Shoulder Impingement

What is Shoulder Impingement?

Shoulder impingement, often referred to as swimmer’s shoulder, tennis shoulder, or rotator cuff tendinitis, is a common condition characterized by the inflammation of the tendons in the shoulder joint. Shoulder pain affects 16% of the population. This condition occurs when the rotator cuff tendons become irritated and inflamed as they pass through the shoulder’s narrow space, leading to pain and restricted movement.

shoulder impingement

Most Common Causes 

Shoulder impingement can arise from various factors, including:

  • Sports Activities: Engaging in sports such as tennis, baseball, swimming, and weightlifting can lead to repetitive overhead motions that stress the shoulder.
  • Trauma: Injuries from motor vehicle accidents or falls can also contribute to the development of this condition.
  • Age-Related Changes: As we age, the tendons may degenerate, making them more susceptible to impingement.

Most Common Symptoms 

Individuals suffering from shoulder impingement may experience:

  • Pain: Severe pain during rest and activities, particularly when raising the arm overhead.
  • Weakness: A noticeable weakness in the arm, making it difficult to perform daily tasks.
  • Limited Range of Motion: Difficulty in lifting the hand above the head or reaching behind the back.

The Diagnosis 

Diagnosing shoulder impingement typically involves:

  • Symptom Assessment: A thorough discussion of symptoms and medical history.
  • Physical Examination: A healthcare provider will assess shoulder movement and strength.
  • Imaging Tests: X-rays and MRI scans may be utilized to identify inflammation, tears, or other injuries in the shoulder.

Treatment 

Effective treatment options for shoulder impingement include:

  • Rest and Ice: Taking a break from activities that aggravate the shoulder and applying ice packs to reduce inflammation.
  • Medications: Over-the-counter anti-inflammatory drugs can help alleviate pain and swelling.
  • Physical Therapy: A tailored physical therapy program can strengthen shoulder muscles and improve flexibility.
  • Steroid Injections: If pain persists, corticosteroid injections may be recommended to reduce inflammation.
  • Surgery: In cases where the rotator cuff tendons are torn or bony spurs are present, arthroscopic surgery may be necessary to repair the damage and relieve symptoms