Shoulder impingement syndrome
Shoulder impingement syndrome is the common source of pain in the shoulder. 50 percent of Shoulder problems in patients are of this.
Shoulder impingement syndrome also referred to as rotator cuff tendonitis or shoulder bursitis.
It is an overuse syndrome. And in shoulder impingement syndrome the tendons of the shoulder’s muscles is get easily irritated-. It is caused by doing an overhead activity such as swimming/baseball/cricket/volleyball and tennis, etc. shoulder internal & external rotation, rotator cuff injuries by falling onto the shoulder on outstretch arm, bone spur on acromion bone cause narrowing of space between the humeral head and the acromion.
Patients with shoulder impingement syndrome generally experience shoulder pain on doing an overhead activity. Pain on lifting or lowering your arm from a raised position. Tenderness in the front of the shoulder. Night shoulder pain and shoulder stiffness. Etc. it can become a full-thickness tear of the rotator cuff muscle If left untreated.
Physiotherapy treatment includes.
firstly Cryotherapy to reduce the pain.
Micro electrotherapy such as TENS, IFT, & High-intensity laser Class 4 can help in controlling the pain, and US therapy will help in reducing the inflammation.
Manual therapy approach such as mobilization for GH & ST joint, AP & inferior glides, joint oscillations, transverse friction massage, movement with mobilization (mulligan’s technique).
ROM Therapeutic exercises like pendulum exercise, active-assisted ROM exercise, anterior and posterior capsular stretch, stretching of the upper trapezius, pectoral, biceps, and other shoulder muscle, Towel exercise, Codman’s exercise, etc.
Strengthening exercises like isometric exercises for external & internal rotators, biceps, and deltoid, arm aerometry for endurance exercise, plyometric shoulder strengthening using theraband, isokinetic exercise for supraspinatus, prone extension & horizontal abduction, etc.
An aggressive cuff strengthening and periscapular muscle stabilization exercises. The aim is to coordinate the muscles and regain the full range of motion of the shoulder.
Also doing exercises for muscles in the front and back of the shoulder.
Finally McConnell or Kinesio Taping for scapular abnormal movement or dyskinesia, etc