IMPINGEMENT SYNDROME (OF THE SHOULDER)

Impingement syndrome is a muscle injury wherein the muscles between the bones in the shoulder are affected with tears and strains throughout the muscles. Luckily, this condition can be treated in various ways, and affected individuals can fully recover from this condition with the proper treatments.

This is common among adults, especially those who are very active and are much older. This condition’s leading cause is related to bursitis (painful swelling of joints) and rotator cuff tendinitis (inflammation of groups of muscle tendons, mostly in the shoulders), which can occur alone or in tandem at any given time.

This condition is similar to a sprained ankle, wherein the group of muscles under the shoulder bone called the rotator cuff is injured. However, since the shoulder bone covers it, it can cause compression (squeezing) and the blood flow being reduced in that area due to the compression in the capillaries (small blood vessels).

An affected individual will feel pain similar to a toothache once the blood flow in the tendon tissues has been reduced, and the muscle will start to swell. Unfortunately, the pain can worsen by reaching up in the other parts of the body like the back, overhead, etc., which can cause sleep loss due to the pain. It can also be an indicator to rotator cuff tear, wherein small tears or a hole has developed in the tendon muscle itself.

SYMPTOMS

There are only a few symptoms associated with this condition; however, these symptoms should not be taken lightly:

  • Reaching the back with great difficulties
  • Pain sensation when one or both arms are extended above the head
  • Feeling of weaknesses on the shoulders, either one side or both

Affected individuals will not be able to raise their arm when the rotator cuff has been torn entirely and they will feel weakness throughout the body. They can also have ruptures (tears) of the biceps tendon muscles as a side effect of having the said condition.

TREATMENT

The treatment for Impingement syndrome can vary from ice or a cold compress, to anti-inflammatory medications that you can purchase over-the-counter on your local drugstore, and physical therapy programs organized by regional medical institutions.

For the ice treatment, a 20-minute application must be made over the affected area once or twice a day, depending on the doctor’s advice. If ice is not available on hand, a bag of frozen food such as peas or corn will do instead.

For over-the-counter medications, pain relievers such as ibuprofen or naproxen can be used, as long as your local doctor or physician has approved it. If more potent medicine is needed, doctors may prescribe patients with stronger prescription-strength anti-inflammatory medications.

Lastly, physical therapies are done locally with an approved physical therapist. These exercises can be done at home, either by themselves or with help from a family member or friends and relatives.

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