Shoulder procedure information
Shoulder impingement
Shoulder impingement can cause pain during lifting, reaching or overhead movement when structures within the shoulder become irritated or compressed. Symptoms may include pain when raising the arm, weakness, discomfort at night or difficulty with sport, work and everyday activities.
Assessment and diagnosis
Assessment begins with a detailed discussion of symptoms, shoulder function, medical history and treatment goals, followed by examination of movement, strength and shoulder mechanics. Imaging such as X-rays, ultrasound or MRI scanning may be recommended to help assess the rotator cuff tendons and surrounding structures.
Non-surgical options
Non-operative treatment may include physiotherapy, rehabilitation exercises, activity modification, pain relief medication or injection therapy depending on symptom severity and duration. Many patients improve with conservative management aimed at improving shoulder movement and reducing irritation within the joint.
Surgical treatment options
Surgical treatment may be considered when symptoms persist despite non-operative management or continue to significantly affect shoulder function and quality of life. Depending on the condition being treated, arthroscopic surgery may be used to address inflamed tissue, improve space within the shoulder or treat associated tendon problems.
Recovery after treatment
Recovery varies between patients and depends on the severity of symptoms and the procedure performed. Physiotherapy and rehabilitation are commonly recommended following treatment to help restore movement, strength and shoulder function.
Risks and considerations
All procedures carry risks. Potential risks associated with shoulder impingement treatment may include infection, bleeding, stiffness, persistent pain, tendon irritation or the need for further treatment. Specific risks and expected outcomes are discussed during consultation.
Frequently asked questions
Does shoulder impingement always require surgery?
No. Many patients improve with physiotherapy, rehabilitation exercises, activity modification or injection treatment. Surgery is usually considered only when symptoms persist despite conservative management.
Can shoulder impingement be treated with keyhole surgery?
Usually arthroscopic (keyhole) surgery is the preffered surgical approach for shoulder impingement. However treatment plans vary between patients and with disease severity.