Swimmers Shoulder - What is it?
Why does it occur?
Symptoms
Diagnosis
Management
Prognosis
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Swimmers Shoulder - What is it?
Impingement is pinching of the tendon(s) between the shoulder joint and overhanging
bone. The tendon(s) is pinched when the shoulder is moved into a position that
squashes the tendon against the overlying bone.
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Why does it occur?
Shoulder impingement may be caused by an injury (eg a fall onto the outstretched arm, lifting an object). However, it usually develops due to a combination of poor shoulder mechanics and overuse/increased use of the shoulder for work or exercise.
As the tendon is pinched, it becomes swollen making it larger and therefore easier to pinch, thus a vicious cycle is established.
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Symptoms
A catch of sharp pain in the shoulder or upper arm when the arm is moved into certain positions (eg overhead, across body, behind back).
Dull aching in the shoulder and/or arm
Pain during overhead sporting activities (eg throwing, serving, swimming, weight lifting)
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Diagnosis
Hastings physiotherapists can differentiate shoulder impingement from other causes of shoulder pain, and can organise further investigations if necessary. You do not need a referral from your doctor.
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Management
Physiotherapy focuses on reducing inflammation of tendons and restoring normal shoulder mechanics.
This incorporates:
Massage and stretching of tight muscles and ligaments
Exercises to strengthen the stabilising muscles of the shoulder and shoulder blade.
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Prognosis
Given that a physiotherapy program is adhered to, prognosis is quite good. If chronic impingement has developed over time, recovery is slower as longstanding problems need to be addressed. However, prognosis remains fair to good.
Hastings physiotherapists will be happy to confidentially discuss any of your concerns.
This fact sheet is not designed to replace the advice of your health professional.
FOR FURTHER INFORMATION OR TO MAKE AN APPOINTMENT PLEASE PHONE
HASTING SPORTS INJURY AND PHYSIOTHERAPY CENTER
Phone: (02) 6583 2111
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