What is Shoulder Impingement Surgery 

Shoulder impingement is a common shoulder problem. It is especially common among certain athletes who use the shoulder extensively, such as tennis players. Shoulder surgery may be necessary to relieve the symptoms associated with the impingement.  

Understanding Shoulder Impingement

The shoulder joint contains the humerus (upper arm bone), scapula (shoulder blade), and collarbone (clavicle). The head of the shoulder blade is known as the acromion. In addition to the bones, the shoulder is kept in place by a set of four tendons and muscles known as the rotator cuff. The rotator cuff moves the shoulder above the head and provides stability. There is a sac known as a bursa between the rotator cuff and the acromion.

Shoulder impingement occurs when there is a narrowing of the space between the acromion and the rotator cuff and/or bursa. When this occurs, inflammation, irritation, and pain can develop. Shoulder impingement is usually an overuse injury, and is strongly associated with certain athletic activities.

Surgery

Sometimes, it is necessary to use surgery to treat the shoulder impingement. Surgery is an especially common course of treatment if the injured person is an athlete, because they require full use of the shoulder.

This condition can usually be treated with minimally invasive shoulder surgery, or arthroscopic surgery. During this procedure, only small incisions are made. The doctor inserts a small camera called an “arthroscope” through one incision, and tools through the other incisions. This allows the doctor to operate on the shoulder without opening it up.

Arthroscopic shoulder surgery is usually performed in an outpatient clinic, so the patient can return home the same day. There is no need for general anesthesia; local anesthesia and sedation usually suffice.

Other Treatments

Other treatments may be used to treat impingement, either on their own or in conjunction with surgery. Some treatments that are frequently used include:   

• Physical therapy – Relieves inflammation, strengthens the muscles that support the shoulder, and improves flexibility. Physical therapy often forms a cornerstone of treatment, and the exercises should continue to be used after the formal sessions end.
• Changes in training methods – If the injury occurred because of overuse, a change in training should be considered. The athlete can work with his doctor, physical therapist, and coach to formulate a more sustainable training routine, such as one that includes cross-training.
• Non-steroidal anti-inflammatory drugs (NSAIDs) – Over-the-counter medications like Aleve can relieve the inflammation associated with rotator cuff impingement.
• Steroid injections – Injecting the shoulder with a steroid medication reduces inflammation dramatically, without the issues associated with systemic steroid use.

Dr. Howard Marans would be happy to meet with you about treatment for your shoulder impingement. To schedule your consultation today, please click below and enter your information or call OC Orthopedic at (714) 979-8981.