Shoulder Impingement (Subacromial Pain Syndrome)
Your shoulder hurts overhead. That does not automatically mean something is getting “pinched.”
What is it?
Subacromial pain syndrome describes pain around the outer shoulder, often aggravated by lifting the arm, reaching or lying on that side. It can involve rotator cuff tendons and surrounding tissues.
What causes it?
Load changes, reduced shoulder capacity, tendon sensitivity and movement factors may contribute. The older mechanical “impingement” explanation does not fit every case.
How do we distinguish it from other conditions?
We consider rotator cuff tears, frozen shoulder, AC joint problems, calcific tendinopathy and neck-related pain. Shoulder movement and strength testing guide care; imaging is reserved for appropriate presentations.
How is it treated?
Postural rehabilitation and scapular stabilization are central when clinically relevant: serratus anterior, middle/lower trapezius, rotator cuff strengthening, pectoralis major/minor mobility and thoracic mobility. Physiotherapy and chiropractic care provide progressive loading and graded overhead retraining. RMT and osteopathic manual therapy address associated soft tissue discomfort and movement restrictions; acupuncture may support pain relief. IASTM, taping and Class 4 laser may be used selectively. No single “perfect posture” is required.
When should you seek treatment?
Seek assessment for persistent pain with reaching, sleep disruption or declining function. Acute traumatic weakness or other concerning changes require prompt review.
Feel better. Together.