Shoulder Pain: Impingement and Bursitis
What is shoulder impingement? Shoulder impingement is a condition where the bursa or rotator cuff tendons are compressed in the subacromial space.
Shoulder pain and injuries can be debilitating, affecting everything from getting dressed and doing the laundry to performing at work. Our physiotherapists assess, diagnose and treat the full range of shoulder conditions.

The shoulder is the most mobile joint in the body. It is made up of the glenoid at the end of the scapula (shoulder blade), the humeral head at the top of the arm bone, supporting ligaments, the labrum and interarticular cartilage.
Shoulder pain is most common in people whose work involves repetitive overhead use of the arms. Overhead positions increase loads on the rotator cuff muscles and tendons and the shoulder bursa.
It's also common in people who train with weights. Muscle imbalances (such as tightness of the pectoralis minor and weakness of the serratus anterior and lower trapezius) can increase load on the rotator cuff tendons during weight training.
For acute shoulder injuries we first identify the positions and movements that aggravate your pain. Pain is a protective mechanism; it helps you avoid further irritation while injured tissues heal. In the early stages, ice for 20 minutes every 2 hours can help reduce swelling for the first 48 to 72 hours.
Physiotherapy for shoulder pain involves identifying the structures involved and the factors that led to the injury, then designing a recovery plan suited to your specific condition. Treatment options include hands-on manual therapy, massage, and exercises to improve mobility and motor control of the shoulder and scapula.
What is shoulder impingement? Shoulder impingement is a condition where the bursa or rotator cuff tendons are compressed in the subacromial space.
If you have been lifting weights at the gym for any length of time, no doubt you or someone you’ve met at the gym has experienced shoulder pain. Unless there has been a serious injury, the cause of shoulder pain is from an overload of one of the structures of the shoulder.
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