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07 Oct

Shoulder Impingement Syndrome

by DrMikeStretcher / 0 Comment

Shoulder impingement syndrome is a common cause of shoulder pain. It occurs when there is impingement of tendons or bursa in the shoulder from bones of the shoulder. Overhead activity of the shoulder, especially repeated activity, is a risk factor for shoulder impingement syndrome. Examples include: painting, lifting, swimming, tennis, and other overhead sports. Other risk factors include bone and joint abnormalities.

With impingement syndrome, pain is persistent and affects everyday activities. Motions such as reaching up behind the back or reaching up overhead to put on a coat or blouse, for example, may cause pain.

Over time, impingement syndrome can lead to inflammation of the rotator cuff tendons (tendinitis) and bursa (bursitis). If not treated appropriately, the rotator cuff tendons can start to thin and tear.

What Are the Symptoms of Shoulder Impingement Syndrome?
The typical symptoms of impingement syndrome include difficulty reaching up behind the back, pain with overhead use of the arm and weakness of shoulder muscles.

If tendons are injured for a long period of time, the tendon can actually tear in two, resulting in a rotator cuff tear. This causes significant weakness and may make it difficult for the person to elevate his or her arm. Some people can have rupture of their biceps muscle as part of this continuing impingement process.

How Is Impingement Syndrome Diagnosed?
Diagnosis of impingement syndrome begins with a medical history and physical exam by your doctor. X-rays will be taken to rule out arthritis and may show changes in the bone that indicate injury of the muscle. Bone spurs or changes in the normal contour of the bone may be present.

How Is Shoulder Impingement Syndrome Usually Treated?
Oral anti-inflammatory medications — such as aspirin, naproxen, or ibuprofen, remain the most common treatment for impingement syndrome.

The medicines are usually given for six to eight weeks since it often takes that long to fully treat the problem. You should do this under the care of a doctor because these medications can cause stomach irritation and bleeding.

In addition to taking medications, daily stretching in a warm shower will help. You should work to reach your thumb up and behind your back. Avoid repetitive activities with your injured arm, particularly activities where the elbow would move above shoulder level. Your doctor may refer you to a physical therapist who can demonstrate the exercises most effective in strengthening and stretching the shoulder muscles.

If you have persistent symptoms, despite the use of oral anti-inflammatory drugs, your doctor may consider a cortisone-type injection. Cortisone is a potent anti-inflammatory medication, which should be used only when necessary because it can result in weakening of muscles and tendons if used repeatedly.

If symptoms persist or if significant weakness is present, then your doctor may perform an ultrasound, MRI, or arthrogram to rule out a rotator cuff tear. If the cuff is torn, surgery may be necessary to repair it.

The vast majority of people who have impingement syndrome are successfully treated with medication, stretching exercises, and temporary avoidance of repetitive overhead activity until the condition settles down.

What Are the Side Effects of Impingement Syndrome Treatment with using medication?
Upset stomach, indigestion, and headaches are the most common side effects of oral anti-inflammatory drugs. However, taking these medications after meals or with food can help reduce stomach upset. Anti-inflammatory drugs can also cause vomiting, constipation, and bleeding in the stomach (ulcers), although these side effects are not common.

Side effects of cortisone shots depend on the dose and frequency of the injections. Unlike cortisone pills, occasional cortisone injections rarely cause serious side effects. Side effects that are much more common with cortisone pills include elevated blood sugar, a decrease in the body’s resistance to infection, weight gain, osteoporosis (thinning of the bones), thinning of the skin, cataracts, and raised blood pressure.

Categories: shoulder pain Tags: impingement syndrome
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  • We love to play beach volleyball but last summer I fell injuring my shoulder. After surgery and lengthy recovery, I still had a lot of pain that ached and burned all the time, especially at night.  Kendra found your website and bought me a Therastrap. I have been using it for 2 months and my […]
    Kendra and Zack
    Kendra and Zack
  • My backswing was so limited and i kept thinking it was hip flexibility. Turns out it was my shoulder range of motion that was limiting my swing. I bought the Therastrap 6 weeks ago and my shoulders feel great and my drives have never been longer. I bring it to the course with me every […]
    Tom
    Tom
  • My job has me on the laptop for 12 hours a day and my neck and shoulders were in constant pain. I know a regular computer would be less strain on my neck but I have to travel all day too. I have been seeing a chiropractor for a few weeks and he recommended that […]
    Mary
    Mary
  • I am a competetive bowler and I need to keep my right shoulder as flexible as possible and the older I get the more sore I get.  Over the past several months I have been waking up sore and in pain, so I went to the physical therapist but they made my pain worse. Massage therapy helped […]
    Steve
    Steve
  • CrossFit has become my favorite workout. I heard there was nothing more motivating than flipping a huge truck tire. But the first time I tried, I completely sprained  my rotator cuff. I never stretched before or after my workouts and I didn’t realize how tight my shoulder muscles had gotten until I tore them. I went through rehab with […]
    Kerri
    Kerri
  • Being a rockclimber my life literally hangs in the balance between strength and flexibility. My shoulder muscles get super tight from climbing and nothing rehabs them better than my Therastrap. Thanks you guys.
    Mindy
    Mindy
  • Both of us used to suffer with shoulder pain which made our workouts painful instead of fun.  We were so happy to find you guys online and we got our straps right away and within a few weeks of using them we both started getting pain relief.  We even bring them to gym so we […]
    John and Abby
    John and Abby
  • I am on the computer at work and again at home for at least 10 hours. By the end of the day my right shoulder ached and burned all night.  The only way to get any sleep was to take pills an in the morning the pain was better, but not gone.  I have been using […]
    Tommy
    Tommy
  • I got thrown from my horse a few years ago and landed on my left arm dislocating my shoulder.  I developed frozen shoulder and I spent months in physical therapy but still had aching pain.  I read through you site and I now understand now how important it is to have a flexible Rhomboid muscle […]
    Patty
    Patty
  • A full range of shoulder motion is so important to the golf swing and taking divots has taken its toll on my shoulders over the years. I have been using the stretch strap for 5 weeks and my pain is much better and I can feel the range of motion increasing every day.  I strap it […]
    Mark
    Mark
  • This past winter I crashed hard trying a jump and I severely injured my shoulder and neck.  The doctors said I over stretched all my muscles and ligaments and that I may get arthritis later in life.  No one mentioned that if i didn’t rehab it properly i would get scar tissue that would cause me […]
    Nicole
    Nicole
  • I am a rock climber and having flexible shoulders may be the difference between life and death.  I bought one of your straps about a month ago and I have been using it everyday with great results.  You were right when you said my pain my get a little worse for the first 2 weeks, […]
    Eddie
    Eddie
  • I am an online blogger so I spend hours online searching, reading, chatting, and typing and by the end of the day my neck and shoulders are aching.  I didn’t realize how much strain I was putting on my neck by using a laptop.  My pain had gotten so bad that I was doing physical therapy […]
    Mia
    Mia
  • I played football in high school and being the quarterback I had dome some damage to my right shoulder.  I was told by many doctors & trainers that all I needed to do was strengthen my muscles.  Well after years of lifting weights my pain got worse. It got to the point that the only time […]
    Andrew
    Andrew

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