Shoulder Impingement – Plano, TX
Dr. Kouyoumjian, a Plano, TX based orthopedic sports surgeon, provides comprehensive treatment for a wide range of shoulder conditions. He has extensive experience in using surgical and non-surgical techniques to treat Shoulder Impingement.

Shoulder Impingement

The shoulder joint comprises of different structures and enables the extensive arm movement. It is the joining point of three bones; the scapula (shoulder blade), humerus (upper arm bone) and the clavicle (collar bone). It is a ball and socket joint wherein the rounded humeral head fits into the socket of the scapula. The joint is supported by tendons, ligaments and small fluid filled sacs called bursae that provide a cushioning effect to the bones. A group of tendons, called the rotator cuff, support the humerus at the point where it joins the shoulder blade. Shoulder Impingement occurs when these tendons get inflamed and can further result in Bursitis or Tendonitis. Sports persons such as golfers, swimmers and tennis players are prone to developing this condition.

Causes Of Shoulder Impingement

  • Injury
  • Shoulder Arthritis
  • Excessive overhead movements
  • Wear and tear of the joint
  • Repeated stress due to lifting of weights
  • Inherent defects in bone and joint structure

Symptoms Of Shoulder Impingement

  • Pain may radiate from the shoulder to arm
  • Discomfort and pain when performing overhead movement
  • Weakness may be felt in the arm and shoulder
  • Problem in backward movement of the arm
  • Discomfort may increase while lying down
  • Tenderness and swelling

Diagnosis Of Shoulder Impingement

  • The patient may be asked to move the arm in different directions to check for range of motion
  • The medical history, symptoms and previous injuries to the joint (if any) may be evaluated
  • X-ray may be conducted to study changes in bone structure and formation of bone spurs
  • MRI scan may reveal soft tissue damage and accumulation of fluids in the bursae
  • CT scan and ultrasound may also be performed

Treatment For Shoulder Impingement

  • Anti-inflammatory medicines may be prescribed by the orthopedic doctor
  • Avoiding activities that require overhead movement of the arm
  • Physical therapy may help to relieve pain and improve range of motion
  • Steroids may be injected into the joint to provide immediate relief
  • Maintaining a good posture may prevent the symptoms from worsening
  • Surgical intervention may be required if conservative methods of treatment fail to provide relief. These may include:
  • Subacromial Decompression may be performed either through arthroscopy or open surgery to remove a part of the damaged acromion
  • Use of a sling to support the arm may be recommended post-surgery
  • Rehabilitation plan including specific exercises to regain mobility may need to be followed for a few months

For complete treatment of Shoulder SLAP Tear, visit Dr. Kouyoumjian. To schedule an appointment with the orthopedic sports surgeon in Plano, TX, feel free to call at (972) 985 – 1072.