Physical Therapy Nest

Diagnosis of Shoulder Impingement 

Diagnosis of shoulder impingement involves:

• Medical history review (activity level, sports, or repetitive job duties).

• Physical exam checking range of motion, strength, and painful arcs of movement.

• Special movement tests (such as Neer’s or Hawkins-Kennedy test) to identify impingement.

• Imaging (X-ray or MRI) to rule out rotator cuff tears, arthritis, or bone spurs.

Treatment for Shoulder Impingement

Physical therapy is the primary treatment for shoulder impingement. A personalized program may include:

• Manual therapy to restore normal shoulder mechanics and reduce stiffness

• Strengthening exercises for the rotator cuff and scapular stabilizers

• Stretching routines to improve flexibility in the shoulder joint and chest muscles

• Postural training to reduce stress on the shoulder

• Pain management techniques such as ice, heat, or electrical stimulation

• Activity modification to avoid repetitive overhead movements until healing occurs
  In some cases, injections or surgical procedures may be needed, but physical therapy often resolves symptoms effectively.

Symptoms of Shoulder Impingement

Common symptoms of shoulder impingement include:

• Pain when lifting the arm overhead or reaching behind the back

• Weakness in the shoulder during overhead movements

• A grinding, popping, or clicking sensation

• Pain that worsens at night or when lying on the affected shoulder

• Gradual loss of shoulder strength and mobility if untreated

Prevention of Shoulder Impingement

To prevent shoulder impingement from recurring:

• Strengthen rotator cuff and shoulder blade muscles regularly

• Warm up properly before sports or lifting

• Avoid repetitive overhead motions without rest

• Keep good posture when sitting, standing, or working at a desk

• Stretch chest and shoulder muscles to maintain joint mobility