SHOULDER IMPINGEMENT SYNDROME

The shoulder impingement syndrome (SIS) symptom is pain that occurs when the person lifts his or her arms overhead or reaches backward. The pain can be at the shoulder, near the top of the arm, or down the outside of the arm, and it frequently happens at night or when the person lies on the affected shoulder.

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Shoulder Impingement Syndrome

Shoulder Impingement Syndrome, also known as Rotator Cuff Tendinitis or Subacromial Impingement Syndrome, is a common condition that affects the shoulder joint. It is characterized by pain and limited movement in the shoulder joint, particularly when raising the arm. This condition is usually caused by repetitive overhead movements. For instance, movements performed by athletes, painters, and manual laborers. However, this syndrome can also occur from a traumatic shoulder injury to the shoulder joint or by lifting heavy objects.

There are Several Types of Shoulder Impingement Syndrome, Including Primary, Secondary, and Internal Impingement.

Primary impingement occurs when there is a structural abnormality in the shoulder joint. For example, a bone spur or a thickened acromion, causes the rotator cuff tendons to rub against the bone.
Secondary impingement occurs when there is an underlying condition that causes inflammation in the shoulder joint. For instance, bursitis or tendinitis.
Internal impingement occurs when the rotator cuff tendons become trapped between the humeral head and the glenoid fossa. This will cause pain and a limited range of motion.

Symptoms

The most common symptom of Shoulder Impingement Syndrome is pain in the shoulder joint, particularly when raising the arm. The pain is usually felt on the front and side of the shoulder and may make a sound — a clicking or popping sensation. Other symptoms include weakness in the shoulder, limited range of motion, and difficulty performing overhead activities.

Diagnosis

A diagnosis of Shoulder Impingement Syndrome is typically made through a physical exam and imaging tests, such as X-rays or MRI scans. During the physical exam, the doctor will assess the range of motion in the shoulder joint, test the strength of the rotator cuff muscles, and look for signs of inflammation or structural abnormalities. Imaging tests can help confirm the diagnosis and identify any underlying conditions that may contribute to the impingement.

QUESTIONS AND ANSWERS

What causes shoulder impingement in children, and is it common?

Shoulder impingement in children can result from various factors, including overuse of the shoulder joint, repetitive overhead movements (common in certain sports like swimming or baseball), or anatomical factors. It may also be associated with muscle imbalances or poor shoulder mechanics. While it may not be as common in children as in adults, shoulder impingement can occur, especially in those engaged in sports or activities that place repetitive stress on the shoulder.

What is the recommended treatment for my child's shoulder impingement, and can they continue with sports and activities?Your Title Goes Here

Treatment for shoulder impingement in children typically involves a combination of rest, physical therapy, and activity modification. The doctor may recommend specific exercises to strengthen the muscles around the shoulder and improve posture. Resting the shoulder and avoiding activities that exacerbate symptoms may be necessary during the initial phase of treatment. Once symptoms improve, gradual return to sports and activities can be considered, with proper attention to preventive measures and modifications to reduce the risk of recurrence.

Is shoulder impingement a long-term concern, and can it lead to permanent damage?Your Title Goes Here

With early intervention and appropriate treatment, many children with shoulder impingement can experience significant improvement in symptoms and function. However, the long-term outlook depends on factors such as the severity of the impingement, adherence to the treatment plan, and any underlying anatomical issues. If left untreated or if the impingement is severe, there is a risk of progressive damage to the rotator cuff tendons, potentially leading to chronic issues. Regular follow-up with the healthcare provider and compliance with rehabilitation exercises are crucial to monitor progress and prevent long-term complications.

Parents should consult with their child’s healthcare provider for personalized advice and guidance regarding shoulder impingement. The doctor will assess the specific circumstances of the child’s condition and provide recommendations tailored to their needs and activities.

The doctors at the Medical City Children’s Orthopedics and Spine Specialists Practice only treat children. As such, our doctors have become experts with children and adolescents and treat their bodies and shoulder impingement. We urge parents to bring their children to us to ensure proper treatment and healing.

Treatment

Treatment options for shoulder impingement syndrome depend on the severity and underlying cause of the condition. In general, there are two types of treatment: non-surgical and surgical.

Non-surgical treatments for shoulder impingement syndrome include:

Rest: Reducing or avoiding activities that aggravate the shoulder can help to reduce pain and inflammation.
Ice therapy: Applying ice to the shoulder can help to reduce pain and swelling. Patients should apply ice for 15-20 minutes at a time, several times a day.
Physical therapy: Physical therapy can help to improve the range of motion, reduce pain, and strengthen the muscles around the shoulder joint. Exercises may include stretches, range of motion exercises, and strengthening exercises.
Anti-inflammatory medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help to reduce pain and inflammation. Over-the-counter options include ibuprofen and naproxen.
Corticosteroid injections: Injecting corticosteroids into the shoulder joint can help to reduce inflammation and relieve pain. This treatment is typically reserved for cases that do not respond to other treatments.

Surgical treatments for shoulder impingement syndrome include:

Subacromial decompression: This is the most common surgical procedure for shoulder impingement syndrome. It involves removing any bone spurs or thickened tissue that may cause impingement. The goal of the procedure is to create more space in the shoulder joint and reduce pressure on the rotator cuff tendons.
Rotator cuff repair: If the rotator cuff tendons are torn, they may need surgery to repair and reattach them to the bone.
Biceps tenodesis: This procedure involves reattaching the biceps tendon to the bone in a different location to reduce pressure on the rotator cuff tendons.

Recovery time for non-surgical treatments can vary depending on the severity of the condition and the individual’s response to treatment. Doctors may recommend physical therapy for several weeks to several months to regain strength and flexibility in the shoulder joint. Recovery time for surgical treatments also varies depending on the type of procedure performed. Generally, recovery can take several months and may require physical therapy to regain strength and flexibility in the shoulder joint. It is important to follow the surgeon’s post-operative instructions and attend all recommended follow-up appointments to ensure proper healing and recovery.

Prevention Measures

Prevention measures for Shoulder Impingement Syndrome include avoiding repetitive overhead activities and maintaining good posture while sitting and standing. Also, it is also important to warm up properly before engaging in physical activity. Using the proper technique when lifting or carrying heavy objects is very important. Strengthening the rotator cuff muscles through exercise can also help prevent impingement.

Recovery

Recovery time for Shoulder Impingement Syndrome varies depending on the severity of the condition and the type of treatment used. Non-surgical treatments may take several weeks to several months to fully alleviate symptoms and improve the range of motion. Surgical recovery may take several months and may require physical therapy to regain strength and flexibility in the shoulder joint.

Conclusion

In conclusion, shoulder Impingement Syndrome is a common condition that can cause pain and a limited range of motion in the shoulder joint. It can be caused by repetitive overhead activities, traumatic injury, or underlying conditions such as bursitis or tendinitis. Finally, diagnosis is typically made through a physical exam and imaging tests, and treatment may involve non-surgical approaches such as rest, ice, physical therapy, and anti-inflammatory medications, or surgical approaches

Selecting a pediatric orthopedic doctor for your child is a crucial decision that requires careful consideration. By seeking recommendations, researching credentials, assessing hospital affiliations, reviewing patient testimonials, evaluating communication and bedside manner, considering the supportive team, discussing treatment options, seeking second opinions, prioritizing accessibility, and trusting your instincts, you can make an informed choice. Remember, finding the right orthopedic doctor will ensure that your child receives the best possible care. Our doctors ensure the best possible optimal outcomes and a healthier, happier future. The Medical City Children’s Orthopedics and Spine Specialists doctors only treat children. With offices in Arlington, Dallas, Flower Mound, Frisco, and McKinney, Texas, Doctors Shyam Kishan, Richard Hostin, and Kathryn Wiesman have spent years studying children’s health and have devoted their lives to treating them.

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Footnote:

American Academy of Orthopaedic Surgeons: Shoulder Impingement

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