Understanding Shoulder Impingement Syndrome

Understanding Shoulder Impingement Syndrome

Shoulder impingement syndrome is a
problem with the shoulder joint. It occurs when certain parts within the joint swell and
are pinched. This can cause nagging pain and problems with moving the arm.

What causes shoulder impingement syndrome?

It’s
possible to develop impingement after years of normal shoulder use. But in most cases,
the condition occurs because of repeated overhead movements. These include such things
as stocking shelves, painting, swimming, and throwing. These movements can irritate
parts of the shoulder, leading to swelling. Swollen parts of the shoulder take up more
room, making the joint space smaller. Some parts that may be involved include:

  • A sac of fluid (bursa) that cushions the shoulder joint.
     When the bursa is irritated, it may lead to a condition called bursitis. This
    is when the bursa swells with fluid, filling and squeezing the joint space.

  • Fibrous tissues (tendons) that
    connect muscle to bone.
    When tendons are irritated, they may become
    swollen. This is called tendonitis.

  • The end (acromion) of the shoulder blade. This bone may
    be flat or hooked. If the acromion is hooked, the joint space may be smaller than
    normal. Growths (bone spurs) on the acromion can also narrow the joint space.
    Acromion problems don’t often cause impingement. But they can make it worse.

Symptoms of shoulder impingement syndrome

Symptoms include pain, pinching, or stiffness in your shoulder. Pain often comes with movement, particularly reaching overhead or backward. It may also be felt when the shoulder is at rest. Pain at night during sleep is common.

Treatment for shoulder impingement syndrome

Treatment will depend on the cause of the problem, how bad the problem is, and if other parts of the shoulder are damaged. Treatment may include the following:

  • Active rest. This lets the
    shoulder to heal. It means using the arm and shoulder, but avoiding activities
    that cause pain. These likely include reaching overhead or sleeping on your
    shoulder.

  • Cold packs. These help reduce swelling and relieve
    pain.

  • Prescription or
    over-the-counter medicines.
    These help relieve pain and swelling. NSAIDs
    (nonsteroidal anti-inflammatory drugs) are the most common medicines used.
    Medicines may be prescribed or bought over the counter. They may be given as
    pills. Or they may be put on the skin as a gel, cream, or patch.

  • Arm and shoulder exercises. These help keep your
    shoulder joint mobile as it heals. They also help improve muscle strength around
    the joint.

  • Shots of medicine into the
    joint.
    This can help reduce swelling and pain. The medicine used is usually
    a corticosteroid. This is a strong anti-inflammatory medicine.

If other measures don’t work to relieve symptoms, you may need surgery. This opens up space in the joint to allow pain-free motion.

Possible complications of shoulder impingement syndrome

It might be tempting to stop using your shoulder completely to avoid pain. But doing so may lead to a condition called frozen shoulder. To help prevent this, follow instructions you are given for active rest and for doing exercises to help your shoulder heal.

When to call your healthcare provider

Call your healthcare provider right away if you have any of these:

  • Fever of 100.4°F (38°C) or higher, or as directed by your provider

  • Chills
  • Symptoms that don’t get better, or get worse

  • New symptoms