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.

Reasons

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.

Consequences

Subacromial impingement can lead to serious complications if not treated. These include chronic inflammation, tendon ruptures, overgrowth of bone, and impaired shoulder function.

Treatment

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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.
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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.

How to reach

Address
Moscow, 1st Yamskogo Polya Street, 15
Operating hours
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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


Address
7/1 Sadovaya-Sukharevskaya str., 129090, Moscow
Operating hours
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From the metro station "Tsvetnoy Bulvar"

1 exit to the city, then left to the Garden Ring, at the crossing to the right, crossing the boulevard, one more crossing and at the traffic light to the left. The Olymp Clinic building is located overlooking the Garden Ring to the right of the crossing. Travel time is approximately 9 minutes. Landmark - sign Olymp Clini

From the metro station "Sukharevskaya"

Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic

Parking lot map

Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic

Как добраться
Address
Moscow, 125124, Chapaevsky lane, 3
Operating hours
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From Sokol metro station

The last car from the center: follow the signs for Exit 5. From the glass doors to the right and go to the end of the passage. Exit to the city by the steps to the left. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn right (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.

Travel time

10-12 minutes

From the Airport metro station

The first car from the center: follow the Exit 2-3 signs. Turn left out of the glass doors and walk to the end of the passage. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn left (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.

Travel time

12-15 minutes

How to get

Entry to the territory is prohibited, but there are free city parking lots around the Triumph Palace residential complex, where you can easily find a place for your car. Free parking area:

Как добраться