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Shoulder impingement syndrome is a common condition characterized by compression or pinching of the structures within the shoulder joint. These structures primarily include the tendons of the rotator cuff (PRIMARLY SUPRASPINATUS) and the subacromial bursa, a fluid-filled sac that cushions and reduces friction between tendons and bone.
The impingement typically occurs when the space between the top of the upper arm bone (the humerus) and the acromion, a bony projection of the shoulder blade (scapula), narrows. This narrowing can happen due to various factors, such as repetitive overhead activities, and poor posture, but the most common reason is a lack of scapula (shoulder blade) movement
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As the space decreases, the tendons and bursa can become irritated, inflamed, or even injured when they rub against the bones. This can lead to symptoms such as pain, weakness, and limited range of motion in the shoulder. The pain is often felt on the outer part of the shoulder and may worsen with overhead movements or reaching behind the back.
Treatment for shoulder impingement typically involves a combination of chiropractic care and physical therapy to strengthen muscles and improve posture. In severe cases, surgery may be necessary to create more space within the shoulder joint and alleviate the impingement. Early diagnosis and appropriate treatment are essential to prevent worsening of symptoms and long-term complications.