Shoulder impingement syndrome, also known as subacromial impingement, is one of the most common causes of shoulder pain. At DubeOrtho, our team of orthopedic specialists and physical therapists regularly treats patients suffering from this condition. Understanding its causes, recognizing symptoms early, and knowing treatment options can help you take proactive steps toward recovery.

What is Shoulder Impingement Syndrome?

Shoulder impingement occurs when the rotator cuff tendons and the subacromial bursa become compressed or “pinched” between the acromion (the top of the shoulder blade) and the head of the humerus (upper arm bone). This compression leads to inflammation, pain, and reduced mobility in the shoulder joint.

Common Causes

Several factors can contribute to the development of shoulder impingement syndrome. The shape of your acromion can play a significant role. Some people naturally have a hooked or curved acromion that increases the risk of impingement. Age-related bone spurs can also narrow the space where the rotator cuff tendons pass.

Certain activities and occupations increase the risk of developing shoulder impingement, particularly those involving repetitive overhead movements. This includes swimming, tennis, baseball, painting, and construction work. Additionally, warehouse operations that require frequent reaching and lifting can contribute to the condition.

Muscle Imbalances and Poor Posture

Modern lifestyle habits, particularly prolonged desk work, can lead to rounded shoulders and weakened shoulder blade muscles. This altered positioning can compress the subacromial space and increase impingement risk.

Recognizing the Symptoms

Early recognition of symptoms is crucial for effective treatment. In the initial stages, shoulder impingement typically presents as pain when lifting the arm, particularly between 60-120 degrees. Patients often experience discomfort during overhead activities and minor weakness in shoulder movements. Pain may extend from the front of the shoulder to the side of the arm.

Progressive Symptoms

Without proper treatment, symptoms may advance to:

  • Night pain, especially when lying on the affected shoulder
  • Difficulty reaching behind your back
  • Loss of strength and range of motion
  • Pain even at rest
  • Clicking or catching sensations during movement

Diagnosis at DubeOrtho

Our orthopedic specialists use a comprehensive approach to diagnose shoulder impingement. During the physical examination, we evaluate range of motion, strength, pain patterns, posture, and scapular movement. When necessary, imaging studies may be recommended, including X-rays to check for bone spurs, MRI to assess soft tissue damage, or ultrasound for dynamic evaluation of the shoulder.

Treatment Options

At DubeOrtho, we believe in a progressive approach to treatment, starting with conservative methods before considering surgical options.

Conservative Treatment

Our experienced physical therapists develop customized treatment plans that include manual therapy techniques, posture correction exercises, and specific strengthening programs. We focus on both rotator cuff strengthening and scapular stabilization to address the root causes of impingement. Patients receive comprehensive guidance on proper form and technique to ensure optimal results.

Activity Modification

We guide patients in:

  • Avoiding aggravating activities
  • Proper ergonomic setup at work
  • Technique modification for sports activities
  • Home exercise programs

Advanced Treatment Options

When conservative treatment doesn’t provide adequate relief, we may recommend cortisone injections to reduce inflammation and provide temporary pain relief. These injections can help patients participate more effectively in physical therapy and may be repeated if beneficial.

Surgical intervention is considered when conservative treatments fail to provide relief after several months. Our orthopedic surgeons specialize in arthroscopic subacromial decompression, repair of associated rotator cuff tears, and removal of bone spurs when necessary.

Prevention Strategies

Preventing shoulder impingement or its recurrence involves maintaining proper posture and regular exercise. Good posture habits should be practiced throughout the day, particularly during desk work or other stationary activities. Regular shoulder mobility exercises and rotator cuff strengthening can help maintain shoulder health and prevent future problems.

Activity Modification

  • Proper technique in sports and work activities
  • Regular breaks during repetitive tasks
  • Gradual progression in activity intensity
  • Adequate warm-up before activities

Recovery Expectations

Recovery time varies depending on several factors, including the severity of impingement, duration of symptoms before treatment, and compliance with treatment protocols. Most patients see improvement within 3-6 months of consistent conservative treatment. Surgical recovery typically requires 4-6 months before returning to full activity.

Return to an Active Life with DubeOrtho

Shoulder impingement syndrome, while common, doesn’t have to limit your activities permanently. With proper diagnosis and treatment at DubeOrtho, most patients can return to their normal activities pain-free. Our comprehensive approach combines expert orthopedic care with specialized physical therapy to provide optimal outcomes.

Don’t let shoulder pain limit your life. Contact DubeOrtho today to schedule an evaluation with our shoulder specialists. Early intervention leads to better outcomes and faster recovery.