Shoulder Impingement

Shoulder impingement, also known as rotator cuff impingement, is a common condition that can cause pain and limited mobility in the shoulder. In this article, we will discuss the basics of shoulder impingement, including causes, symptoms, diagnosis, and treatment options.

What is Shoulder Impingement?

Shoulder impingement occurs when the tendons and bursae in the shoulder are compressed or pinched between the bones of the shoulder. This can cause inflammation and pain, and can lead to damage of the rotator cuff tendons.

Causes of Shoulder Impingement

Shoulder impingement can be caused by a variety of factors, including:

1. Repetitive overhead motions: Repeated overhead motions, such as throwing a ball or painting a ceiling, can put stress on the rotator cuff and lead to impingement.
2. Poor posture: Poor posture can cause the shoulder blade to sit in an abnormal position, which can increase the risk of impingement.
3. Bone spurs: Bone spurs can form on the shoulder blade or collarbone and contribute to impingement.
4. Degenerative conditions: Degenerative conditions, such as arthritis, can weaken the rotator cuff and increase the risk of impingement.

Symptoms of Shoulder Impingement

The symptoms of shoulder impingement can vary depending on the severity of the injury. Common symptoms include:

1. Pain in the shoulder, especially when lifting or reaching.
2. Weakness in the shoulder, which can make it difficult to lift or carry objects.
3. Difficulty sleeping on the affected shoulder.
4. Limited range of motion in the shoulder.

Diagnosis of Shoulder Impingement

To diagnose shoulder impingement, your doctor will typically perform a physical exam and may order imaging tests, such as an X-ray or MRI. During the physical exam, your doctor will check for weakness and limited range of motion in the shoulder.

Treatment of Shoulder Impingement

The treatment of shoulder impingement depends on the severity of the injury. Treatment options may include:

1. Rest and physical therapy: For mild impingement, rest and physical therapy may be enough to reduce pain and restore strength and mobility to the shoulder.
2. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.
3. Corticosteroid injections: Corticosteroid injections can help reduce pain and inflammation in the shoulder.
4. Surgery: For more severe impingement, surgery may be necessary to relieve the pressure on the rotator cuff tendons. Surgical options include open surgery and arthroscopic surgery.

Prevention of Shoulder Impingement

To reduce the risk of shoulder impingement, it is important to:

1. Warm up before engaging in any physical activity.
2. Use proper form when lifting or throwing.
3. Take breaks and avoid overusing the shoulder.
4. Strengthen the muscles in the shoulder through exercise.

Conclusion

Shoulder impingement is a common condition that can cause pain and limited mobility in the shoulder. If you are experiencing symptoms of shoulder impingement, it is important to consult with a healthcare professional for diagnosis and treatment options.