What are the normal structures in a shoulder?
What is Shoulder Impingement?
Shoulder impingement occurs when the top of the shoulder blade (acromion) puts pressure on the underlying soft tissues when the arm is lifted away from the body. As the arm is lifted, the acromion rubs, or “impinges” on, the rotator cuff tendons and bursa. This can lead to causing pain and restriction of movements.
What is Rotator cuff tendinopathy?
Rotator cuff tendinopathy refers to inflammation of the rotator cuff tendon (tendinitis) along with inflammation of the subacromial bursa (bursitis) without any tear in the tendon.
Who is at risk of getting this?
- Young athletes who use their arms overhead for swimming, baseball, tennis, volleyball and badminton.
- People who do repetitive lifting like construction workers.
- People whose work involves overhead activities using the arm, such as teachers, painters.
- Pain may also develop as the result of a minor injury.
What are the symptoms?
- The main symptom is pain in the front or side of the shoulder.
- Pain can get aggravated when you try to lift your arm and reach for things above your head.
- The pain is typically at its worst at night.
- Pain can radiate from the front of the shoulder to the side of the arm
What investigations are usually needed?
- Xrays
- MRI scan
What is the treatment?
- Physical therapy: This involves exercises to improve the range of movements of the shoulder, improve strength of rotator cuff, condition the deltoid and to improve the overall posture.
- Steroid Injections
- Platelet-rich plasma Injections
What are the surgical options?
Surgery is indicated only if there is no improvement with non-operative measures.
The surgery done for this condition is called Arthroscopic subacromial decompression or acromioplasty which is a key hole surgery. The goal of surgery is to remove inflammed tissue and to create more space for the rotator cuff. This is done by removing the inflamed portion of the bursa (bursectomy) and by flattening the undersurface of the acromion (acromioplasty).
Key Points to Remember
- Consult a Specialist : A qualified orthopedic surgeon can accurately diagnose your condition and recommend the best treatment plan.
- Consider Non-Surgical Options : Physical therapy, medication, and lifestyle modifications may be sufficient for some conditions.
- Weigh the Risks and Benefits : Discuss the potential risks, benefits, and alternatives to surgery with your doctor.
- Ask Questions : Don't hesitate to ask your doctor any questions you may have about your condition and treatment options.
By working closely with your healthcare provider, you can make informed decisions about your knee health and choose the best course of action for your specific needs.