Impingement syndrome of shoulder (bone rubs again tendon, bursa)


Description

Shoulder pain resulting from pressure on the rotator cuff from part of the shoulder blade (scapula) as the arm is lifted. The rotator cuff is a tendon linking four muscles of the shoulder. These muscles cover the head of the humerus and allow the shoulder to lift and rotate the shoulder.

Symptoms

Shoulder pain which may also radiate down to the elbow. Pain with reaching, lifting, and overhead activities. Tenderness may be experienced through the front, side and back of the shoulder. Most individuals with rotator cuff pain will experience increased pain at night while sleeping.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. Tests to determine other causes of the symptoms will be done. X-rays or an MRI may be recommended.

Tests:
Magnetic resonance imaging (MRI), X-ray

Specialists:
Orthopedic Surgery, Sports Medicine, Pediatric Orthopedic Surgery, Sports Medicine Surgery

Treatment

Treatment includes: rest, stretching and strengthening exercises (physical therapy), nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), and pain medications such as acetaminophen (Tylenol). A corticosteroid injection may provide at least temporary relief. Surgery may also be necessary.
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