Shoulder Impingement Syndrome

What is shoulder impingement?
Shoulder impingement syndrome is a common shoulder problems which occurs when the rotator cuff muscles rub against the roof of the shoulder. Sports and work that involve frequently using your arms over your head can potentially cause irritation to the rotator cuff or bursa and can lead to inflammation and impingement.

What are the symptoms of shoulder impingement?
Frequently there is a great deal of pain with overhead activities, such as putting an arm in a coat or lifting objects from a shelf. Sleeping may also be quite difficult because of the pain caused from putting pressure on the shoulder when you lay down. Symptoms most often are gradual and may occur over several months. People in their mid and late 40's are more prone to getting shoulder impingement syndrome.

Impingement syndrome can be confirmed by injecting a small amount of anesthetic into the space under the acromion. If the anesthetic relieves the pain, you may have a shoulder impingement.

How do we treat shoulder impinegement syndrome?
Treatment may include staying away from all activities, including work and sports, which require you to reach with your elbow away from your body. Exercises that promote range of motion in the shoulder and increase strength in the rotator cuff muscle, can be very helpful. Anti-inflammatory medicines frequently help decrease any pain and inflammation you may still have. If symptoms have continued for more than a month, you should consult a physician.

Most often, the first step your doctor may take is to reduce the pain and inflammation of the problem area with rest, ice, and anti-inflammatory medicines. An ultrasound may also be used to visualize the inside of your shoulder joint. Gentle stretching and strengthening exercises are also very good. Remember to ice your injury before you do activities involving your shoulder. If there is no improvement with these less aggressive methods of treatment, your doctor may suggest arthroscopic or open surgery.