shoulder impingement
YOUR INJURY Pain from the shoulder is common and the pain may either be close to the joint or may radiate down the arm. It is often caused by a pinching of soft tissue structures under the tip of the shoulder (acromion process), which may then become inflamed. This is called impingement. As the arm is moved into certain positions, or load is taken through the arm, the structures become more pinched and the pain
increases.This condition may start following some type of injury but often begins slowly as a result of the way in which you move and hold your upper body and arm. Your treatment will therefore need to address not just the shoulder area but also your neck, back and sometimes your legs.
Certain muscles around your shoulder may be overused and some underused causing an alteration in the way the joint moves. You need to relearn how your shoulder should move to re-establish coordination between these muscles. This leaflet is designed to give you an understanding of your shoulder condition and some exercises to help re-establish these movement patterns.
YOUR REHABILITATION PROGRAMME This programme has specific exercises to help stretch and strengthen muscles which may be weak. It is really important to ensure the exercises are performed with good technique and good postural control. Make sure you are pain-free at all times and take care not to progress too quickly. We have given suggested sets and repetitions, but everyone is different so your practitioner may give guidance that is more specific to you. Quality rather than quantity is key here.
MAKE SURE TO WARM UP AND COOL DOWN If muscles are tight, weak or injured, it is particularly important to warm up (unless advised otherwise by your practitioner) with a fast walk or a gentle jog at a pain-free pace for 5 minutes before you start your exercises. This increases your circulation and helps prepare the muscles
HOME EXERCISE PRODUCTS
Therapy Bands - unlooped
http://spxj.nl/zA8cs3 Therapy Bands - looped
http://spxj.nl/zg9k8V Gym Balls
http://spxj.nl/xwcImU
©2011 Primal Pictures Ltd Tip of shoulder
It is these structures
Shoulder head
running under the top part of the shoulder
blade, which may be trapped and injured in an
Upper arm bone (humerus)
impingement injury
The muscles and tendons of the shoulder that make up the ‘rotator cuff’
for the activity to come. When you have finished your exercises, end the session with a 5 minute gentle walk or slow jog to allow your heart rate to slow down gradually.
OTHER TREATMENT OPTIONS Pain relief: Electrotherapy, acupuncture or ice may be used Tape: Tape may be applied to improve the posture of your shoulder and encourage better movement patterns. It should also help to ease your pain. Treatment of the spine: Your neck and/or back may need to be mobilised to loosen it or to relieve pain. Treatment of the soft tissues: Massage may be needed to stretch tightness or relieve pain. Exercises: Such as those in this leaflet may be given to either loosen tight structures or improve the function of certain muscles. Corticosteroid injections: Your doctor may recommend up to three cortico-steroid injections to reduce inflammation if other treatments have failed. Further investigation: Sometimes a second opinion or a scan is advised.
All products are accompanied by video demonstrations online. For other products visit the PhysioSupplies website
http://spxj.nl/ykRdi5
Wobble Boards
http://spxj.nl/zlM2aM Ice Packs
http://spxj.nl/A5tglZ Exercise Mats
http://spxj.nl/yvsAOw
Hand Weights
http://spxj.nl/xHElIQ Home Fitness
http://spxj.nl/wxL1ae Orthopaedic Supports
http://spxj.nl/y2aePC
The information contained in this article is intended as general guidance and information only and should not be relied upon as a basis for planning individual medical care or as a substitute for specialist medical advice in each individual case. To the extent permissible by law, the publisher, editors and contributors accept no liability for any loss, injury or damage howsoever incurred (including negligence) as a consequence, whether directly or indirectly, of the use by any person of the contents of this article.
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