Shoulder Impingement, Not So 'Humerus'
By, Lisa Cayer, DPT
Do you experience sudden shoulder pain when attempting to reach or lift? Do you experience dull shoulder pain at rest? Do you perform repetitive overhead activities such as swimming, throwing, or painting? Do you find that you have poor posture causing your shoulders to round forward? If you answered yes to any of these questions, keep reading…
Shoulder impingement is a condition which affects both young and middle-aged individuals and is one of the most common causes of shoulder pain. It occurs when the rotator cuff is pinched between a projection of the shoulder blade, called the acromion process, and the bone of the upper arm, called the humerus. As the arm is lifted, the humerus rolls upward toward the acromion process. If the mechanics of your shoulder are compromised or if you have a structural anomaly, this motion may result in an impingement.
Shoulder impingement can manifest in many ways. Here are some symptoms to look for:
- Pain and tightness when raising the arm
- Pain when lowering the arm from a raised position
- Swelling and tenderness in the front or side of the shoulder
- Decreased strength and/or range of motion
- Difficulty performing tasks requiring behind the back motions (i.e. fastening a bra, putting on a jacket)
Shoulder impingement can be diagnosed in a variety of ways. First, an x-ray can be done to check for abnormalities in the bone, such as bone spurs or irregular shaping of the acromion process often characterized as “curved” or “beaked.” An MRI may also be done to check for tears or inflammation in the rotator cuff itself. Your physical therapist is also able to implement a series of tests and measures in an attempt to rule in or rule out the possibility of a shoulder impingement.
Depending on the severity of the shoulder impingement and its underlying causes, one may treat it using pharmaceuticals, physical therapy, or in more severe causes, surgery followed by physical therapy. Is it time for you to visit your Moore therapist?
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