Impingement syndrome is affecting the general condition of the shoulder joint, which is commonly seen in the elderly. The condition is closely related to shoulder bursitis and tendonitis of the rotator cuff. This can cause pain, weakness and loss of movement at the shoulder. The shoulder impingement syndrome has several names, which are used in medical terminology. It is also called subacromial impingement, painful arc syndrome, supraspinatus syndrome, swimmer’s shoulder, and thrower’s shoulder.
Symptoms of Impingement Syndrome of the shoulder joint:
- difficulty turning the hand behind back
- pain when lifting the arm above head
- weakness of shoulder muscles
Diagnosis of Impingement Syndrome:
Impingement syndrome can usually be diagnosed by history and physical exam by your doctor. It is necessary to do an x-ray, which will certainly notice changes in the bone, which is an indicator of muscle damage. Also, there might be the presence of osteophytes (spikes) or changes in the normal bone contour. Impingement syndrome can be confirmed by placing an intra-articular injection with small amount of anesthetic. This medicament will relieve pain for a short period of time. Ultrasonography, arthrography and Magnetic resonance imaging can be used to detect rotator cuff muscle pathology.
Treatment of Impingement Syndrome:
Impingement syndrome is usually treated conservatively, but sometimes is treated with arthroscopic or open surgery. Conservative treatment includes rest, cessation of painful activity, and physiotherapy. Physiotherapists may employ the following treatment techniques to improve pain and function:
- Joint Mobilization
- Interferential Therapy
- Acupuncture
- Soft Tissue Therapy
- Therapeutic Taping
- Scapular and rotator cuff Strengthening
- Education regarding the cause and mechanism of the condition
Therapeutic injections of corticosteroid (limited to three) and local anaesthetic may be used for persistent impingement syndrome.
