What Is Shoulder Impingement?
Shoulder impingement occurs when the tendons or soft tissues of the shoulder become compressed or irritated during arm movement. This condition commonly affects the rotator cuff tendons and can lead to pain, inflammation, and reduced shoulder mobility.
Shoulder impingement often develops gradually from repetitive overhead activity, poor shoulder mechanics, or inflammation within the joint. Without treatment, the condition may contribute to rotator cuff tendonitis or tendon tears over time.
At Delaware Orthopaedic Specialists, our fellowship-trained shoulder specialists provide comprehensive diagnosis and treatment options designed to relieve pain, improve mobility, and restore shoulder function.
Symptoms of Shoulder Impingement
- Pain during overhead arm movements
- Shoulder pain that worsens with activity
- Weakness in the shoulder or arm
- Difficulty reaching overhead or behind the back
- Shoulder stiffness or reduced mobility
- Pain when sleeping on the affected shoulder
- Clicking or catching sensations during movement
Causes & Risk Factors
Shoulder impingement commonly develops from repetitive stress or structural narrowing within the shoulder joint.
- Repetitive overhead motions
- Sports such as baseball, swimming, or tennis
- Heavy lifting or repetitive work activities
- Poor posture or shoulder mechanics
- Rotator cuff weakness or imbalance
- Bone spurs or joint inflammation
- Previous shoulder injuries
Diagnosis
At Delaware Orthopaedic Specialists, diagnosis begins with a detailed evaluation of the shoulder joint and surrounding tendons.
- Physical examination of the shoulder
- Assessment of mobility, strength, and pain patterns
- Review of symptoms and activity level
- X-rays to evaluate joint structure and bone changes
- MRI or ultrasound imaging when needed
Proper diagnosis helps identify the source of shoulder pain and guides the most effective treatment plan.
Treatment Options for Shoulder Impingement
Non-Surgical Treatment
Most cases of shoulder impingement improve with conservative treatment. Non-surgical treatment options may include:
- Rest and activity modification
- Anti-inflammatory medications
- Physical therapy and strengthening exercises
- Posture and shoulder mechanics training
- Corticosteroid injections
- Stretching and mobility programs
- Ice therapy and pain management
Surgical Treatment
Surgery may be recommended when symptoms persist despite conservative treatment or when structural problems contribute to ongoing impingement. Arthroscopic shoulder surgery may be used to remove inflamed tissue, repair damaged tendons, or create additional space within the joint. Our orthopedic surgeons use advanced minimally invasive techniques designed to support recovery and long-term shoulder health.
Recovery & Rehabilitation
Recovery timelines vary depending on symptom severity and the treatment approach used.
- Mild cases may improve within weeks to months with rehabilitation
- Physical therapy is important for restoring strength and mobility
- Surgical recovery may require several months of rehabilitation
- Gradual return to overhead activities helps reduce reinjury risk
Early treatment and proper rehabilitation can help prevent worsening tendon damage and chronic shoulder pain.
Why Choose Delaware Orthopaedic Specialists?
Local Care, Close to Home
We proudly serve patients throughout Delaware and nearby communities, including Wilmington, Newark, Middletown, Stanton, North Wilmington, and Chadds Ford. Our shoulder specialists provide advanced orthopedic care close to home.
At Delaware Orthopaedic Specialists, our fellowship-trained physicians provide comprehensive diagnosis and treatment for shoulder pain and musculoskeletal conditions.
- Experienced shoulder and sports medicine specialists
- Advanced imaging and tendon evaluation
- Comprehensive non-surgical and surgical treatment options
- Minimally invasive arthroscopic shoulder techniques
- Convenient locations throughout Delaware and nearby Pennsylvania
Schedule an Appointment
Schedule an appointment with Delaware Orthopaedic Specialists today to receive expert diagnosis and treatment for shoulder impingement.
Frequently Asked Questions
What causes shoulder impingement?
Shoulder impingement is commonly caused by repetitive overhead activity, inflammation, poor shoulder mechanics, or narrowing within the shoulder joint.
Can shoulder impingement heal without surgery?
Yes. Most patients improve with physical therapy, activity modification, medications, and other conservative treatments.
How long does recovery take?
Recovery timelines vary, but many patients improve within weeks to months depending on symptom severity and treatment consistency.
Can shoulder impingement lead to a rotator cuff tear?
Yes. Ongoing impingement may contribute to rotator cuff irritation or tendon damage over time if left untreated.
When should I see a specialist?
If shoulder pain, weakness, or limited mobility interferes with work, exercise, sleep, or daily activities, it is important to seek orthopedic evaluation.