[et_pb_section bb_built=”1″ background_color=”#78c4b7″ fullwidth=”on” _builder_version=”3.0.47″][et_pb_fullwidth_header title=”Shoulder Impingement Syndrome” subhead=”An In-depth Review” background_layout=”dark” text_orientation=”center” _builder_version=”3.0.51″ title_font_size=”50″ background_image=”http:\/\/www.mujofitness.com\/wp-content\/uploads\/2017\/05\/audience-medical.jpg” \/][\/et_pb_section][et_pb_section bb_built=”1″ admin_label=”section” module_class=”fake-width” _builder_version=”3.0.47″][et_pb_row _builder_version=”3.0.71″ background_repeat_1=”no-repeat” make_fullwidth=”on”][et_pb_column type=”4_4″][et_pb_cta _builder_version=”3.0.71″ title=”Book a free session to experience the best treatment for shoulder impingement” button_text=”Book Now” button_url=”\/book-free-taster\/” url_new_window=”off” use_background_color=”on” background_layout=”dark” border_style=”solid” custom_button=”off” button_letter_spacing=”0″ button_icon_placement=”right” button_letter_spacing_hover=”0″ background_color=”#78c4b7″ \/][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=”row” make_fullwidth=”on” make_equal=”on” parallax_method_1=”off” parallax_method_2=”off” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”1_2″][et_pb_text admin_label=”TOC” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”]<\/p>\n
1 – What is Shoulder Impingement?<\/a><\/strong><\/p>\n 2 – History of Shoulder Impingement<\/a><\/strong><\/p>\n 3 – The Different Types of Shoulder Impingement<\/a><\/strong><\/p>\n 3.1 – Subacromial Impingement<\/a> 4 – What are the Shoulder Impingement Treatment Options?<\/a><\/strong><\/p>\n 4.1 – Non-Invasive<\/a> 5 – The MUJO Shoulder Impingement Treatment<\/a><\/strong><\/p>\n 6 – Conclusion<\/a><\/strong><\/p>\n 7 – References<\/a><\/strong><\/p>\n [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″][et_pb_text admin_label=”Summary” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”]<\/p>\n Shoulder impingement is one of the leading causes of shoulder complaints[18<\/a>, 19<\/a>, 20<\/a>]. It is defined to be a form of disabling contact between soft-tissue and\/or bony structures in the shoulder complex. Subacromial impingement, internal impingement, coracoid impingement and suprascapular nerve entrapment are the four types of shoulder impingement.<\/p>\n There are many signs and symptoms of impingement. The two main ones are pain and reduced range of motion or strength.<\/p>\n There are multiple theories of causes, which can also be a result of impingement. This has made defining treatment methods difficult. However numerous investigations in both conservative and non-conservative treatment methods suggest that physiotherapy is currently the best go to treatment option, whilst surgery and injections may not provide any additional benefit.<\/p>\n Literature recommends individualised neuromuscular control training or PNF, eccentric training and scapulothoracic strengthening regimens to best tackle shoulder impingement. We have developed our shoulder impingement treatment plan based on combining these recommendations with our powerful, smart MSK shoulder devices.<\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=”row” make_fullwidth=”on” parallax_method_1=”off” parallax_method_2=”off” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″][et_pb_divider color=”#484544″ show_divider=”on” divider_style=”solid” divider_position=”top” _builder_version=”3.0.47″ \/][\/et_pb_column][\/et_pb_row][et_pb_row make_fullwidth=”on” parallax_method_1=”off” parallax_method_2=”off” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”2_3″][et_pb_text admin_label=”What is Shoulder Impingement” module_id=”1″ _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” custom_padding=”||30px|” custom_padding_last_edited=”on|desktop”]<\/p>\n The term \u201cImpingement\u201d can be defined to be some form of a disabling contact between the soft-tissues and bony structures within the shoulder complex. This could be contact between the following:<\/p>\n This disabling contact is present during different motions of the upper arm. Various types of impingement have been defined in clinical research and they are as follows[1<\/a>]:<\/p>\n It is important to note here that this definition of impingement does not include contact with a joint replacement or implant. For purposes of this article, we have not included this type of impingement.<\/p>\n A brief history of shoulder impingement will be described followed by each of the individual types of shoulder impingements defined above.<\/p>\n [\/et_pb_text][et_pb_text admin_label=”History of Shoulder Impingement” module_id=”2″ _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” custom_padding=”||30px|”]<\/p>\n Shoulder impingement was first reported and described in 1852[2<\/a>]. It was later termed \u201csupraspinatus syndrome\u201d throughout the mid 1900s[3<\/a>, 4<\/a>]. At the time, supraspinatus syndrome was initially thought to occur when the supraspinatus tendon and subacromial bursa, were compressed and sandwiched between the humeral head and the lateral component of the acromion. However, Charles Neer II argued and showed that it was compression on the anterior portion of the acromion in 1972[5<\/a>]. The term \u201csupraspinatus syndrome\u201d was then dropped and replaced by the term \u201cshoulder impingement syndrome\u201d. This became well-established and the definition still stands today although with a minor refinement in 1990[6<\/a>]. Shoulder impingement syndrome as described by Neer is what is known as \u201cSubacromial Impingement<\/strong>\u201d today.<\/p>\n The second type of shoulder impingement, \u201cInternal Impingement<\/strong>\u201d was reported and described by Walch in 1992[7<\/a>]. The third type of impingement, \u201cCoracoid Impingement<\/strong>\u201d was first reported and described by Goldthwait in 1909[8<\/a>], before supraspinatus syndrome was defined and studied. Finally, \u201cSuprascapular Nerve Impingement<\/strong>\u201d was initially reported and described by Thomas in 1936[9<\/a>].<\/p>\n The timeline of discovery of the different types of impingement and their refinements show that this is a complex disease and one that is difficult to study. This is still the case today as there are differing opinions about causes of impingement[10<\/a>] and how different clinicians and researchers define the terms[11<\/a>].<\/p>\n [\/et_pb_text][et_pb_text admin_label=”Types of Shoulder Impingement” module_id=”3″ _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”]<\/p>\n The four different types of impingement are described in detail here.<\/p>\n This type of impingement is probably the most studied disease in comparison to the other types.<\/p>\n Currently, it is defined to be the \u201ccompression of supraspinatus tendon, subacromial bursa with the anterior third of the acromion, coracoid, coracoacromial ligament and the AC joint\u201d.<\/p>\n Charles Neer further categorised the progression of the disease into three stages[12<\/a>, 13<\/a>]. Each stage was found to be present in certain age groups. They are as follows:<\/p>\n It is thought that some motions are far more likely to result in impingement when a patient suffers from it. Neer claimed that a humeral elevation at 90\u00b0 with internal rotation results in impingement as it reduces the subacromial space[5<\/a>]. In this position the scapula has not rotated upward sufficiently[14<\/a>, 15<\/a>]. In addition, a general lack of upward rotation and posterior tilt of the scapula along with additional superior translation of the humeral head can reduce subacromial space and result in impingement[14<\/a>, 15<\/a>, 16<\/a>,\u00a017<\/a>].<\/p>\n 44% to 65% of shoulder complaints during physician visits have been reported to be due to shoulder impingement[18<\/a>, 19<\/a>, 20<\/a>]. As this type of impingement is more common in overhead activities [21<\/a>, 22<\/a>], it is also believed that those who perform manual labour and those who perform repetitive overhead tasks likely suffer from this condition[11<\/a>, 22<\/a>]. This is a common condition for patients of all ages and activity levels [23<\/a>].<\/p>\n The causes, signs and symptoms have been grouped under one heading as there is debate as to whether the proposed causes lead to impingement or whether they are a result of the impingement. From this point on, they will be referred to as associations. The associated phenomenon of this condition have generally been categorised into two types[5<\/a>,\u00a024<\/a>]:<\/p>\n There are other associations that fall outside of these two categories and are described later.<\/p>\n The structural category describes impingement to be a result of musculoskeletal damage. The following table lists the structures that are affected and how they change leading to impingement.<\/p>\n
\n3.2 – Internal Impingement<\/a>
\n3.3 – Coracoid Impingement<\/a>
\n3.4 – Suprascapular Nerve Entrapment<\/a><\/p>\n
\n4.2 – Acupuncture<\/a>
\n4.3 – Injections<\/a>
\n4.4 – Surgery<\/a><\/p>\nSummary<\/strong><\/h2>\n
What is Shoulder Impingement?<\/strong><\/h2>\n
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History of Shoulder Impingement<\/strong><\/h2>\n
The different Types of Shoulder Impingement<\/strong><\/h2>\n
Subacromial Impingement<\/strong><\/h3>\n
What is Subacromial Impingement?<\/strong><\/h4>\n
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When does Subacromial Impingement Occur?<\/strong><\/h4>\n
Who Usually Suffers from Subacromial Impingement?<\/strong><\/h4>\n
What are the Causes, Signs and Symptoms of Subacromial Impingement?<\/strong><\/h4>\n
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Structural<\/strong><\/em><\/h5>\n