Understanding and Managing Shoulder Impingement Pain: A Comprehensive guide to Physiotherapy
Understanding Shoulder Impingement:
Shoulder impingement occurs when the tendons of the rotator cuff muscles become irritated and inflamed as they pass through the subacromial space. This space can narrow due to various factors such as repetitive overhead movements, muscle imbalances, or anatomical variations. As a result, the tendons get pinched between the bones of the shoulder, causing pain and inflammation.
Common Symptoms:
Pain with overhead activities
Weakness in the affected shoulder
Limited range of motion
Difficulty reaching behind the back
Gradual onset of symptoms
Physiotherapy Assessment:
A thorough physiotherapy assessment is essential to identify the specific factors contributing to shoulder impingement. This may include assessing muscle strength, joint mobility, and analysing movement patterns. Imaging studies, such as X-rays, Ultrasound or MRI scans, may also be considered to provide a more detailed view of the shoulder structures.
Physiotherapy Interventions:
Manual Therapy:
A systematic review by Kuhn et al. (2013) highlighted the effectiveness of manual therapy in reducing pain and improving function in patients with shoulder impingement.
Some of the techniques we use at Focussed Physiotherapy Castle Hill include:
joint mobilisations to improve shoulder mobility.
soft tissue release with physio creams to alleviate muscle tension and inflammation.
dry needling and cupping.
Therapeutic Exercise:
Strengthening exercises for the rotator cuff muscles to improve stability.
Scapular stabilisation exercises to enhance shoulder function.
Range of motion exercises to maintain flexibility.
Kinesiology Taping:
Integrating kinesiology taping or K-tape into a comprehensive shoulder impingement management plan offers benefits such as pain reduction, improved circulation, enhanced proprioception, muscle support, and facilitation of correct movement patterns. At Focussed Physiotherapy Castle Hill we use K-tape as an adjunct therapy for shoulder support, complementing the efficacy of your physiotherapy treatment.
Progress Monitoring:
Regular follow-up assessments allow physiotherapists to track progress and make necessary adjustments to the treatment plan. This ensures that interventions are tailored to the individual's evolving needs. At Focussed Physiotherapy Castle Hill we take a holistic approach, which includes subjective examination of certain aggravating factors that may be getting in the way of your recovery.
Cortisone Options for Managing Inflammation:
Cortisone injections, also known as corticosteroid injections, are a common option for managing inflammation associated with shoulder impingement pain. Cortisone is a powerful anti-inflammatory medication that can be injected directly into the affected area using ultrasound guidance, to provide rapid relief. However, it's important to note that cortisone injections are not a long-term solution and should be used in conjunction with physiotherapy for comprehensive management. Please consult your treating GP regarding this option.
Conclusion:
Physiotherapy plays a pivotal role in the management of shoulder impingement pain, offering a holistic approach to address the underlying causes and symptoms. By combining manual therapy, therapeutic exercise, and patient education. At Focussed Physiotherapy Castle Hill we can empower individuals to regain optimal shoulder function and lead a pain-free life. If you are experiencing shoulder impingement pain, consult with us at Focussed Physiotherapy for an assessment and tailored treatment plan. Please click the link below to book an online appointment.
