Shoulder Impingement Syndrome

Shoulder Impingement Syndrome, what is it? Why do we get it? How to fix it?

What is it?

Impingement syndrome can occur when there is a reduced space between the top of the humerus (upper arm bone) and the acromion (bone at the tip of the shoulder). This leads to a ‘pinching’ of the structures that pass through this gap and causes pain.

Normally, the rotator cuff (muscles that aid stability) slides freely within this space. However, in some instances this space becomes too narrow for normal motion, and the rotator cuff tendons and bursa ( a fluid filled sac ) become inflamed. Inflammation leads to thickening of the tendons and bursa which further contributes to the loss of space.

Eventually, this space becomes too narrow to accommodate the tendons and the bursa, and every time these structures move between the bones they are pinched; thus impingement.

Why does this happen?

This may be due to poor posture from desk-based jobs or muscle imbalances from over training anterior structures such as the pecs or anterior deltoid. This can also be caused by over training the upper trapezius in body builders who are seeking that aesthetic appeal.

How to help

1.       Rest from the movement that causes pain

2.       Heat the area of pain to increase blood flow and take anti-inflammatories

3.       Focus on posterior chain strengthening and rotator cuff gradual loading

4.       Ensure you request a desk assessment from work

5.       Mobilise your upper back and foam roll this area daily

Still have pain? Get in touch to hear how we can help.