Diagnosis

Diagnosis is usually made after a physical examination, often by a sports medicine physician. X rays are also sometimes used in diagnosis as well as an arthrogram. However, the arthrogram is an invasive procedure and may be painful afterwards. For this reason, magnetic resonance imaging (MRI) is preferred to determine tendon tears as it also show greater detail than the arthrogram.

Treatment

Non-operative: Most cases of Impingement Syndrome will respond to rest, anti-inflammatory drugs and a directed course of physical therapy. Resolution of symptoms usually takes several weeks. Return to full activity may, however, take several months depending on the severity of the injury. Occasionally, a steroid injection may also be used to help alleviate pain in older patients.

Operative: If non-operative measures do not control the pain and restore full function, surgery may be needed. Surgery is done to either remove the scarred and inflamed tissue (bursitis) and or open up the space available for the rotator cuff by shaving down spurs (Subacromial Decompression). Repair or reattachment of torn rotator cuff tendons may also be necessary.

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Muscle Pull I Neck Strain I Frozen Shoulder I Lower Back I Tennis Elbow I Runner's Knee I Shin Splints I Sprained Ankle I Achilles Tendon I Rotator Cuff

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