Shoulder Impingement

Shoulder impingement occurs when the rotator cuff tendons become pinched or compressed as they pass through the subacromial space. It is one of the most common causes of shoulder pain.

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Typical Recovery Time

6-12 weeks with conservative treatment

Symptoms

•Pain when lifting the arm overhead
•Pain at the front or side of the shoulder
•Weakness in the shoulder
•Painful arc between 60-120 degrees of elevation

Common Causes

•Repetitive overhead activities
•Poor posture
•Rotator cuff weakness
•Bone spurs
•Shoulder instability

Treatment Options

1Rest and activity modification

2Physical therapy

3NSAIDs

4Cortisone injections

5Surgery in refractory cases

When to See a Doctor

If pain is severe, you have significant weakness, or symptoms persist beyond 6 weeks of treatment.

Frequently Asked Questions

What is shoulder impingement?

Shoulder impingement occurs when the rotator cuff tendons become compressed during arm movement. This can cause pain and inflammation. It is common with repetitive overhead activity.

What causes shoulder impingement?

It is often caused by overuse, poor mechanics, or structural narrowing in the shoulder. Repetitive lifting or overhead sports increase the risk. Weakness in shoulder muscles can also contribute.

What are the symptoms?

Symptoms include shoulder pain, especially when lifting the arm or reaching overhead. Pain may worsen at night or with activity. Some people experience weakness or limited motion.

How is it treated?

Treatment includes physical therapy, activity modification, and anti-inflammatory medications. Strengthening and improving mechanics are key. Injections may be used if symptoms persist.

When can I return to activity?

Most patients improve over several weeks with proper treatment. Return to activity depends on pain-free movement and strength. Gradual progression is important to prevent recurrence.