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Shoulder impingement syndrome is a painful condition that occurs when the rotator-cuff tendons in the shoulder become inflamed or injured due to overuse. This condition, also known as subacromial impingement syndrome, affects millions of individuals each year, causing a range of symptoms that can limit movement and daily activities. In this article, we'll explore what causes shoulder impingement syndrome, along with the common symptoms, diagnosis, treatment, and prevention options.



What Causes Shoulder Impingement Syndrome?


Shoulder impingement syndrome is caused by a combination of anatomical and functional factors that lead to compression of the rotator-cuff tendons. This can occur when the bones in the shoulder blade and the top of the shoulder become too close, creating a narrow space through which the rotator cuff tendons pass. Overuse of the shoulder, such as in repetitive overhead motions, can cause the tendons to become inflamed and swollen, leading to impingement.


Other factors that increase the risk of developing shoulder impingement syndrome include poor posture, weak shoulder muscles, and age-related changes in the shoulder joint. Individuals who participate in activities that require frequent shoulder movements, such as athletes or manual laborers, are also at higher risk of developing this condition.


Symptoms of Shoulder Impingement Syndrome


The most common symptom of shoulder impingement syndrome is pain in the shoulder, which may occur gradually or suddenly. Individuals may experience pain when lifting their arms, performing overhead motions, or even while sleeping.

Other common symptoms may include weakness in the shoulder, stiffness, and a decreased range of motion. These symptoms can be quite debilitating, and may limit everyday activities, such as carrying a bag or reaching for an object on a high shelf.


Diagnostic Tests for Shoulder Impingement Syndrome


If you experience any of the symptoms associated with shoulder impingement syndrome, it's important to seek medical attention. Your healthcare provider may perform a physical examination, checking for any signs of inflammation or tenderness in the shoulder joint. They may also ask you to perform certain movements to evaluate range of motion and strength.


Imaging tests, such as x-rays or an MRI, may be used to evaluate the extent of the injury, look for any bone spurs, and rule out other conditions that may be causing the symptoms.


Treatment Options for Shoulder Impingement Syndrome


In many cases, shoulder impingement syndrome can be treated effectively with nonsurgical methods. The most common treatment option for shoulder impingement syndrome is physical therapy. A physical therapist can help to develop a personalized treatment plan that targets the specific needs of your shoulder.


Treatment options for shoulder impingement syndrome may include:


1. Pain management techniques, such as ice and heat therapy, to help reduce inflammation and discomfort.

2. Manual therapy techniques, such as massage or joint mobilization, to improve joint mobility.


3. Range-of-motion exercises to help increase flexibility and alleviate stiffness.


4. Strengthening exercises to build up the muscles surrounding the shoulder joint, which can help to provide support and stability.


5. Patient education on proper posture and body mechanics to prevent future injuries.


6. Functional training to help you return to daily activities, such as work or household chores, with minimal pain.


In some cases, surgery may be necessary to treat shoulder impingement syndrome. This is typically reserved for individuals who do not respond to conservative treatments or who have severe injuries.



Preventing Shoulder Impingement Syndrome


Preventative measures can be taken to reduce the risk of developing shoulder impingement syndrome. Proper posture and form during activities that require shoulder movements can help to prevent this condition. Strengthening exercises that target the muscles of the shoulder and upper back can also help to provide support and stability.


It's important to listen to your body and recognize when it's time to rest or take a break from activities that place stress on the shoulder joint. This can help to prevent overuse injuries and subsequent shoulder impingement syndrome.


The Bottom Line


Shoulder impingement syndrome is a common condition that can cause pain and discomfort in the shoulder joint. If you experience symptoms such as pain, weakness, or limited range of motion, seeking medical attention is essential.


Preventative measures such as maintaining good posture and avoiding overuse can help to reduce the risk of developing shoulder impingement. With appropriate care, most individuals can recover and return to their normal activities.


A physical therapist can help to personalize a treatment plan. Get back in the game with Caliber PT. Don't let shoulder pain hold you - get relief now with exceptional physical therapy services. Our expert physical therapists are highly experienced and specialize in treating shoulder impingement syndrome, so you can trust that we have your best interests at heart. 



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