Shoulder ImpingementTreatment & Recovery

Expert physiotherapy treatment for shoulder impingement syndrome. Comprehensive care including pain management, movement restoration, and long-term recovery.

What is Shoulder Impingement?

Shoulder impingement occurs when the rotator cuff tendons and bursa become compressed between the humeral head and the acromion (roof of the shoulder). This compression causes inflammation, pain, and restricted movement, particularly during overhead activities.

Common Condition

Affects 20-30% of adults, especially those with overhead work or sports

Conservative Treatment

80-90% respond well to physiotherapy and exercise therapy

Recovery Timeline

6-12 weeks with proper treatment and exercise compliance

Common Symptoms

Pain Patterns

  • Sharp pain during overhead activities (reaching, lifting)
  • Night pain, especially when lying on affected side
  • Pain radiating down the arm to the elbow
  • Pain with reaching behind back (fastening bra, tucking shirt)
  • Pain when lowering arm from overhead position

Movement Limitations

  • Reduced overhead range of motion
  • Weakness when lifting or carrying objects
  • Difficulty with daily activities (dressing, hair care)
  • Stiffness, especially in the morning
  • Clicking or catching sensation in the shoulder

Causes & Risk Factors

Structural Factors

  • Bone spurs on acromion
  • Narrow subacromial space
  • Hook-shaped acromion
  • Rotator cuff muscle weakness

Activity-Related

  • Repetitive overhead work
  • Swimming, tennis, baseball
  • Poor lifting technique
  • Sudden increase in activity

Postural & Lifestyle

  • Forward head posture
  • Rounded shoulders
  • Sleeping position
  • Age-related changes

Physiotherapy Treatment

Pain Management

  • Ice therapy for acute inflammation
  • Heat therapy for muscle tension
  • Manual therapy techniques
  • Activity modification strategies
  • Pain education and pacing

Movement Restoration

  • Range of motion exercises
  • Scapular stabilization training
  • Rotator cuff strengthening
  • Postural correction exercises
  • Functional movement patterns

Key Exercises

Pendulum Swings

Gentle passive movement to reduce stiffness and pain.

3 sets of 10-15 swings, 2-3 times daily

Wall Slides

Improve overhead range and scapular control.

2-3 sets of 10-15 slides, daily

External Rotation

Strengthen rotator cuff muscles with resistance band.

2-3 sets of 10-15 reps, daily

Recovery Timeline

Weeks 1-2

Pain management, gentle ROM, activity modification

Weeks 3-6

Progressive strengthening, improved ROM

Weeks 6-12

Functional training, return to activities

3+ Months

Maintenance, prevention strategies

When to Seek Professional Help

Seek immediate medical attention if you experience:

  • Severe, sudden onset shoulder pain
  • Inability to move your arm at all
  • Significant weakness or numbness in the arm
  • Pain that worsens at night and affects sleep
  • No improvement after 2-3 weeks of self-care

Frequently Asked Questions

Can shoulder impingement heal on its own?

Mild cases may improve with rest and activity modification, but most benefit from targeted physiotherapy to address underlying causes and prevent recurrence.

Should I avoid all overhead activities?

Initially, yes. Your physiotherapist will guide you on gradually reintroducing overhead activities as your condition improves.

When might surgery be considered?

Surgery is typically considered only after 3-6 months of conservative treatment fails, or if there's significant structural damage.

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Medical Disclaimer: This information is for educational purposes only and should not replace professional medical advice. Always consult with a qualified healthcare provider for proper diagnosis and treatment of shoulder impingement.