Shoulder impingement syndrome is a common condition characterized by pain and inflammation in the shoulder joint. It occurs when the tendons of the rotator cuff muscles become compressed or irritated as they pass through the subacromial space, leading to pain and limited range of motion. Physiotherapy plays a crucial role in the management and rehabilitation of shoulder impingement.
Physiotherapy Goals:
Pain Reduction: Physiotherapists focus on alleviating pain through various modalities such as ice or heat therapy, ultrasound, and transcutaneous electrical nerve stimulation (TENS).
Inflammation Management: Techniques like manual therapy and specific exercises help reduce inflammation, promoting a healing environment in the affected area.
Improving Range of Motion: Physiotherapy involves targeted exercises to enhance shoulder flexibility and restore a full range of motion. These exercises may include pendulum exercises, passive and active range of motion exercises, and stretching.
Strengthening Exercises: Specific strengthening exercises are prescribed to improve the strength of the rotator cuff muscles and other muscles surrounding the shoulder joint. This helps stabilize the joint and prevent future impingement.
Posture Correction: Physiotherapists assess and address any contributing factors related to poor posture. They provide guidance on maintaining proper shoulder and upper back posture to prevent impingement recurrence.
Home Exercise Program: Patients are typically given a personalized home exercise program to continue their rehabilitation independently. Consistency in performing these exercises is crucial for long-term recovery.
Manual Therapy: Hands-on techniques such as massage, joint mobilizations, and soft tissue manipulation are employed to improve joint mobility and reduce muscle tension.
Education: Patients receive education on proper shoulder mechanics, ergonomics, and techniques to prevent re-injury. This includes guidance on modifying activities that may aggravate the condition.
Progression of Treatment:
Acute Phase (Pain Management): Focus on reducing pain and inflammation through modalities and gentle exercises.
Subacute Phase (Restoration of Mobility): Emphasis on restoring range of motion and flexibility through targeted exercises.
Chronic Phase (Strengthening and Prevention): Implementation of strengthening exercises to improve muscle stability and prevent future impingement. Continued focus on maintaining overall shoulder health.
Duration of Treatment:
The duration of physiotherapy varies based on the severity of the condition. Patients may need several weeks to months of consistent rehabilitation to achieve optimal results. Regular follow-ups with the physiotherapist are essential to monitor progress and make necessary adjustments to the treatment plan. Book a Physio appointment today at Vancity Physio to help with your Shoulder Recovery!!
