What is the treatment for shoulder impingement?
Patients who have been diagnosed with shoulder impingement are typically able to recover with conservative therapy. Activity modification, non-steroidal anti-inflammatory medications, and shoulder exercises can help patients reduce shoulder pain and inflammation associated with shoulder impingement. If the pain is not relieved by oral medications, a corticosteroid or platelet rich plasma (PRP) injection directly into the subacromial space can also be employed. When the pain and swelling have decreased, Dr. Williams will typically recommend a physical rehabilitation program aimed at strengthening the tendons and muscles of the rotator cuff and shoulder blade.
If conservative methods are unsuccessful, Dr. Williams may recommend shoulder arthroscopy; this procedure is a minimally invasive surgery that uses a small camera to view the tendons and muscles of the shoulder. During this procedure, any irregularities, such as bone spurs or thickened bursa, are removed. Noted tears are repaired using specialized surgical instruments. A treatment called subacromial decompression will eliminate compression of the tendons between the humerus and the acromion. Dr. Williams does this procedure utilizing small incisions, thereby allowing patients to return to their normal activities in a shorter period of time.