Impingement Syndrome is a common shoulder joint disease that causes shoulder pain, especially in adults. Another name for this disease is swimmer’s shoulder disease because one of the most common sports associated with this disease is swimming. Other sports that lead to Impingement Syndrome include tennis and baseball. The rest of this article describes the symptoms, diagnosis, and treatment that does not require shoulder surgery.
The group of muscles that cause the humerus to attach to the shoulder joint is called the rotator cuff muscle, which passes under a bone called the acromion.
Suppose there is inflammation in this space, especially with repetitive hand movements over the head. In this case, Impingement Syndrome is caused by bursitis or inflammation or by damage to the rotator cuff tendons. During overhead activities, the volume of this space decreases, and the continuation of this disease may cause the rotator cuff tendons to rupture.
Symptoms of Impingement Syndrome
The most common symptom of this disease is lifting the hand, doing activities above the head, or lifting the hand from behind. Sometimes the pain in the arm is mild and constant. There may be a pain in the front of the shoulder that extends to the arm. Sometimes pain occurs during sleep, especially at night. It may appear as a weakness of the shoulder joint.
Cause of Swimmers Shoulder Disease
The most common cause of this disease is repetitive and overhead activities, but sometimes, no specific cause is found.
What Causes Impingement Syndrome?
Shoulder obstruction syndrome can occur for a variety of reasons:
Narrowing of the space is caused by changes in bone structures such as AC (acromioclavicular) joint movements or soft tissue changes such as thickening of the subacromial bursa or loss of function of the shoulder rotator cuff or shoulder blade. One reason is that the space between the shoulder blade arch (acromion) and the humerus (humerus) becomes narrower than usual. This narrowing can lead to irritation and damage to the tendons leading to a painful reaction.
Placing the body in a bent position leads to poor function of the shoulder blade muscles and stimulation of shoulder stiffness.
A sudden increase in the amount of activity above the head can trigger the problem of entrapment.
Diagnosis of Impingement syndrome
Lifting the arm, especially at the sides, can be painful if the shoulder is stuck. This pain will intensify at an angle between 60 and 120 degrees. The pain of shoulder entanglement syndrome can worsen at night, especially if you lie on your injured shoulder, so you may have trouble sleeping. If the shoulder is injured, you will feel acute pain. If there is no injury, the pain will gradually increase with repeated or continuous activity above the head. You may also feel dislocated or worn when moving your shoulder. However, these feelings alone will not be a problem.
The physiotherapist will perform several tests to confirm the diagnosis. One of these experiments is “emptying the Can,” You raise your arms from the side so that the index finger is down, and the specialist puts pressure on them.
The pain of this test indicates inflammation of the supraspinatus.
Another example is the Hawkins and Kennedy experiment. A physiotherapist performs gentle passive movements from top to bottom in front of the forearm by placing the arm forward and supporting it. If this test is painful, the specialist will suspect bursitis.
You need to keep in mind that no test can answer all the problems. The body’s response to various clinical trials will help the physiotherapist provide the best treatment.
The Effect Of Physiotherapy On Impingement Syndrome
Physiotherapy is effective for Impingement Syndrome. According to a 2014 study, patients who received physiotherapy had fewer episodes of obstruction syndrome and fewer visits to their physician one year after shoulder injury than patients initially injected with corticosteroids (37% Versus 60%). Patients who injected often needed additional injections because of the recurrence of symptoms.
Manual therapy effectively relieves pain due to shoulder weakness in terms of specific treatments used by physiotherapists. Exercising at home with regular physiotherapy counselling based on a gradual shoulder strengthening program maintains and improves the condition.
Physiotherapy for Impingement syndrome
- Pain Management
Physiotherapy treatment aims first to reduce pain and inflammation and prevent further irritation and tissue damage. The physiotherapist will likely recommend modifying some activities, resting, and freezing the shoulder. The specialist will use muscle massage or manual joint therapy to help reduce pain and relax the shoulder, neck, or spine (the part of the spine that lies between the shoulder blades). You may find that using ice or heat in the acute phase helps. There is no evidence that other treatments for OCD are better, so your personal preference determines its effectiveness. The physiotherapist may use a low-level laser to reduce pain and inflammation around the tendon.
- Change Status
Physiotherapists offer simple solutions to change the body’s position and prevent severe pain. The use of adhesive tape (top) that provides more space for the inflamed tendon or bursa is useful for changing the position of the shoulder. This improves the activity of the shoulder blade muscles and improves inflammation. In some of these strategies, you have to lift the chest or imaginatively pull the zipper down from the navel to the ribs.
- Shoulder strengthening and rehabilitation
A complete shoulder rehabilitation program always includes some strengthening exercises. A physiotherapist will bandage you to strengthen your shoulder blade muscles and rotator cuff muscles, and the range of these exercises will improve as your symptoms improve (as much as you can move).
Do high-intensity exercise (such as tennis or volleyball). Your physiotherapist will start strengthening your gluteal muscles (buttocks), and the stronger these muscles are, the less force you will need to move your shoulder muscles. Then start the resistance program using different coloured strips and make these exercises more practical. None of these exercises should cause pain, and you should inform your physiotherapist if you feel any problems. Your physiotherapist may use biofeedback (a device to measure muscle activity) to give you more information about how your muscles are working and help increase activity, especially for the scapular muscles.
Suppose you regularly do the exercises recommended by your physiotherapist. In that case, he will record a video of you reviewing the techniques, which will help minimize the problem of getting stuck and improve performance.