Dr Marcus Chia - Shoulder Surgeon
Learn about rotator cuff impingement causes and treatment options.
A rotator cuff impingement is a shoulder injury that affects the muscles and tendons you use to lift and move your arms.
Your rotator cuff is the name for the group of muscles and tendons between your arm (humerus) and the tip of the outer edge of your shoulder blade (acromion).
You use these muscles and tendons when you raise your arm over your head and rotate your arm to and from your body.
If one of these tendons get injured, they swell and the top of your shoulder joint pinches them (hence the name impingement), restricting blood flow.
The swelling causes the tendon to rub against the acromion, narrowing the space more and causing the tendon to fray.
Other names for rotator cuff impingement include:
If you have a rotator cuff impingement, you’ll notice the following symptoms:
You will most likely notice pain when you’re lying on the affected shoulder – as well as pain at night, which can make it difficult to sleep.
Rotator cuff impingement can be caused by:
If your rotator cuff impingement is due to an injury, the pain will occur suddenly.
If it’s due to general wear and tear as you age, though, the pain will come on gradually.
Because rotator cuff impingement has similar signs and symptoms to other types of shoulder injuries it’s important to get a proper diagnosis and treatment.
Many shoulder injuries can occur in combination with other types of injuries. A severe rotator cuff impingement can lead to a torn biceps muscle tendon.
Dr Chia will take a detailed history and perform a physical exam. He will ask you about your activities, general health and any injuries that may have happened before your symptoms started. He will examine your shoulder to identify the location of the pain and any issues with strength and motion.
You may need an X-ray, ultrasound or magnetic resonance imaging (MRI) scan to determine the cause of your shoulder injury. These scans can rule out other causes and identify any other issues.
There are both surgical and non-surgical treatment options for rotator cuff impingements.
Non-surgical treatments include:
Dr Chia will develop a personalised treatment plan incorporating these treatments so you can manage your injury safely at home.
Many people are able to improve their range of motion and reduce shoulder pain after a few weeks or months.
If your symptoms don’t improve after trying the non-surgical treatment options, you may need surgery. Surgery can help to improve your pain and increase your range of motion in your shoulder.
The surgical technique for rotator cuff impingement is called subacromial decompression (SAD). During the surgery, Dr Chia will remove part of the acromion which helps to create more space for the rotator cuff. Dr Chia uses keyhole surgery (minimally invasive) which involves a series of small cuts rather than one large cut.
In many cases, you can return home straight after your surgery. You will need to wear a sling for a few days. Most people regain full range of motion after a few weeks.
If you need surgery, Dr Chia will explain the surgery and recovery process in detail.
Dr Chia offers specialist diagnosis, management and treatment for rotator cuff injuries, including rotator cuff impingement.
An experienced shoulder surgeon, Dr Chia uses minimally invasive and advanced techniques to help you heal, recover and improve your motion.
If you are concerned you may have a shoulder injury, contact us today
Any surgical or invasive procedure carries risks. The information provided here is for general educational purposes only. For more information on rotator cuff tear treatment options, please contact the office of Dr Marcus Chia - Sydney Orthopaedic Shoulder and Elbow Surgeon.
For appointments and enquiries, please phone (02) 8014 4252
Suite 20, Level 7
Northern Beaches Hospital
105 Frenchs Forest Road
Frenchs Forest NSW 2086
Mona Vale Rooms
Suite 502, 20 Bungan Street
Mona Vale NSW 2103
Suite 1, 402 Military Road
Cremorne NSW 2090
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