Shoulder subacromial shoulder pain

Understanding Shoulder Subacromial Pain

What is Subacromial Shoulder Pain?

Subacromial shoulder pain, commonly referred to as subacromial impingement syndrome, is a prevalent condition that affects the shoulder joint. This condition arises when the tendons of the rotator cuff and the subacromial bursa become trapped and compressed during shoulder movements. The result is inflammation and pain, which can significantly limit the range of motion and functionality of the shoulder.

Causes of Subacromial Shoulder Pain

Several factors can contribute to the development of subacromial shoulder pain. Overuse of the shoulder joint, particularly through repetitive overhead activities, is a leading cause. This condition often affects athletes and individuals whose professions require constant shoulder motion, such as painters or carpenters. Anatomical abnormalities, such as bone spurs or a curved acromion, can also narrow the subacromial space and contribute to impingement.

Symptoms to Look For

Individuals experiencing subacromial shoulder pain may notice a variety of symptoms. Commonly, there is a dull ache in the shoulder, which can become sharp during certain movements, especially when lifting the arm. Pain during the night, difficulty sleeping on the affected side, and a reduced range of motion are also typical indicators. Some people might experience weakness in the shoulder, making it challenging to perform daily tasks.

Diagnosis and Treatment Options

Diagnosing subacromial shoulder pain typically involves a physical examination, where the clinician assesses the range of motion, tenderness, and strength of the shoulder. Imaging tests, such as X-rays or MRI scans, may be used to rule out other conditions and confirm the diagnosis. Treatment options range from non-invasive to surgical interventions. Initial treatment often includes rest, anti-inflammatory medications, and physical therapy to strengthen the shoulder muscles and improve flexibility. In persistent cases, corticosteroid injections may be administered to reduce inflammation. Surgical options, like arthroscopy, may be considered if conservative treatments fail to provide relief.

Preventive Measures

Preventing subacromial shoulder pain involves maintaining a balance between shoulder strength and flexibility. Engaging in regular exercises that target the rotator cuff and shoulder stabilisers can help. It's essential to practice proper techniques during physical activities and avoid repetitive overhead movements when possible. Ergonomic adjustments in the workplace can also reduce the risk of developing this condition.

Conclusion

Subacromial shoulder pain can be a debilitating condition, but with proper understanding and management, individuals can achieve significant relief. Early recognition of symptoms, accurate diagnosis, and a combination of therapeutic interventions are crucial in managing this condition effectively. By incorporating preventive measures into daily routines, the risk of developing subacromial impingement syndrome can be minimised, ensuring healthier shoulder function.