Impingement Syndrome: Causes, Symptoms, and Treatment Options in Nebraska and Iowa

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Impingement syndrome, or shoulder impingement, occurs when shoulder tendons become compressed or irritated, often resulting in pain, stiffness, and difficulty with overhead movements. Common among athletes and individuals with active lifestyles, this condition can limit daily activities if not treated. Residents of Nebraska and Iowa may benefit from understanding impingement syndrome and exploring treatment options to reduce pain and improve shoulder function.

What is Impingement Syndrome?

Impingement syndrome occurs when the shoulder’s rotator cuff tendons are pinched between the shoulder blade (acromion) and the upper arm bone (humerus) during movement. Repeated overhead movements, particularly in sports or jobs that require lifting, can lead to inflammation and eventual damage to the rotator cuff.

Symptoms of Impingement Syndrome

Typical symptoms of impingement syndrome include:

  • Persistent Shoulder Pain: Pain when lifting the arm, especially overhead, which can range from mild discomfort to severe pain.
  • Weakness: A feeling of weakness or loss of strength in the affected arm.
  • Limited Range of Motion: Stiffness or difficulty lifting or rotating the arm.
  • Tenderness: Tenderness at the front or side of the shoulder, often worsening with movement.

Causes and Risk Factors

Impingement syndrome may develop due to:

  • Repetitive Overhead Activities: Sports like swimming, baseball, and tennis, or jobs involving frequent lifting, increase the risk.
  • Aging: As people age, tendons become more susceptible to wear, increasing impingement risk.
  • Poor Posture: Poor shoulder or neck posture can put additional strain on shoulder tendons, leading to impingement.
  • Bone Spurs: Bone growths in the shoulder may narrow the space for tendons, causing irritation.

Diagnosing Impingement Syndrome

Diagnosing impingement syndrome begins with a physical examination, and imaging may be necessary for a complete assessment:

  • X-rays help rule out arthritis or bone spurs that could be causing impingement.
  • MRI or Ultrasound: These may be recommended to evaluate the extent of inflammation or any rotator cuff damage.

Treatment Options in Nebraska and Iowa

Treatment aims to alleviate pain, reduce inflammation, and improve shoulder function. Options include:

  1. Non-Surgical Treatments
    • Physical Therapy: Targeted exercises to improve shoulder mobility and strengthen the rotator cuff, restoring function and reducing pain.
    • Pain Management: NSAIDs like ibuprofen can help relieve pain and reduce inflammation.
    • Steroid Injections: Corticosteroid injections may provide temporary relief for persistent inflammation and pain.
  2. Surgical Treatments
    • Arthroscopic Subacromial Decompression: In cases where conservative treatments don’t relieve symptoms, a minimally invasive arthroscopic procedure can remove bone spurs and increase the space for shoulder tendons.
    • Rotator Cuff Repair: If rotator cuff damage is present, arthroscopic surgery may repair tears and stabilize the joint.

Recovery and Rehabilitation

Recovery time varies depending on treatment. Non-surgical options can allow for a gradual return to activities within a few weeks, while surgery may require several months for full recovery. Physical therapy is essential in both cases to restore strength and mobility, minimizing the chances of recurrence.

When to Seek Treatment in Nebraska and Iowa

If you experience ongoing shoulder pain, weakness, or limited movement, seeking help from an orthopedic specialist in Nebraska or Iowa can offer relief and help you return to your favorite activities without discomfort.

Ready to Restore Your Quality of Life? Call (402) 390-4111
Ready to Restore Your Quality of Life? Call (402) 390-4111

As a double fellowship-trained orthopedic surgeon, Dr. Del Core is committed to providing personalized care for all types of conditions for the hand, shoulder, and elbow.