What is it?
Shoulder impingement describes pain caused by irritation of the tendon and bursa beneath the roof of the shoulder when the arm is raised. Desk work, repetitive arm movements and posture habits may contribute.
The assessment looks at the rotator cuff tendons, shoulder range of motion and shoulder blade movement. Ultrasound or MRI may be requested if needed.
Options such as an exercise programme, activity modification, medication and injections are planned individually; the response time differs between people and is reviewed together after examination.
Who is it assessed for?
- People with shoulder pain when raising the arm
- People who cannot lie on the painful shoulder
- People in jobs with repetitive arm movements
- People doing overhead sports such as swimming or tennis
- People who notice weakness in the shoulder
Step by step
- 1
Conversation
Which movements increase the pain and your work and sport habits are discussed.
- 2
Examination
Rotator cuff tests and shoulder blade movement are assessed.
- 3
Tests
If needed, ultrasound or MRI is used to look at the tendons.
- 4
Programme
Exercise and, if needed, other treatment options are planned.
- 5
Check-up
Movement and pain are reviewed together at the end of the programme.
Questions
Could my shoulder pain come from my neck?
Yes, neck-related pain can be felt in the shoulder. This distinction is made during the examination.
Is an injection always needed?
No. For many people exercise and activity changes come first; injections may be discussed depending on findings.
Can I do the exercises at home?
Most can be done at home. Working with a physiotherapist in the first sessions may be suggested to learn the right technique.
This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.