Shoulder impingement is a usual cause of shoulder pain. It is common among athletes who engage in excessive use of the shoulders such as in baseball or softball.
If an individual has shoulder impingement, the rotator cuff brushes against the acromion. When lifting the arm, the bursa amidst the rotator cuff and acromion constricts which elevates the pressure. In addition, the increase in pressure irritates the rotator ruff which leads to impingement.
What are the indications?
The chief sign of shoulder impingement is abrupt shoulder pain when lifting the arm overhead or backward.
Other signs that are present include:
- At first, minimal but continuous arm pain
- Discomfort that radiates to the front of the shoulder to the side of the arm
- Weakness of the shoulder or arm
- Lastly, achiness that is worse at night time
Management of shoulder impingement
Generally, there are various treatment options for shoulder impingement which is based on its seriousness.
Home remedies
Getting enough rest is vital. In addition, the individual must avoid engaging in strenuous exercise or any motions that can worsen the pain.
Even though it is not ideal to move the shoulder excessively, it is not advisable to use a sling to immobilize the arm fully. This can result to more stiffness and weakness in the shoulder.
Apply an ice pack on the shoulder for 10-15 minutes at a time a few times throughout the day to lessen the pain and swelling.
Physical therapy
Generally, shoulder impingement typically responds well to physical therapy which involves gentle exercises to establish strength and range of motion.
Medication
Non-steroidal anti-inflammatory drugs (NSAIDs) can be given to reduce the shoulder pain and swelling. Consequently, if not effective, the doctor might suggest steroid shots to lessen the pain and swelling.
Surgery
Generally, if other treatment options fail to work, surgery is required to widen the space around the rotator cuff. This will allow it to freely move without rubbing on the bone.
More Information / Disclaimer
The information posted on this page on shoulder impingement is for learning purposes only. Learn to recognize the signs and how it is managed by taking a standard first aid course with Saskatoon First Aid.
FACT CHECK
https://www.webmd.com/arthritis/impingement-syndrome#1
https://en.wikipedia.org/wiki/Impingement_syndrome
https://orthoinfo.aaos.org/en/diseases–conditions/shoulder-impingementrotator-cuff-tendinitis