Demystifying Shoulder Impingement: Causes and Treatments

Did you know that shoulder impingement is a common condition accounting for approximately 45-65% of all shoulder discomfort? It can be a real pain in the… well, shoulder, causing limitations in movement and affecting daily activities. But the good news is that physical therapy can be a powerful tool for relief and recovery.
Understanding Shoulder Impingement
Shoulder impingement occurs when the rotator cuff, a group of muscles and tendons that stabilize your shoulder joint, gets pinched between the bones of your shoulder blade and upper arm. This pinching can irritate the bursa, a fluid-filled sac cushioning the rotator cuff, leading to pain and inflammation.
Symptoms of Shoulder Impingement
- Pain in the front of the shoulder, especially when reaching overhead
- Weakness in the shoulder
- Difficulty sleeping on the affected side
- Aching or grinding sensation in the shoulder
Causes of Impingement
Repetitive overhead motions
- Activities like painting, throwing, or weightlifting that involve repeated overhead movements can stress the rotator cuff and bursa.
Poor posture
- Slouching or hunching can compress the space in your shoulder joint, increasing the risk of impingement.
Age-related changes
- As we age, the tendons in the rotator cuff can become weaker and more susceptible to tears, which can lead to impingement.
Bone spurs
- Bony growths on the underside of the shoulder blade can narrow the space available for the rotator cuff, causing impingement.
How Physical Therapy Can Help You Recover from Shoulder Impingement
Physical therapy is a safe and effective approach to treating shoulder impingement. A physical therapist will conduct a thorough evaluation to determine the cause of your pain and develop a personalized treatment plan.
What Your Treatment Plan Might Include
Manual therapy
- Techniques like manipulation and joint mobilization can help improve flexibility, reduce inflammation, and restore proper movement patterns in your shoulder.
Strengthening exercises
- Exercises designed to strengthen the muscles that support your shoulder joint can help improve stability and reduce stress on the rotator cuff.
Stretching exercises
- Stretching tight muscles around the shoulder joint can improve flexibility and range of motion.
Modalities
- Techniques like ultrasound or electrical stimulation may help reduce pain and inflammation.
Your physical therapist will work closely with you to develop a program tailored to your needs and goals. They will also educate you on proper posture and ergonomics to help prevent future impingement episodes.
Don’t wait to take control of your shoulder pain!
If you’re experiencing symptoms of shoulder impingement, schedule an appointment with a physical therapist today. Early intervention can help you return to the activities you love without pain.
Call our team at [site-name] in Wilmington, NC today to learn more about how physical therapy can help you find relief!

