What Causes Shoulder Impingement?
Shoulder impingement is typically caused by repeated overhead motions or poor posture that alters shoulder mechanics. Common causes include:
Sports like swimming, tennis, or baseball
Jobs or activities involving repetitive overhead lifting
Poor posture, especially rounded shoulders and forward head positioning
Muscle imbalances or weakness in the shoulder stabilizers
Previous injuries or lack of shoulder mobility
These factors can cause narrowing of the space where tendons pass through the shoulder joint, leading to pinching and inflammation.
Chiropractic Treatment for Shoulder Impingement
Chiropractors treat shoulder impingement by focusing on reducing inflammation, restoring joint function, and correcting contributing biomechanical issues. Treatment typically follows two main phases:
Phase 1: Reduce Pain and Inflammation
Rest and avoid repetitive or overhead movements
Apply ice to reduce inflammation and discomfort
Use specific soft tissue therapies such as trigger point release, cross-friction massage, or instrument-assisted soft tissue mobilization (IASTM)
Low-Level Laser Therapy (LLLT) may help speed up healing
The chiropractor will assess and adjust related areas, such as the neck, upper back, and shoulder blade. Poor posture and spinal misalignments often contribute to impingement.
Phase 2: Restore Function and Prevent Recurrence
Use targeted exercises to strengthen the rotator cuff and shoulder stabilizers
Stretch tight muscles like the chest and upper traps
Improve shoulder joint mobility and posture through chiropractic adjustments and mobilizations
Correct movement patterns to prevent future flare-ups
The chiropractor may recommend ergonomic changes or training modifications
Preventing Shoulder Impingement
Warm up and stretch properly before any physical activity
Avoid repetitive overhead movements without rest or proper form
Strengthen your upper back and shoulder stabilizing muscles
Maintain good posture throughout the day, especially at a desk or computer
Listen to early signs of pain or weakness and seek care before the problem worsens
Final Thought:
Shoulder impingement syndrome can be painful and limiting, but with proper chiropractic care, you can reduce inflammation, restore function, and return to your daily activities with confidence. If you’re experiencing shoulder pain, a chiropractor can help identify the cause and create a personalized treatment plan.