Treating Shoulder Impingement

Shoulder impingement syndrome is one of the most common causes of shoulder pain, often related to problems with the rotator cuff and the structures around the shoulder joint. At Anthony Cappellino, MD Orthopedics & Sports Medicine, we provide advanced diagnosis and management of shoulder impingement syndrome to relieve pain, restore motion, and improve long-term shoulder function.

What Is Shoulder Impingement?

Shoulder impingement happens when the tendons of the rotator cuff muscles or the bursa (a fluid-filled sac that reduces friction) become compressed between the humeral head and the acromion bone of the shoulder. This pressure on the rotator cuff tendons leads to pain, inflammation, and reduced range of motion.

Common Causes of Shoulder Impingement:

• Repetitive overhead movements

• Rotator cuff tendinitis or partial rotator cuff tear

• Bone spurs or changes in the shape of the acromion

• Weakness of the scapular or shoulder blade muscles

• Poor posture or abnormal shoulder mechanics

Shoulder Impingement Symptoms

Patients with rotator cuff impingement or subacromial impingement often experience:

• Pain when lifting the arm overhead or behind the back

• Weakness in the rotator cuff or shoulder muscles

• Pain that radiates down the arm

• Night pain, especially when lying on the affected shoulder

• Reduced range of motion and stiffness

Diagnosing Shoulder Impingement

Dr. Cappellino uses a thorough clinical exam to diagnose shoulder impingement, including:

• Assessing shoulder internal and external rotation

• Evaluating scapular movement and rotator cuff strength

• Imaging tests such as X-rays or MRI (magnetic resonance imaging) to check for rotator cuff pathology, bursitis, or bone spurs

Treatment Options for Shoulder Impingement

The approach to shoulder impingement syndrome depends on severity, symptoms, and functional limitations.

Nonsurgical Treatment

Most patients respond well to non-surgical treatment, which may include:

• Physical therapy to strengthen the rotator cuff and scapular muscles and improve posture

• Stretching and strengthening exercises for better shoulder mechanics

• NSAIDs (nonsteroidal anti-inflammatory drugs) to reduce pain and swelling

• Steroid injections into the shoulder joint for targeted pain relief

• Activity modification to avoid repetitive overhead movements

Surgical Treatment

If conservative care does not relieve symptoms, surgical options may be considered:

• Arthroscopic decompression or acromioplasty to relieve pressure on the rotator cuff tendons

• Repair of associated rotator cuff tears or bursitis

• Removal of bone spurs or damaged tissue

Recovery and Rehabilitation

Whether treated surgically or nonsurgically, recovery requires rehabilitation and physical therapy. A structured program helps restore rotator cuff strength, shoulder blade control, and full range of motion. Most patients experience significant improvement in pain and function with consistent therapy.

Why Choose Dr. Anthony Cappellino for Shoulder Impingement Treatment?

Dr. Cappellino is a board-certified orthopedic surgeon specializing in sports medicine and shoulder injuries. He provides individualized treatment plans for patients with shoulder impingement syndrome, from conservative management to advanced surgical options. His goal is to relieve pain, restore mobility, and help patients return to an active lifestyle safely.