Shoulder Impingement

Shoulder Impingement Surgery in NYC

Shoulder Impingement Treatment Options

Severe cases of impingement may require shoulder impingement surgery in NYC to remove the pressure and create more space for the rotator cuff. The most common shoulder impingement procedure involves a subacromial decompression with an anterior acromioplasty.

Subacromial Decompression with an Anterior Acromioplasty

During this procedure, a spur of the front edge of the shoulder blade (acromion) is removed, along with some tissue. This can be done through arthroscopy or an open technique, depending on the severity of the condition. A sling may be needed after shoulder impingement surgery to help the healing process before a rehabilitation program begins.

One of the most common causes of shoulder pain, shoulder impingement occurs when the front of the shoulder blade (acromion) rubs against the rotator cuff as a person lifts his/her arm. The rotator cuff is a group of muscles and tendons that stabilizes the shoulder and permits lifting and rotating movements. If the rotator cuff weakens or is injured, the bone of the upper arm (humerus) can piston upwards, pinching the rotator cuff against the acromion. The muscles can then swell further, creating a vicious cycle of pain and weakness that will not improve without intervention.Shoulder impingement

Causes of Shoulder Impingement

In addition to rotator cuff injuries such as tendonitis and tearing, impingement may be the result of bursitis, an inflammation of the cushioning sac between the rotator cuff and the shoulder acromion. People most at risk for developing impingement are athletes, especially those who swim or play baseball or tennis, and people whose occupations include repetitive lifting or overhead movements, such as painting and construction. Sometimes, impingement occurs after a minor injury, or even without a discernible cause.

Symptoms of Shoulder Impingement

Impingement worsens over time. At first, you may feel mild pain in the shoulder, which may radiate from the front of the shoulder to the side of the arm. The pain may worsen when you lift your arm, reach for something, or throw or serve a ball while playing a sport. There may be some swelling and tenderness at the front of the shoulder as well. As impingement progresses, pain and stiffness worsen until you may not be able to lift or lower your arm. Eventually, if left untreated, the condition may severely limit arm motion to the point that the shoulder becomes “frozen”.