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Orthopedics SA
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CONDITION & TREATMENT GUIDE

Shoulder impingement: symptoms, assessment and care

Assessment for shoulder pain when lifting or reaching, with treatment for the structures involved.

A patient demonstrating shoulder movement during an assessment

Understanding shoulder impingement

The term shoulder impingement is often used for pain involving the rotator cuff tendons and nearby bursa. Overuse, injury and tendon changes may contribute.

Treatment and care

Treatment usually begins with activity adjustments, physiotherapy and pain management. Further options depend on the diagnosis and response to this care.

Questions to discuss with your clinician

Use this guide to prepare for an individual discussion. The right next step depends on your diagnosis and circumstances.

  • What findings support this diagnosis, and could another condition explain my symptoms?
  • Do I need any investigations before choosing treatment?
  • Which options are suitable, and what are their benefits and risks?
  • What changes should prompt another assessment?
  • How will the condition affect everyday activities and follow-up?

Common questions

Why does reaching overhead hurt?

Overhead movement loads the shoulder tendons and nearby tissues. An examination helps identify which structures are contributing.

Is an operation always needed?

No. Many shoulder pain conditions are managed without surgery. A procedure is considered only where the diagnosis and symptoms support it.