Shoulder impingement

Shoulder impingement is a common musculoskeletal complaint which involves the inability of the scapula (shoulder blade) and humerus (upper arm bone) to move appropriately secondary to either joint alignment or muscular balance. Common complaints involve shoulder pain or "pinching" while reaching overhead either for work or recreational reasons. For example, while swimming freestyle, a tennis serve, or painting a ceiling. Pain is often felt across the shoulder or upper arm.

As physical therapists we often find restrictions of movement across the thoracic spine and the scapula, as well as, the inability of specific muscle groups to contract appropriately across the shoulder joint. Specifically, the lower trapezius and serratus anterior weaken with this problem.

New research has shown appropriate repositioning of the scapula both passively by your physical therapists (Tate et al, Journal of Orthopedic and Sports Physical Therapy, 2008; 38:1) and actively through appropriate exercise can reduce symptoms and improve sports and work performance.

The key is identifying the cause of your symptoms and weakness instead of only treating your symptoms. Contact us or schedule a complimentary physical therapy consultation to discuss your individual physical therapy needs.