Subacromial impingement
A shoulder joint pathology in which the tendons of the rotator cuff are pinched between the acromion of the shoulder blade and the head of the humerus.
Subacromial impingement is a condition that occurs when there is a narrowing of the space between the rotator cuff tendons. It can be caused by repetitive movements, inflammation, tissue changes over time, or bony growths (osteophytes). This condition is often diagnosed in people over 40, especially those who lift their arms often for work or sports. Without proper treatment, the condition can worsen over time and lead to chronic shoulder pain. This can lead to the rotator cuff tendons rupturing and permanently damaging the shoulder joint.
Causes
Repetitive arm movements in maximal or submaximal amplitude.
Intense physical exertion.
Rotator cuff tendon inflammation.
Degenerative tissue changes with age.
Bony overgrowths (osteophytes).
Abnormal acromion shape (hooked).
Shoulder joint trauma.
Symptoms
Dull or sharp shoulder pain that increases with movement.
Pain at rest, especially when lying on the affected side.
Restricted lifting of the arm upwards or pulling it backwards.
Crunching or clicking in the joint.
Pain on pressure on the rotator cuff tendons.
Decreased shoulder strength and mobility.
After-effects
Subacromial impingement can lead to serious complications if not treated. These include chronic inflammation, tendon ruptures, overgrowth of bone, and impaired shoulder function.
Лечение
Nonsurgical treatment
It's possible to treat subacromial impingement without surgical interventions. This includes reducing inflammation and pain, as well as restoring the joint's function. Some of the methods used are: Medications to relieve inflammation and pain. Physical therapy to improve blood flow and help tissue heal. Massage and manual therapy restore muscle and tendon elasticity. Exercise therapy to strengthen muscles and improve mobility. Corticosteroids or platelet-rich plasma injections into the injured area.
Surgical treatment
Surgery is required in case nonsurgical treatment doesn't help. Possible surgical treatments include subacromial decompression performed arthroscopically, bursectomy (removal of inflamed mucosa), suturing of damaged rotator cuff tendons, and acromioplasty (acromion correction). The patient needs to undergo a course of rehabilitation treatment after surgery, which may include exercise, massage, manual and physical therapy.
Schedule a visit to the clinic
How to reach
Moscow, 1st Yamskogo Polya Street, 15
Mon–Sun Around the clock
+7 495 255-50-03
How to get
From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.
Travel time
9 minutes
Landmark
Olympus Clinic MARS sign
How to get
From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS
Travel time
11 minutes
Landmark
Olympus Clinic MARS sign