13/11/2025
Shoulder impingement is a common condition that occurs when the tendons of the rotator cuff muscles become compressed or "impinged" during shoulder movements. This usually happens between the humeral head (the top of the upper arm bone) and the acromion (the bony part of the shoulder blade).
# # # Symptoms
1. **Pain**: The primary symptom is pain in the shoulder that can range from mild to severe. The pain often worsens with overhead activities, such as reaching for something on a shelf or lifting objects.
2. **Limited Range of Motion**: You may find it difficult to move your arm fully, especially when lifting or reaching behind your back.
3. **Referred Pain**: The pain associated with shoulder impingement can sometimes radiate, or be referred, to other areas. This can include:
- The upper arm
- The neck
- The upper back
4. **Pins and Needles**: Some people experience tingling sensations or "pins and needles," especially if the impingement affects nearby nerves. This can occur in the arm and sometimes in the hand.
5. **Weakness**: You might notice weakness in the shoulder or arm, particularly when trying to lift or rotate the arm.
6. **Aching**: There may be an ongoing ache in the shoulder, which could be more pronounced at night or after activity.
# # # Causes
Shoulder impingement is commonly caused by:
- Overuse or repetitive overhead activities
- Poor posture, which can narrow the space where the rotator cuff tendons pass
- Bone spurs or degenerative changes in the shoulder joint due to aging
- Inflammation or swelling of the tendons
# # # Diagnosis
Diagnosis typically involves a physical examination by a healthcare professional, where they may perform specific maneuvers to test pain and range of motion. Imaging tests like X-rays or MRI can help rule out other conditions and assess the extent of impingement.
# # # Treatment
Treatment options can range from conservative to more invasive approaches:
1. **Rest and Activity Modification**: Reducing activities that aggravate the pain.
2. **Manual Therapy**: Targeted exercises can help strengthen the shoulder muscles and improve flexibility.
3. **Anti-Inflammatory Medications**: Over-the-counter options like ibuprofen can help reduce pain and swelling.
4. **Corticosteroid Injections**: These may be used to relieve inflammation and pain.
5. **Surgery**: In more severe cases, surgical intervention might be necessary to remove bone spurs or to repair the rotator cuff.
# # # Conclusion
Shoulder impingement can lead to significant discomfort and limit daily activities. Understanding your symptoms and seeking appropriate treatment can help manage the condition effectively. If you're experiencing persistent pain, weakness, or sensory changes like pins and needles, it's important to consult a professional for an accurate diagnosis and appropriate care.
