Shoulder Impingement occurs when the tendons of the rotator cuff become compressed or “pinched” between the head of the humerus bone and a part of the shoulder blade.
What are its symptoms?
-chronic inflammation
-general weakening of the tendons
Symptoms may begin with:
Tenderness in the front of the shoulder
Sudden pain when lifting the arm or reaching
Pain with activity and at rest
Overhead sports activities
If the injury progresses or gets worse symptoms may include:
Pain at night
Decreased range of motion leading to an increased difficulty placing arm behind the back
Decrease in strength
What can lead to Shoulder Impingement?
Shoulder impingement is common in both the young athlete and middle aged person. Overhead sports such as baseball, tennis and swimming are at an increased risk due to the repetitive overhead motion. Other activities or jobs that require repetitive lifting or overhead activity can also lead to shoulder impingement.
Impingement Syndrome can also be caused by a minor injury which can occur without an obvious cause.
Diagnosis
Your physician will discuss what symptoms you have been experiencing as well as a medical history. They will then examine your shoulder with many different tests as well as check for any tenderness or area that may have a deformity.
X-ray may be the first step when coming in for an appointment with one of Rothman’s physicians. After the examination if an MRI is warranted your physician will order one.
How can it be treated?
Ultimately, this condition, if left untreated, can result in a torn rotator cuff. For that reason, it is important if you are experiencing shoulder pain see a physician for a proper diagnosis and treatment.
Non-Surgical
- period of rest
-anti-inflammatory medication
-ice
-physical therapy can aid in a sufficient recovery
-Possible steroid injections may be recommended
Ask your physician about shoulder impingement exercises that can help your muscles rebuild strength and assist your joint in regaining a normal range of motion.
Surgical
However, more severe cases of rotator cuff impingement may require a surgical response. Especially in situations where there is a return to activity before an injury is fully healed, the stress on the rotator cuff tendons can be severe and shoulder impingement surgery may then be required.
-Acromioplasty
Next Steps
If you’re experiencing shoulder pain and you believe you may have sustained an overuse-related injury to the rotator cuff, it’s time to call Rothman Orthopaedic. The best way to find out exactly what’s happening inside of your shoulder joint is to have a physical examination with one of our sports medicine specialists. The doctor will identify your symptoms, measure your range of motion, and may also use x-ray or MRI to determine the nature and extent of the injury.
