Impingement Syndrome

Impingement is most commonly blamed on a rotator cuff tear and is often specifically sourced to the tendon which passes under the acromium, which is a bony projection at the top most outer aspect of the shoulder structure.

Impingement can exist for a wide range of possible reasons and misdiagnosis due to coincidental structural abnormalities is an epidemic occurrence in many patients.

What is Impingement Syndrome?

However, in some cases, a frozen shoulder may exist, either due to actual inability to move the joint or shrinkage of the shoulder capsule due to extended periods of non-movement.

Impingement often infers a structural reason for the condition to exist, which is often incorrect, since in many cases, the joint is fine and only demonstrates the normal and expected degeneration found in virtually every human adult shoulder.

However, this does not prevent countless unneeded surgical interventions to correct these irregularities, despite the fact that many patients do not experience relief postoperatively.

In other cases, surgery or conservative care can bring out a complete cure, through accurate diagnosis and subsequent appropriate treatment for actual structural causations, or the power of the placebo reaction for non-anatomical sources of symptoms.

Causes of Impingement Syndrome

* Severe rotator cuff tears may create impingement scenarios in some patients, although many shoulder tendon conditions are coincidental to pain. This has been proven by the vast number of people who demonstrate identical tears, but have no symptoms at all and never develop them.

* Muscle, ligament or tendon injury can result in impingement directly or through limited use due to activity avoidance.

* Osteoarthritis in the shoulder can sometimes enact significant anatomical changes which may cause pain. The growth of osteophytes in the path of certain ligaments may be painful in rare instances.

* Shoulder bursitis may enact impingement in advanced cases of the condition.

* Ischemia of the shoulder region is a common reason for pain and impingement to occur, although it is rarely diagnosed. These cases often usually involve tendonitis of the shoulder structures leading to impingement from activity avoidance and may progress to a frozen shoulder in particularly bad cases.

Impingement Syndrome Advice

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