Best Shoulder Impingement Doctor in Bangalore | Bone and Joint Consult

Pain while lifting your arm, there could be many reasons behind this pain but the most common cause of this pain is called Shoulder Impingement. There are many other names that are used to describe this condition like Rotator cuff tendonitis, Supraspinatus tendonitis (one of the rotator cuff muscles) or Bursitis.

The reason behind the impingement pain is because of the rotator cuff tendon and the bursa is compressed against bone (the acromion) as the arm is elevated.  

This may lead to inflammation of the Rotator cuff muscles and tendons and often the adjacent Bursa (which is a lubricating sac). In such conditions, if you lift your arm, the Bursa and the Rotator Cuff rub on the overlying Acromion bone and cause “impingement”.

The most common symptom of Shoulder Impingement is pain with movement (particularly elevation and rotation of the arm). It usually occurs while lifting heavy objects. Loss of motion and power is the usual complaint of the patient. In severe conditions, there will be pain usually at night which disturbs the sleep. Usually, this pain occurs to the upper and outer area of the shoulder and sometime may radiate to the elbow.

 

Who is at risk for Impingement?

This condition is very common in India and it can occur at any age. If your jobs require where you use their arms to lift above your head, particularly for repetitive tasks. With the age, the Rotator Cuff degenerates and is more likely to get inflamed. So Shoulder Impingement becomes a common problem at old age and the condition becomes more common when the Acromion bone has a hook or spur.

Impingement and Frozen shoulder are two different orthopedic conditions and it is very difficult to distinguish between these two at the early stage of diseases. In the early stage, the symptoms of Frozen shoulder looks similar to impingement. A correct diagnosis is required for proper treatment.  

Shoulder Impingement requires proper diagnosis and immediate treatment for a quick recovery.

Investigations

Early diagnosis is very important

  1. An x-ray of the shoulder.
  2. MRI Scan, if required.

 

Treatment

In most cases, shoulder Impingement responds to non-surgical treatment. It is usually completely reversible.

Treatment includes:

  • Anti-inflammatory medicine.
  • Pain relief medications.
  • Exercises (improve motion and strengthen the).
  • Avoiding aggravating activities.

Even after this treatment, the inflammation continues then the injections of cortisone are required. This injection is given into the subacromial space.

It takes 3 to 6 months to resolve the Shoulder Impingement.

Surgical intervention is required if the shoulder impingement fails to improve over 3 to 6 months.  With advance science and technology, the surgery is usually performed arthroscopically (keyhole or minimally invasive surgery).  This depends upon the extent of damage and is called an Arthroscopic Acromioplasty. In order to allow the Rotator Cuff to move, the acromion bone is trimmed.

Surgical intervention is required and recommended only if non-operative treatment fails.

Remember

  • In this condition, Physiotherapy plays an important role.
  • Condition can completely curable without surgery.
  • Avoid lifting heavy objects and overhead activity.
  • Rarely is surgery necessary.

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