Impingement Syndrome

Normal

from: www.ortho-md.com/impingem.htm

Impinged

This diagnosis is very similar to symptoms experienced with a rotator cuff tendonitis.  Where rotator cuff tendonitis is specific to the actual tendon, impingement syndrome can be a cause of several different factors such as rotator cuff tendonitis, malformation of the acromion, bone spurring at the acromion, torn rotator cuff, etc.  Symptoms are generally pain with reaching overhead or back like tucking in a shirt.  Pain is generally on the outside of the shoulder and can go down the outside or front of the arm above the elbow.  Pain is usually worse at night, making sleep a painful and difficult time. 

Individuals with impingement syndrome are people who engage in repeated overhead movements.  Some recreational activities which may lead to impingement syndrome include tennis, swimming, softball and other throwing and racquet sports.  In the workplace, painting, carpentry, and construction work may be the cause.  Finally, after years of just normal use, the older individual may develop an impingement syndrome.

It is best to consult a medical professional to determine extent of injury.  In the meantime, it is best to rest and use ice and limit painful activities, especially overhead activities. 

If conservative treatment should fail, your doctor may discuss surgical options, such as arthroscopic acromioplasty.