Shoulder Impingement
Shoulder Impingement is a common condition in which the tendons or ligaments are compressed in between the bones of the shoulder joint. Compression leads to the inflammation of the structures causing pain and restriction in shoulder mobility. Shoulder Impingement typically involves Rotator cuff tendons.
Symptoms and Causes
Common symptoms are pain, tenderness and restricted movement. Pain increases especially while doing any overhead activities or lowering the arm from an overhead position. Pain might move from shoulder to the front or side of the arm.
Overuse or Repetitive Injuries
Activities that involve frequent overhead motions, such as swimming, badminton, tennis, or painting, can lead to shoulder impingement.
Muscle / Postural Imbalance
Weakness or imbalance in the muscles changes the position of the shoulder joint leading to impingement causing pain.
Anatomical Factors
Some individuals have a naturally narrow space in the shoulder joint, which makes them more prone to impingement.
Trauma
Previous injury can lead to alteration in shoulder positioning can lead to Impingement.
Bone spurs or Aging
Natural degenerative changes of the joint also known as Osteoarthritis increases the risk of Shoulder impingement.
How to manage
The management aims in reducing the pain, inflammation and improving the shoulder function. Common treatment options are :
Rest / Cold / Hot application : Avoiding the movements which causes pain helps in reducing the further impingement in the joint. Cold or Hot compress helps in relieving the pain.
Physical therapy : Personalized program to improve shoulder mechanics, strengthening of the weakened muscles, and improvement of posture helps in curing the problem as well as reduce the recurrence of the condition.
Medicines and Injections : Pain relieving medicines and corticosteroid injections helps in short term relief of the inflammation and pain.
Surgery : If conservative therapy does not help then surgery is advised.
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