What is Impingement Syndrome?

ALVOR Rotator Cuff Treatment Tears Care Physical Therapy physio ultrasound electrical stimulation

Those tissues typically are one or several:

• Rotator Cuff muscle and tendon (Supraspinatus and sometimes the Infraspinatus)
• Subacromial Bursa
• Long Head of the Bicep Muscle
• Gleno-Humeral Joint (the shoulder joint)

The compression is usually caused by a “collision” of the shoulder blade (scapula) and the arm bone (humerus). The collision of these two bones squeezes one or more of the tissues.

Impingement Syndrome is a bit of a “catch-all” diagnosis since it’s only saying that something is being compressed. It doesn’t tell us “what” is being compressed (which tissue).  Nor does it tell us “why” it is happening.  It’s a bit like diagnosing someone with a “headache”, it doesn’t tell us much. A headache can be from many things: muscle tension, an injury, a migraine (blood supply to the brain), dehydration, sinus infection, etc. all requiring their own specific treatment.

A variety of conditions

under the heading of “Impingement Syndrome” and they are all different.

• Rotator Cuff tear or irritation of the Rotator Cuff Tendons
• Tendonitis, that could be either a Rotator cuff tendon or Bicep tendon
• Bursitis
• Bone growth closing the space for the tissues (Acromion Type I, II, III or IV)
• Spasming of injured muscles
• Changes in our posture that prevent the bones from moving correctly
• Muscles contracting improperly
• Swelling of tissues

As a result of these different causes, you will also see a variety of similar diagnoses, yet they all come under the heading of Impingement Syndrome. Here are several of those diagnoses.

• Rotator Cuff Tear & Rotator Cuff Syndrome
• Shoulder Tendonitis
• Shoulder Bursitis
• Painful Arc Syndrome
• Internal vs. External Impingement Syndrome
• Subacromial Impingement
• Subcoracoid Impingement

A proper specific diagnosis is the key to developing a correct treatment plan.

Most types of Impingement Syndrome respond extremely well to “Shoulder-Specific Exercise”.  This helps corrects the specific position and specific movement of the shoulder. They also help you avoid surgery and quickens your recover.

A study published in the British Journal of Sports Medicine reviewed over 9,351 published shoulder studies. This study determined that “Shoulder-Specific Exercise” is the ONE main Core Treatment that ALL patients should start with. Most other treatments were not found to show good results. To read more about this critical study click here.

Dr. Bock has been treating patients with “Shoulder-Specific Exercise” since 1983, from elite world-class Olympic athletes to his private practice clinic patients. 93% of his patients show significant improvement at their first Treatment and most recover in less than 5 Treatments!

 

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