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Symptoms of Shoulder Impingement

  • Sharp pain when lifting the arm, especially overhead
  • Pain that radiates from the shoulder to the upper arm
  • Shoulder weakness
  • Difficulty reaching behind the back
  • Pain during sleep, especially when lying on the affected side
  • Clicking or catching sensation in the shoulder

Without treatment, impingement can lead to more serious conditions like rotator cuff tears or frozen shoulder.

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.

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