{"id":17681,"date":"2024-05-23T16:10:06","date_gmt":"2024-05-23T16:10:06","guid":{"rendered":"https:\/\/test.isokinetic.com\/impingement\/"},"modified":"2024-10-27T06:28:55","modified_gmt":"2024-10-27T06:28:55","slug":"impingement","status":"publish","type":"page","link":"https:\/\/isokinetic.com\/en\/impingement\/","title":{"rendered":"Shoulder Impingement Syndrome"},"content":{"rendered":"\t\t
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Shoulder Impingement Syndrome <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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The shoulder complex is one of the most elaborated joints of our body, as it is formed by several bones (clavicle, scapula, humerus and sternum) that constitute different joints (sternoclavicular, acromioclavicular, glenohumeral, scapulothoracic). The humerus connects with the glenoid of the scapula to form the glenohumeral joint, and above it, there is the acromioclavicular joint, constituted by the acromion of the scapula and the clavicle. Shoulder impingement syndrome is a condition in which pain is caused by a \u201cconflict\u201d between the humerus and the acromion in which different structures present in the subacromial space (supraspinatus tendon and subacromial bursa) are compressed. The development of this condition is multifactorial, however, some predisposing factors, such as the specific anatomical configuration of the acromion (e.g.: hooked or convex), poor shoulder biomechanics, and exposure to extensive overhead activities to name some, exist. Patients affected by this condition typically report pain localised in the subacromial area that can radiate to other structures that increases with overhead- and internal rotation- related activities, weakness, clicking sensation and limited shoulder functioning. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Management<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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The first line of management for patients affected by shoulder impingement is conservative, consisting of rehabilitation, workload management (education around activities that are currently stressing the shoulder), and potentially pharmacological (e.g.: drugs, injections, etc.). In cases of persisting symptoms after an extended period of rehabilitation (at least 3-6 months), surgical intervention can be considered. After surgery, a period of immobilisation\/protection with the use of a sling or brace is typically recommended and rehabilitation should start as soon as indicated by the medical team. After being thoughtfully visited by one of our specialised doctors, your recovery process will be structured in different stages and take place in four different environments, the pool, the gym, the movement analysis and retraining room and the pitch. In the early stages, the main goals are to minimise your pain, recover eventually limited mobility, educate you on the activities that are currently stressing your shoulder, and gradually restore your upper limb functioning. In the mid-stage of rehabilitation, shoulder strength and endurance recovery become the priority, together with the optimisation of the general movement quality to learn how to integrate the shoulder back into activities of daily living and sports. Finally, to complete the recovery process, on-field rehabilitation plays a fundamental role in allowing our patients to safely and effectively return to participate in their favourite activities and sports that require the utilisation of the upper limb (e.g.: throwing-, rackets-, falling-, lifting- related sports), maximising the recovery outcomes and reducing the likelihood of complications. <\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Shoulder Impingement Syndrome The shoulder complex is one of the most elaborated joints of our body, as it is formed by several bones (clavicle, scapula, humerus and sternum) that constitute different joints (sternoclavicular, acromioclavicular, glenohumeral, scapulothoracic). The humerus connects with the glenoid of the scapula to form the glenohumeral joint, and above it, there is […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-17681","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t