Shoulder Impingement Syndrome: How Physiotherapy Can Relieve Your Pain

Shoulder impingement syndrome is a common cause of shoulder pain that can interfere with everyday activities like lifting, reaching, or even sleeping. This condition occurs when the rotator cuff tendons are compressed during shoulder movements, leading to inflammation and discomfort. Fortunately, physiotherapy is an effective, non-invasive approach to managing and resolving shoulder impingement.

What is Shoulder Impingement?

Shoulder impingement happens when the space between the shoulder blade (acromion) and the rotator cuff narrows, causing the tendons to become pinched. This compression can lead to irritation, inflammation, or even tendon tears over time.

Common Causes and Risk Factors

Shoulder impingement can develop due to:

  • Repetitive overhead movements (common in sports like swimming or occupations like painting)

  • Poor posture

  • Muscle imbalances or weakness

  • Previous shoulder injuries

  • Bone spurs or structural abnormalities

Symptoms to Watch For

  • Pain during overhead or lifting motions

  • Discomfort at night, especially when lying on the affected shoulder

  • Limited range of motion

  • Weakness in the arm

  • A feeling of catching or grinding during shoulder movement

How Physiotherapy Treats Shoulder Impingement

A physiotherapist will design a personalised treatment plan based on your symptoms, goals, and movement patterns. Here are common approaches:

Activity Modification

Avoiding painful activities allows inflammation to subside. Physiotherapists provide ergonomic tips and modify movement techniques to reduce strain on the shoulder.

Targeted Shoulder Exercises

Strengthening the rotator cuff and scapular stabilisers (like the serratus anterior and trapezius) helps restore proper mechanics. Stretching tight muscles, such as the pectorals, is also crucial.

Manual Therapy for Joint and Muscle Relief

Hands-on techniques improve joint mobility and reduce soft tissue tension. This may include joint mobilisations, massage, and trigger point therapy.

Pain-Relieving Modalities

Techniques such as ice/heat therapy, ultrasound, and dry needling can support pain reduction during the early stages of treatment.

Preventing Future Episodes

Once pain subsides, prevention becomes the focus. Strategies include:

  • Continuing home exercise programs

  • Improving posture and workspace ergonomics

  • Gradually returning to sports or overhead activities

Don’t Ignore Shoulder Pain β€” Get Expert Help

Shoulder impingement may start as a minor annoyance but can progress into a more serious condition without treatment. Physiotherapy offers a safe, effective, and personalized approach to pain relief and long-term recovery.

Don’t let shoulder pain hold you back. Book a physiotherapy consultation today and start moving pain-free again.

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Frozen Shoulder (Adhesive Capsulitis): A Guide to Regaining Movement and Relief