top of page
Writer's pictureFung Dak

Shoulder Impingement

Updated: Sep 27




Pathology

The muscle key of the shoulder rotator muscle is between the greater trochanter of the humerus and the base of the acromion. When raising the hand, the muscle key is easily pinched and rubbed, causing inflammation of the muscle key. At the same time, there is a synovial bursa under the acromion to cushion the shoulder rotator muscle keys from pinching. Excessive pinching can also cause inflammation of the synovial bursa, causing pain in the shoulder.


Causes

  • Repetitive raising, swiping, or throwing movements

  • Chronic hunchback or poor posture

  • Insufficient neck and arm muscle strength

  • Tight chest muscles

  • Congenital factors-the shape of the acromion bone is too curved or too thick


Symptoms

  • May be limited in raising hands due to pain

  • Pain is usually concentrated in the front of the shoulder

  • Shoulder discomfort and rattling when raising hands

  • Pinching sensation in the shoulder or the tendon snaps when raising the hand


High-Risk Individuals

  • Requires repeated raising of hands above shoulders during work

  • Athletes (Repeated swings and throws)

  • Patients who have experienced shoulder trauma (More likely to develop abnormalities in shoulder joint movement control)


Treatments

  1. Electromagnetic Field Therapy: Relieves pain and inflammation, accelerates bone tissue healing

  2. Focused Shockwave: Crush tendon calcification and induce rotator tendon repair

  3. Ultrasound: Deep heating, accelerated tissue repairment

  4. Sports Therapy: Design a systematic performance training program to gradually increase the load capacity of the rotator tendon

  5. Interferential Current Therapy: Reduce inflammation, relieve pain, accelerate blood circulation

  6. Acupuncture: Eliminate muscle tension, adjust the position of the humeral blade, and reduce extrusion


Possible consequences of not treating early

  • Supraspinalis tendon tear

  • Fibrosis and calcification of the rotator cuff tendon supraspinalis

  • Increased chance of bone spurs appearing under the acromion

  • Induced frozen shoulder (frozen shoulder)

  • Surgical treatment may be required: Subacromial decompression surgery thins and smoothes the excessively curved acromion to reduce friction on the rotator cuff

 

The above content is for reference only. Readers are required to seek medical advice from relevant medical personnel. Only after detailed examination and diagnosis can timely and effective treatment be provided.

@DOCTORFIX CHIROPRACTIC AND PHYSIOTHERAPY CLINIC

1 view

Recent Posts

See All

Comments


bottom of page