Shoulder impingement occurs when the tendons or bursa in the shoulder become compressed or irritated as they pass through the subacromial space, causing pain and limited range of motion. The subacromial space is a narrow passageway between the acromion process of the scapula and the head of the humerus bone.
Shoulder impingement is often caused by repetitive overhead motions, such as those commonly performed in sports like baseball, tennis, and swimming. Pathophysiology of shoulder impingement involves inflammation and degeneration of the rotator cuff tendons and bursa, leading to pain and reduced mobility.
In a sports rehab setting, addressing shoulder impingement often involves a three-step process. The first step is to relieve pain and inflammation through corrective exercise, and very often, manual therapy. The second step is to increase functional capacity, which involves improving strength, flexibility, and range of motion through more challenging strength based exercises. Finally, the third step is to integrate the patient back into their performance goals and movements.
At Apollo Performance Chiropractic, we use objective strength testing data to guide the treatment and recovery of shoulder impingement. By utilizing strength testing data, we are able to develop a more personalized and effective treatment plan for each patient. We are experienced in working with athletes of all levels and can provide individualized care to help each patient achieve their performance goals. We use a combination of manual therapy techniques and targeted exercises over the course of an hour visit to help patients recover from shoulder impingement and return to their desired level of activity.