My shoulder is so painful, why? Shoulder impingement

shoulder impingement

One of the most common reasons for a painful shoulder is ‘shoulder impingement.

The shoulder is a complex joint where many muscles cross near by in a relatively small area. Our shoulder is very active, and we use this joint for nearly every thing we do as part of our daily living activities.

Often we hear about the term “shoulder impingement”, so what is it?

The pain is related to the muscles responsible for turning our shoulder in and out- the rotator cuff muscles. In the classic description, these muscles become painful either as a result of degeneration or inflammation and increasing the amount of occupied area around the shoulder joint. When that is happening, we “impinge” our muscles during side elevation of the arm.

Impingement pain weakens the function of the rotator cuff, increase the instability of the shoulder and unfortunately when not treated affecting our life quality greatly.

Shoulder impingement is a very common condition among individuals of >40 years of age. Painful conditions are predominantly caused by overuse, muscular imbalance and instability. The start of the complaints is often related to a job in an office where you sit and use the shoulder a lot, or during sport activities that involve overhead throws. The pain is normally unspecific at first but later becomes more localized to the front-side area of the shoulder.

So, how do we treat you and make sure your life quality returns as soon as possible to the normal standards you are used to?

At first we will conduct couple of physiotherapeutic tests to diagnose the shoulder problem and its severity. Once confirmed, the idea is to reduce the pain, then retraining for full range of motion and increase muscular control around the shoulder in the rehabilitation phase. We will recommend you to take anti-inflammatory drugs in order to reduce inflammation and pain if we think it is necessary. We offer you a new method called “Shock-wave” therapy to treat this condition as a first step. After a few sessions we will proceed on and use the rehabilitation gym for training the your shoulder range of motion and strengthening of the muscles around it too.



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