4 Keys to Solving Shoulder Impingement

  • December 13, 2021

Shoulder impingement generally describes shoulder pain reaching overhead. It does not indicate what specific structure(s) are irritated. Typically, the “impingement” pain occurs between 90-120 degrees which corresponds to shoulder level to about the height of the 2nd shelf in the cabinet. The individual will feel pain in that range but once above or below it will often not have pain. Additionally, if a person is lifting something with weight, the pain response is likely to be greater.

Shoulder impingement pain or discomfort is not strictly limited to reaching overhead. Other irritating daily life issues can include: push opening a door, getting shirt on/off, and sleeping on the sore shoulder.

The good news is this “condition” is highly treatable.

There are several key areas to consider with regard to treatment.

1) Posture- it will be important to be mindful of the time spent sitting with forward/rounded shoulders as in working on a computer for hours on end. It will be necessary to work the opposing muscle groups in the back to balance out the muscles.

2) Mobility- this refers to not only the shoulder joint but also and often more importantly the upper spine. If the upper spine is stiff, this can impact how the shoulder blade moves, which then influences the shoulder joint directly. So at times it is necessary to work the spine to help the shoulder.

3) Shoulder blade- making sure the shoulder blade moves smoothly and has fully mobility is more important than it often gets credit for. There are easy exercises to address this aspect.

4) Strength- directly working on the strength of the muscles that move the shoulder are important. These are easy to learn BUT proper form is necessary.

These 4 items are KEY elements necessary to solve shoulder impingement. While they seem very simple and straightforward, proper technique is vital. This is where a muscle and joint expert can properly diagnose and instruct a person.

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