Shoulder Impingement Syndrome

impingement syndrome
Source: Chiropractor College Park. Causes, Signs, and Treatment for Shoulder Impingement Syndrome

Shoulder impingement is a painful pinching inside the shoulder that often occurs during movement. It happens when the top outer edge of the shoulder blade presses down on the rotator cuff tendons beneath it, causing irritation and discomfort.

Experts estimate that shoulder impingement accounts for nearly half of all shoulder pain cases. This condition is particularly common among athletes and individuals who perform physically demanding work.

Visit Dr Myhre if you’re experiencing shoulder pain or can’t move your shoulder comfortably.

Symptoms of Shoulder Impingement Syndrome

The main symptom is shoulder pain, often felt at the front of the shoulder. Other signs may include:

  • Tenderness in the shoulder

  • Pain radiating to the side of the arm

  • Worsening pain at night, affecting sleep

Pain may increase during activities such as:

  • Raising the arm overhead

  • Lifting or lowering the arm

  • Reaching forward or behind the back

  • Lying on the affected shoulder

Treatment & Management

Treatment focuses on relieving symptoms while the shoulder heals. Common approaches include:

  • Rest: Avoid activities that triggered the impingement.

  • Physical therapy: Exercises and stretches to strengthen the rotator cuff and improve mobility.

  • Ice: Apply cold packs (wrapped in a towel) to reduce pain and swelling.

  • Pain relievers: OTC NSAIDs can ease pain; use short-term and under guidance.

  • Corticosteroids: Prescription anti-inflammatory medications, including cortisone injections.

  • Surgery: Considered if other treatments fail; may involve removing part of the shoulder blade to relieve pressure on the rotator cuff.

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