Shoulder Impingement Syndrome: Non-Surgical & Surgical Treatment Options – Dr. Michael Del Core, Omaha, NE & Iowa

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What is Shoulder Impingement Syndrome?

Shoulder impingement syndrome occurs when the rotator cuff tendons become pinched between the bones of the shoulder joint, leading to pain and restricted movement. This condition is one of the most common causes of shoulder pain in Omaha, NE, and Iowa, particularly among athletes, manual laborers, and individuals performing repetitive overhead motions.

Dr. Michael Del Core, a leading orthopedic surgeon in Omaha, NE, specializes in advanced shoulder treatments to help patients restore function and eliminate pain associated with shoulder impingement.

Common Causes of Shoulder Impingement

Shoulder impingement occurs due to repetitive movement, poor posture, or structural abnormalities. The most common causes include:

  • Repetitive Overhead Movements – Common in swimmers, baseball pitchers, weightlifters, and construction workers.
  • Rotator Cuff Weakness or Injury – Weakness in the rotator cuff muscles can cause improper shoulder movement, leading to impingement.
  • Poor Posture – Slouching or forward-rounded shoulders reduce space in the shoulder joint, increasing impingement risk.
  • Bone Spurs or Structural Issues – Some individuals have a naturally narrow subacromial space, making impingement more likely.
  • Aging & Degeneration – Over time, wear and tear can lead to shoulder inflammation and impingement.

Symptoms of Shoulder Impingement Syndrome

  • Pain when lifting the arm above shoulder height or reaching behind the back.
  • Shoulder weakness that worsens with activity.
  • Sharp pain when lying on the affected shoulder at night.
  • Clicking or popping sounds with shoulder movement.
  • Loss of range of motion over time if untreated.

If you’re experiencing these symptoms, an evaluation with Dr. Michael Del Core in Omaha, NE, can help determine the best course of treatment.

Non-Surgical Treatment Options for Shoulder Impingement

Many cases of shoulder impingement can be treated without surgery. Conservative treatments may include:

  1. Physical Therapy
    Strengthening the rotator cuff and scapular muscles to improve shoulder stability.
    Stretching exercises to increase flexibility and restore movement.
    Posture correction techniques to relieve pressure on the shoulder joint.
  2. Anti-Inflammatory Medications (NSAIDs)
    Over-the-counter ibuprofen or naproxen can reduce pain and inflammation.
    Prescription medications may be recommended for persistent discomfort.
  3. Corticosteroid Injections
    Targeted injections reduce inflammation in the subacromial space, improving mobility and pain relief.
    Often used when physical therapy alone does not provide sufficient relief.
  4. Activity Modification & Rest
    Avoiding repetitive overhead motions to prevent further irritation.
    Using ergonomic adjustments at work or during exercise.
  5. Ice & Heat Therapy
    Ice therapy reduces swelling after activity.
    Heat therapy helps relax tight muscles before stretching exercises.

Surgical Treatment Options for Severe Shoulder Impingement

If non-surgical treatments fail to provide relief, Dr. Michael Del Core may recommend surgery to restore function and eliminate pain. Surgical options include:

  1. Arthroscopic Subacromial Decompression
    A minimally invasive procedure where a small camera is used to remove bone spurs or inflamed tissue.
    Reduces friction between the rotator cuff and acromion, relieving impingement.
  2. Rotator Cuff Repair
    If the impingement has caused a rotator cuff tear, surgical repair may be necessary.
    Arthroscopic techniques allow for faster recovery and reduced scarring.
  3. Shoulder Acromioplasty
    A reshaping procedure that removes excess bone from the acromion to increase space for the rotator cuff tendons.

How to Prevent Shoulder Impingement

  • Maintain good posture to reduce shoulder stress.
  • Strengthen the rotator cuff and scapular muscles to stabilize the shoulder joint.
  • Avoid overhead repetitive motions when possible.
  • Use proper warm-up techniques before sports or weightlifting.

Expert Shoulder Care in Omaha, NE & Iowa – Dr. Michael Del Core

If you’re struggling with shoulder impingement syndrome, early intervention is key to preventing further damage. Dr. Michael Del Core, a trusted orthopedic specialist in Omaha, NE, offers personalized treatment plans tailored to each patient’s needs.

📅 Schedule an appointment today for a comprehensive shoulder evaluation.
📍 Convenient locations in Omaha, NE, and serving Iowa patients. ☎️ Call now to book your consultation!

Picture of 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.