Yes shoulder pain can be a very challenging problem in rehab and the team need to be honest with Mr and Mrs Tanner.  However a multidisciplinary approach is essential in managing Mr Tannerís shoulder pain.

In addition to pharmacological pain relief, the nurses and OT will be able to advise on appropriate positioning of the shoulder to help alleviate pain.

The physiotherapist can work with a number of specific physical, electrical and ultrasound techniques.

Cognitive behavioural therapy and specialist relaxation techniques, as advised by a psychologist, may also be instrumental in helping Mr Tanner sleep better and cope with his pain.