Shoulder Pain – By Philippe Oei

Posted by SportsMed NQ, 17 September 2014

Shoulder Pain – Subacromial Impingement Syndrome

Shoulder pain, movement restriction and weakness are signs and symptoms that are commonly reported amongst approximately 7-25% of the general population (Oxford). Shoulder pain is a common injury normally resulting from an increase in repetitive overhead movements. Many patients who present with shoulder pain also report upper neck, shoulder joint and upper arm pain which can occasionally refer down into the elbow, wrist and hand. There are various mechanisms of injury, which may occur from an acute traumatic incident, a gradual worsening over time or an insidious onset, with no specific history.

Shoulder1What is shoulder impingement?

Shoulder impingement syndrome is a confusing term which is normally misunderstood. Impingement is generally a clinical term or sign that encompasses a broad spectrum of shoulder pathologies that could be the cause root of your pain.

Who may be at risk of impingement?

Subacromial impingement most commonly occurs in the population exposed to repetitive shoulder movements, in particular overhead activities, and unsupported motions. Some sports that require repetitive overhead movements include tennis, volleyball, swimming, cricket, baseball and other throwing activities. Potential occupational hazards that may contribute shoulder impingement include carpentry, mining, painting, and construction. These repetitive movements combined with poor shoulder biomechanics and stability are the common culprits of impingement syndromes in the shoulder.

How does it occur? shoulder2

The shoulder is highly complex joint with various structures, muscles, ligaments, blood vessels and nerve complexes surrounding it. Hence, there are various causes of shoulder impingement. These include either external or internal causes of impingement.

-          External impingement could be caused by either structural abnormalities, or secondary muscular dysfunction and inadequate stabilisation.

-          Internal impingement can be caused by physiological changes secondary to repetitive trauma.

How can physiotherapy help?

Physiotherapy can help reduce your pain, improve range of motion and muscle strength, while preventing further damage by increasing stability at your shoulder joint.

Physiotherapy is also very beneficial in relieving pain and delaying shoulder surgery or avoiding surgery. It can help decrease inflammation, pain and train other muscles to maintaining and assisting shoulder function.

Physiotherapy is also normally required following surgery and helps to guide treatment and assist patients in following strict protocols and regain your function and strength.

In summary, shoulder pain can be caused by a number of different pathologies, and our specialised and expert physiotherapists can help determine and relieve the underlying cause of your shoulder pain.

If you have any shoulder pain or think you could benefit from physiotherapy, please contact our reception at SportsMed NQ on 07 4771 3650 for an appointment with one of our Physiotherapists.

Written by Philippe OeiPhil

From the blog...

Defeating Tennis Elbow In Straight SetsPosted by SportsMed NQ, 15 March 2017

Tennis elbow is a condition that can affect more than just tennis players! Whether you have picked up a racquet or just the remote during the Australian Open, it is important to know the best form of prevention or how to ace your rehabilitation.   After watching what was an entertaining Aussie Open this year Read more…

HeadachesPosted by SportsMed NQ, 14 December 2016

  Headaches are such a common complaint, we normally just pop some Panadol and hope they go away but is that just a bandaid solution to the problem? Are you one of the many people who suffer from headaches? Not the ones created by school holidays or Christmas with the in-laws, the ones the sneak Read more…

The old cliché of “you need to walk before you run” in preparation for your New Year’s resolutionsPosted by SportsMed NQ, 11 November 2016

It is the festive time of the year where we indulge in too much food and drink and make many New Year’s resolutions to lose weight, to get fit, eat healthy, join a sporting team, get more of a work/life balance etc. One way many of us living in ‘The Ville’ start shifting those extras Read more…