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The Different Stages of Shoulder Impingement Syndrome

The Different Stages of Shoulder Impingement Syndrome

Shoulder impingement syndrome is a common condition that affects many individuals especially athletes and those with physically demanding jobs. It is a painful and debilitating condition that can affect your day-to-day life. In this blog post, we will look at the different stages of shoulder impingement syndrome and how physiotherapy and chiropractic care can help manage the symptoms.

Stage 1: In the first stage of shoulder impingement syndrome there is inflammation and swelling in the rotator cuff tendons and bursa. This stage is characterized by mild pain especially when lifting your arm overhead. The pain may increase at night, making it difficult to sleep. Physiotherapy treatment during this stage focuses on reducing inflammation and controlling pain. This can be achieved through ice therapy, ultrasound, and rest. Specific exercises can also be prescribed to improve range of motion and strengthen the shoulder muscles.

Stage 2: In the second stage, the rotator cuff tendons start to fray or tear, and there is a buildup of scar tissue. This stage is associated with moderate to severe pain and limited range of motion. An MRI may be required to identify and assess the extent of the damage. Treatment during this stage involves a combination of physiotherapy and chiropractic care. This may include manual therapy, such as massage and joint mobilization, to help improve joint mobility. Strengthening exercises are also vital to help improve shoulder function.

Stage 3: In the third and final stage, the rotator cuff tendons are severely damaged, and there may be complete tears. Pain is often severe, and there is a significant loss of shoulder function. Surgery may be required to repair the damaged tendons and muscles. Following surgery, physiotherapy and chiropractic care will play a significant role in your recovery. You will work with a physiotherapist to gradually improve the range of motion and strength of your shoulder through stretching and strengthening exercises. Chiropractic care may also be necessary to address any joint restrictions or misalignment that may have developed.

Shoulder impingement syndrome is a progressive condition that can result in significant pain and loss of function. Early diagnosis and treatment can help prevent the condition from progressing to later stages. Physiotherapy and chiropractic care are effective treatment options that can help manage symptoms and improve shoulder function. If you are experiencing any signs or symptoms of shoulder impingement syndrome, seek medical attention from a qualified healthcare professional as soon as possible.

If you have any questions or would like to explore further, please book a free, no-charge online appointment. Nitin Nair is a physiotherapy practitioner at CARESPACE in Kitchener.

Picture of Nitin Nair, BPT, R/TRO DIP, PT

Nitin Nair, BPT, R/TRO DIP, PT

Physiotherapist
Nitin is an internationally trained physiotherapist and has been practicing in Canada since 2015. After graduating in 2009, Nitin started as a physiotherapist in a cardiothoracic and vascular surgery team under the guidance of an eminent cardiac surgeon. His interest and passion in the field of sports and musculoskeletal rehabilitation made him switch from acute care to a musculoskeletal rehabilitation setting. Nitin blends various hands-on physiotherapy techniques with therapeutic exercises to achieve his client’s goals. He is certified in the McKenzie method of Mechanical Diagnosis and Therapy (MDT): Lumbar spine, Mulligan concepts and personalized blood flow restriction rehabilitation (PBFR). His clients vary from weekend warriors to elite athletes. He is a huge advocate of the ‘Looking beyond the pain’ model to provide clients with the best care possible. Exercises and activity modification are always important components of his treatment plans to empower clients to reach their health goals.

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