Shoulder Impingement – Flower Mound, TX
Dr. Kulwicki is a renowned orthopedic doctor practising in Flower Mound, TX. He specializes in the diagnosis and treatment of a wide range of shoulder conditions, such as Rotator Cuff Tear, Shoulder Impingement, Frozen Shoulder, Arthritis, etc.
Shoulder Impingement

Shoulder Impingement is an orthopedic condition characterized by a compression or entrapment of the rotator cuff tendons in the joint. These tendons attach the upper arm bone to the shoulder blade and run through a narrow space at the top of the joint, known as the subacromial space. In Shoulder Impingement, the rotator cuff tendons get trapped in the subacromial space and rub against the bone, causing pain. The condition most commonly affects people who perform repetitive overhead arm movements, such as painters, weightlifters, baseball pitchers, swimmers, tennis players etc.

Causes Of Shoulder Impingement

  • Repetitive overhead movements
  • Shoulder injury
  • Bone growth on the shoulder blade
  • Shoulder Osteoarthritis
  • Poor muscle strength that causes abnormal movement of the humeral head
  • Thickened ligaments or bursa
  • Calcium deposits in the rotator cuff tendon
  • Tightness of the soft tissues

Symptoms Of Shoulder Impingement

  • Pain, particularly when raising the arm overhead
  • Stiffness and numbness
  • Tenderness to touch
  • Restricted range of motion
  • Difficulty extending the arm behind the back
  • Weakness in the joint
  • Pain may radiate to the arm
  • Pain while lying on the affected shoulder
  • Popping or grating sensation

Diagnosis Of Shoulder Impingement

The orthopedic surgeon may examine the shoulder joint and evaluate the severity of symptoms. He may ask about the patient’s medical history and any previous injuries to the joint. The patient may be asked to raise his arm overhead to check for range of motion. X-ray or MRI may be conducted to rule out Arthritis and other orthopedic condition. Neer Impingement Sign and Hawkins-Kennedy Test may also be recommended to confirm the diagnosis.

Treatment For Shoulder Impingement

  • Rest: The patient may be advised to give rest to the affected shoulder. Overhead arm movements and strenuous physical activities should be avoided to allow the injury to heal.
  • Ice/Heat Packs: Applying heat or ice packs, as suggested by the doctor, may also help to compress swelling and reinstate mobility of the shoulder joint.
  • Medications: The orthopedic doctor may prescribe non-steroidal anti-inflammatory medications to help patient find relief from pain and discomfort.
  • Physical Therapy: Performing low impact exercises, under the guidance of a physical therapist, may help to relieve stiffness, promote stability and improve the range of motion of shoulder.
  • Surgery may be recommended if the condition is severe and non-surgical treatment options do not provide relief.

For complete diagnosis and treatment of Shoulder Impingement, consult Dr. Kulwicki. To schedule an appointment with the orthopedic surgeon in Flower Mound, TX, call at (972) 899 – 4679.