Understanding shoulder impingement
Shoulder impingement is a prevalent condition where the tendons of the rotator cuff become compressed beneath the acromial arch, leading to pain and restricted movement. Its causes are multifactorial, with damage to the rotator cuff tendons often contributing to impingement—or vice versa. Episodes of pain are frequently triggered by mechanical factors like changes in posture or repetitive activities.
This condition accounts for 44-65% of reported shoulder pain cases, especially among individuals involved in repetitive overhead sports or manual jobs requiring extended arm elevation. The shoulder joint itself is a complex structure, formed by three bones—the scapula, humerus, and clavicle—supported by the rotator cuff’s network of muscles, tendons, and ligaments.
Causes and risk factors
Shoulder impingement syndrome occurs when the space between the acromion (part of the scapula) and the humeral head (part of the humerus) becomes narrow, leading to discomfort and restricted movement. This condition can arise from several factors, including the shape of the acromion, repetitive overhead movements, tendon ageing, and inflammation of the bursa. Individuals who frequently perform overhead activities are at a higher risk of developing this issue.
Additionally, altered biomechanics, muscle weakness, and scapular dyskinesis are key contributors to impingement syndrome. Functional issues such as reduced capsular mobility, improper scapular positioning, and inefficient rotator cuff performance also play a significant role in its development. Understanding these factors is crucial for effective prevention and treatment of shoulder impingement.
Physiotherapy rehabilitation
Physiotherapy is a highly effective approach for managing pain and restoring shoulder function. A well-rounded treatment plan typically combines manual therapy, targeted exercises, and patient education. By focusing on the muscles of the shoulder, arm, and chest, physiotherapy works to enhance rotator cuff strength and mobility while alleviating pain. Additionally, it equips individuals with practical strategies to reduce the risk of future injuries, promoting long-term shoulder health
Waverley Clinic physiotherapy
At Waverley Clinic, we offer a range of effective treatments to help alleviate shoulder impingement and support your recovery:
- Shockwave Therapy
- Comprehensive injury and pain assessments
- Joint mobilisations
- Soft tissue and myofascial Release
- Taping for stability and support
- Electrotherapy
- Personalised exercise prescription
Booking your physiotherapy appointment
Booking an appointment with our physiotherapist, James, is quick, easy, and hassle-free.
Book online anytime or call us directly at 01252 716611.
Our phone lines are open 24/7, providing a hassle-free way to secure your appointment any day of the week. Let us help you get back to feeling your best!
Exercises for shoulder impingement
Strength and mobility exercises play a crucial role in treating shoulder impingement. Targeted strengthening of the supraspinatus, external rotators, and scapular muscles is key to restoring muscle balance and preventing atrophy. Incorporating closed kinetic chain exercises and proprioceptive drills can enhance functional performance while reducing the chances of recurrence. To further boost dynamic stability and proprioception, plyometric exercises can be introduced as part of the rehabilitation programme.
Return-to-activity phase
During the return-to-activity phase, the goal is to gradually reintroduce the individual back to their desired activities while ensuring that they are able to maintain proper shoulder mechanics and avoid any further injury. This phase typically involves a progressive increase in activity levels and intensity, with a focus on functional movements specific to the individual’s sport or daily activities.
In addition to continuing with strengthening exercises, it is also important to emphasise proper form and technique during activities. This can help prevent any compensatory movements or habits that may have contributed to the original injury. It is also crucial for the individual to listen to their body and communicate any discomfort or pain with their healthcare provider.
During this phase, it may also be beneficial to incorporate exercises that challenge balance and stability, as well as dynamic movements that mimic real-life activities. These types of exercises can help improve overall functional strength and prepare the shoulder for more demanding tasks.
As the individual progresses through this phase, they should continue to work closely with their physiotherapistAs the individual progresses through this phase, they should continue to work closely with their physiotherapist provider to monitor progress and make any necessary adjustments to the rehabilitation plan.
Physiotherapy techniques and modalities
Physiotherapists are trained professionals who use various techniques and modalities to help individuals recover from injuries or conditions affecting their physical function. Some of the common techniques used in shoulder rehabilitation may include:
- Manual therapy: This involves hands-on techniques such as joint mobilisation, soft tissue manipulation, and stretching. These techniques can help improve range of motion and reduce pain and stiffness in the shoulder.
- Strengthening exercises: Strengthening exercises are an essential part of shoulder rehabilitation as they help build muscle strength, stability, and endurance. Your physiotherapist may recommend specific exercises based on your individual needs and goals.
- Modalities: Modalities refer to various tools or techniques used in physical therapy to aid in the healing process. Some common modalities for shoulder rehabilitation include ice packs, heat therapy, ultrasound, and electrical stimulation.
- Postural correction: Poor posture can contribute to shoulder pain or injury. Your physiotherapist may teach you proper posture techniques to alleviate strain on your shoulders during daily activities.
- Electrotherapy: Your physiotherapist may use electrotherapy, such as ultrasound or transcutaneous electrical nerve stimulation (TENS), to help manage your shoulder pain.
Case studies and success stories
Physiotherapy has proven highly effective in alleviating pain and enhancing mobility for individuals with shoulder impingement. Numerous case studies highlight its success in restoring full athletic shoulder function while reducing the likelihood of recurrence. Personal success stories from those who have undergone physiotherapy for shoulder impingement serve as both inspiration and motivation, showcasing the transformative potential of tailored rehabilitation programmes.
Finding the right physiotherapist
If you’re dealing with shoulder issues, your doctor may recommend a physiotherapist to create a tailored treatment plan. It’s crucial to choose a professional with expertise in shoulder impingement and a deep understanding of the condition. A physiotherapist who practices evidence-based techniques and stays updated with the latest research can offer the highest standard of care.
Here at Waverley Clinic, our expert physiotherapist, James Leyland, specialises in diagnosing and treating shoulder impingement. With his expertise, we’re dedicated to helping you achieve a complete and lasting recovery.
Don’t let shoulder pain hold you back: Book a physiotherapy appointment at Waverley Clinic today.
Physiotherapy is an effective and proven treatment for shoulder impingement, offering relief from pain and improved mobility. A well-rounded treatment plan—including manual therapy, targeted exercises, and expert guidance—can help individuals achieve the best possible outcomes. By working with the right physiotherapist and following a tailored approach, those with shoulder impingement can significantly reduce symptoms and enhance their overall quality of life.
Ready to take the first step? Book an appointment with James at Waverley Clinic today. You can schedule online or give us a call—our seven-day, 24-hour telephone booking service makes it easy to find a time that works for you.
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01252 716611 Seven-day, 24-hour telephone appointment booking service
We are dedicated to helping you achieve a pain-free shoulder and regain your comfort and mobility.
