Shoulder Impingement Syndrome

What is Shoulder Impingement Syndrome?

 Involvement of the subacromial bursa, biceps tendon, rotator cuff muscle in the coracoacromial arch. It is the most common cause of shoulder pain
Shoulder impingement involves pressure on the underlying rotator cuff, which rubs (“impinges”) or compresses the upper outer edge of the shoulder (called the acromion), resulting in pain and inflammation.

What is the rotator cuff? What does it do?

As you can see in the picture, the rotator cuff is a group of four muscles that start at the shoulder blade and are connected to the arm bone (humerus) via a “flap” of tendons.

The rotator cuff allows you to lift your arm above your head and rotate it toward or away from your body. If you look at this diagram, you can see that the rotator cuff is located in a small space between two bones in the shoulder (the acromion and the humerus). This arrangement allows the rotator cuff to easily become pinched or “pinched” between these bones, resulting in what is known as “impingement syndrome.”

How does shoulder impingement syndrome occur?

When the rotator cuff becomes inflamed or damaged, it can swell, similar to an ankle sprain. However, because the rotator cuff is surrounded by bone, swelling can have other causes. Swelling can reduce the space around the rotator cuff and cause friction with the acromion. In a vicious circle, when the rotator cuff tendons rub, swelling occurs and the space under the acromion narrows. In some cases, bone spurs in the acromion can cause the space where the rotator cuff sits to narrow, causing impingement.

Who suffers from shoulder impingement?

Shoulder impingement syndrome occurs most often in people who play sports and other activities that require a lot of overhead rotation, such as swimming, baseball, volleyball, and tennis, as well as activities such as window cleaning and painting.

Shoulder impingement can also be caused by an injury, such as falling with your arm outstretched or directly onto your shoulder.

How common is shoulder impingement?

Shoulder impingement syndrome is believed to be the cause of 44 to 65% of shoulder pain.

Symptoms and causes
What are the causes of shoulder impingement?
The rotator cuff tendons pass through the subacromial space. The acromion is the tip of the bone on the outer edge of the shoulder (scapula) and runs along the back of the bone. It meets the end of the clavicle (clavicle) at the shoulder. During shoulder impingement, tendons rub against the acromion.

The causes of this collision are:

Tear or swelling of the tendon. This can be caused by overuse of the shoulder due to repetitive activities, injury, or age-related wear and tear.
The bursa becomes inflamed and inflamed. The bursa is a fluid-filled sac between the tendons and the acromion. Bursae help muscles and tendons glide over bones. Overuse or injury to the shoulder can lead to bursitis.
Your acromion is uneven (you were born that way) or you have age-related bone spurs on your acromion

Symptoms 

• It hurts when I stretch my arms over my head.
• Pain when raising or lowering the arm from a high position or when straightening the arm.
• Pain and tenderness in front of the shoulder.
• The pain radiates from the front of the shoulder to the side of the arm.
• Pain on the affected side when lying down.
• - Pain at night that affects sleep.
• It hurts when I reach behind my back, like when I put my hands in my back pockets or zip up my zipper.
• Weakness and stiffness in shoulders and arms.
• Symptoms usually appear gradually over weeks or months.

Shoulder impingement is closely related to other common causes of shoulder pain called bursitis and rotator cuff inflammation. These diseases can occur individually or in combination. Shoulder pain can also be a sign of a more serious rotator cuff injury, which involves a small tear or puncture called a rotator cuff tear. A complete tear of the rotator cuff results in significant muscle weakness and the inability to lift the arm against gravity. In addition, a tear (rupture) of the biceps tendon can occur as part of a persistent impingement process.

Diagnosis and testing

Your doctor will review your medical history and your body's progress, whether pain is present or real pain is present. During your medical rejuvenation session, your shoulder range of motion and arm/shoulder strength will be assessed. When the hand or arm is shifted to the upper part of the head for unnecessary movements, when the patient has previous injuries to the arm or shoulder, and when the shoulder or bladder suffers from pain. Here you can find more information about the causes of pain and when it occurs.

X Hikari Kazushi helped Susuke eliminate systemic inflammation and strengthen the rotator cuff tear on average. The rotator cuff is often accompanied by breaks that can cause fractures or change the normal shape. A magnetic resonance imaging (MRI) scan may show a tear in the skin and tendons of the shoulder or a bladder infection.

To relieve pain, patient may be given a small injection into the subacromial space

TREATMENT:

Rest the arm. Using a cold compress. Placing the hand above the body level. Using physiotherapy devices. Manual treatments and massage therapy by physiotherapist

The goals of comprehensive treatment for shoulder compression are to relieve pain and restore shoulder function. Comprehensive treatments include comprehensive rest, ice cream, non-inflammatory anti-inflammatories, solid injections and physical therapy.

Physical therapy is the most important treatment for shoulder compression. If there is a high volume of patients, physiotherapy can be continued at home. In addition to learning and expanding practice, the range of activities is also expanded. After the pain subsided and I was able to find work, the skin on my shoulders and sleeves improved through intense exercise.
You should go to the slopes for 20 minutes twice a day. (Bag of frozen beans or corn.)
With the doctor's approval, the patient's pain during pregnancy can be relieved. If this causes severe pain, strong anti-inflammatory medications can be used; in some patients, pine needles can be inserted under the acromion.
Yoon Yusuke approaches this task with common sense. Avoid activities that require frequent palpation of the back or lower back. Crawling movements are part of normal shoulder flexion syndrome under stress. Stop physical activity and the pain will improve immediately.