth.co.uk📩 Contact: info@mayfairhealth.co.uk📞 Phone: 020 3985 1500📱 Instagram: @mayfairhealth
