Shoulder impingement syndrome

The shoulder impingement syndrome, also known as shoulder impingement syndrome, is a chronic condition that refers to various problems within the shoulder joint. It is not a specific disease but rather a condition characterized by the narrowing of the area beneath the acromion. As a result, the muscles or tendons of the rotator cuff can become pinched between the shoulder bone and the humerus, leading to pain and restricted movement.

The Anatomy of the Shoulder

The anatomy of the shoulder is extremely complex, and freedom of movement is crucial for functionality. The impingement syndrome often results from lifestyle habits where the shoulder is used in a limited range of motion for prolonged periods. This is particularly true for occupations where hands are frequently raised above the head or where the shoulders are continuously bent. Poor posture, such as sitting with a hunched back, further exacerbates the situation, as it can lead to tension and shortening of the muscles around the shoulder.

Importance of Movement Variety

For the healthy functioning of the shoulder, it is essential to have a variety of movements. If the shoulder is used only in a small range of motion, it can lead to painful consequences in the long run. During impingement syndrome, the rotator muscles and tendons collide with the bones, which can generate inflammation and pain as these tendons are damaged due to the continuous collisions.

Symptoms of Impingement Syndrome

The most characteristic symptom of impingement syndrome is pain, which is particularly noticeable when raising the shoulder. The pain typically occurs during movements between 70 and 120 degrees, and rotating the shoulder joint intensifies it. Additionally, patients often experience restricted movement, which can make it impossible to carry out normal activities.

Aside from pain, other symptoms of the syndrome include stiffness in the shoulder and a feeling of weakness. These complaints can be particularly bothersome for those who use their shoulders intensively, such as athletes, painters, or electricians. During these activities, the shoulder often performs the same movements repeatedly, contributing to the strain on the rotator cuff muscles and tendons.

In addition to pain and restricted movement, impingement syndrome can also cause secondary problems, such as weakness in the shoulder muscles or overloading of the surrounding muscles. The syndrome can lead to chronic pain in the long term, significantly impairing quality of life and work capacity.

Why Medical Help is Important

If shoulder pain persists, it is advisable to consult a doctor. Chronic shoulder pain is not only uncomfortable but can also lead to more serious problems if not properly treated. Restricted movement can further reduce shoulder function and may impact daily life in the long run.

The doctor typically first examines the range of motion of the shoulder and the condition of the muscles. Following this, imaging tests such as ultrasound or MRI may be necessary to establish an accurate diagnosis. It is important to identify the underlying cause, as this can help in formulating an appropriate treatment plan.

Treatment Options

Treatment can generally be divided into therapeutic and rehabilitation phases. During therapy, the focus is on reducing pain and alleviating inflammation, while the goal of rehabilitation is to restore the range of motion and strengthen the shoulder muscles. With the help of a physiotherapist or rehabilitation trainer, the patient can regain shoulder function through appropriate exercises and therapy.

The most important thing is to identify the underlying causes, such as poor posture or overuse, and work on prevention to avoid the recurrence of complaints. Seeking professional help is advisable to improve the situation, as long-term solutions can only be achieved this way.