Physiotherapy for Shoulder Impingement in Gurgaon


Shoulder Impingement

Shoulder Impingement which is commonly known as swimmer’s shoulder as many swimmers suffer from this is a problem of pain in the shoulders. It is medically also known as impingement syndrome of the shoulder is which common with other athletes as well besides swimmers who use their shoulder repeatedly but the problem is not only restricted to the athletes, it can happen to any person for various different reasons. Consult and Hire top physiotherapists for Shoulder Impingement treatment in Gurgaon.  

The upper arm is connected with the shoulder through the rotator cuff. It is a bunch of tendons and muscles which connects the bone of the upper arm to the shoulder. This helps in lifting up your hand and to make circular movements as well. Now, this is placed on the top of the shoulder which is known as a cromion and when due to inflammation the space between rotator cuff and acromion reduces, the shoulder starts hurting as the excess of pressure falls on the shoulder.

Causes of Shoulder Impingement

The rotator cuff which is responsible for the lifting and rotating movement of the hands are tenderly protected by ligaments which covers the shoulders' top portion by forming an arch-like structure and by acromion which is also a joint/bony feature.

In between the tendons of the rotator cuff and acromion, there is space which is known as bursa and there is a sack which contains a lubricating substance to keep these bones, tendons protected and for smoothening the function of all these features. But if any section of the rotator cuff or the acromion is hurt or even if the subacromial bursa is injured, then you can have Shoulder Impingement syndrome.

Now, these parts of the shoulder can be naturally, by-birth smaller or with a narrow gap in between which causes the problem of shoulder pain due to impingement syndrome. To overcome from the problem you can take Shoulder Impingement physiotherapy in Gurgaon from PAL Physiotherapy. People with osteoarthritis can develop bone spurs in the subacromial region which shortens the gap between the rotator cuff and acromion further causing the shoulders to pain. This is known as primary rotator cuff impingement or structural narrowing.

Another cause of this problem which is not by default/birth due to dynamic reasons and thus known as dynamic instability. It happens because of the instability of the shoulder due to repetitive movement or use of the shoulder for your work, sports you play or injuring the shoulder over and over again, trauma and wrong posture of your body and shoulder.

It might be a little shocking to know but inactivity for a long time can also cause this problem. Due to excessive pressure on the rotator cuff and the shoulder all together, it weakens and thus leads to pain. It can become swollen and inflamed as well in case of severity.

Symptoms of Shoulder Impingement

The symptoms are –

  • If you place your arm on the top of your head, you can feel a sharp pain in the shoulder.
  • The pain descends from shoulder to the elbow.
  • If you lift something, the shoulder along with the muscles of the upper arm pains.
  • You might feel pain in your shoulder while fastening the seatbelt.

Risks associated with Shoulder Impingement

  1. If you have structural impingement, your shoulder’s soft tissues will get irritated easily causing it to ache often. Moreover, there is a risk of developing bursitis and tendonitis of the shoulder.
  2. People who play tennis, baseball or swim have the most chances of having this issue. Beside this, people who are working at a construction site, or in loading, unloading and even painters can develop this problem easily as they use their hand and shoulder continuously.
  3. If you ever dislocated your shoulder or injured it severely, you are at the risk of developing this problem. 
  4. Age definitely is another risk associated with having this issue. It worsens with age as well.

Diagnosis of Shoulder Impingement

The doctor will first ask you to do certain movements to see if there is any abnormality. If he feels there is some major issue, he can ask for an X-ray report of the shoulder. This also helps in negating the chances of having other problems like arthritis. In acute cases, MRI has to be done to gauge the actual reason and the severity of the impingement.

Treatments for Shoulder Impingement

There are various kinds of treatment for Shoulder Impingement in Gurgaon are available for treating the problem depending upon the severity of the issue. If it is minor then home treatment with certain physical therapies can help you get rid of the issue. It might include ice-pack usage, use of electrotherapy i.e. Ultrasound therapy, High Intensity Class 4 Laser Therapy, IFT Therapy, Deep Transverse Friction Therapy, Dry Needle Therapy and Taping Therapy for pain and inflammation control  over the area, taking rest and simple exercises.

In case of severe issues, the doctor might prescribe certain medicines for controlling the pain and exercises to rebuild the strength of the rotator cuff and the tendons and the muscles of the shoulder and the arm which has weakened. You can consult a physiotherapist to learn the exact techniques by which strength of the shoulder and forearm can be gained. In acute cases, surgeries are considered and after surgery, physiotherapy for shoulder impingement in Gurgaon is must for proper rehabilitation of the shoulder.


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