Impingement Syndrome

Impingement Syndrome
May 20, 2016

impingement-syndrome“Impingement syndrome is not a condition but a reason that induces rotator cuff tear or shoulder bursitis”, asserts Dr. Gupta.
Dr. Gupta an MBBS and MS in Orthopedics from AIIMS has been effectively treating such shoulder debilitations for past 20 years. He believes that every condition despite the same symptoms has something new to teach him and though he has performed more than 6000 surgeries with deft hands yet every surgery is a new experience of endurance and skill.
“Shoulder region is the only part in human body where the placement of muscles and tendons is sandwiched between bones on either side causing easy shoulder problems. When tendons in the rotator cuff sustain injury, they swell but being encompassed within bones find no space and get damaged while passing through the narrow arch called subracromial space”, emphatically states Dr. Gupta.

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Germany and USA have been Dr. Gupta’s forte countries to acquire intensive knowledge and in depth training to each and every complexities involving upper extremity limbs. Speaking out more on impingement syndrome he says, “Whenever overhead gestures of the arm and reaching behind the back start becoming painful along with weakness in the shoulder region it is best advisable to consult a orthopedics. Being a common problem it affects more than 1 million cases with aging adults more susceptible to it at large, every year. It takes a few months time to be cured of.”

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Extreme calm demeanor and passionate observance of each case that Dr. Gupta handles makes him a class apart from other specialists in the field and reassuringly he observes, “Impingement syndrome is easily deduced by some imaging tests which show changes in the bone contour and then it can be treated by surgical and nonsurgical techniques. Here it is essential to understand that surgical techniques are only adopted if the impingement syndrome has resulted in rotator cuff tendonitis or shoulder bursitis. Depending on the findings in the diagnostics a treatment plan is formulated with both techniques of surgery and oral medication combined to provide relief to the patient.”


FAQ – Impingement Syndrome

Impingement Syndrome refers to a debilitating shoulder condition. As unlike other parts of the body where bones are covered by muscles and tendons, in shoulder region the muscles and tendons are encompassed in a framework of bones. On tapping at the top of the shoulder(acromion) the part that is felt underneath is the bone under which lies rotator cuff (muscles and tendons framework) which is again braced by the arm bone on the lower side. This unique arrangement of bone- muscles and tendons-bone is the reason to trigger off impingement syndrome which is closely related to shoulder bursitis / rotator cuff tendonitis.
Shoulder impingement syndrome is caused when the tendons of the rotator cuff get impinged while passing through the narrow bony arch just below the acromion. As these tendons become larger and thicker in that subacromial space the condition worsens by them being confined in that narrow space.
The possible factors that lead to impingement syndrome are repeated overhead activity of the shoulder such as painting, swimming, tennis or abnormalities of bones and joints.
Very common signs that signify impingement syndrome are weakness in the muscles of the shoulder region, extreme pain in the arm when lifted overhead or reaching behind the back.
The orthopedic examines the shoulder thoroughly and goes through the entire medical history of the patient. To rule out the possibility of arthritis some imaging tests such as an X-Ray are conducted on the patient and then bone spurs or changes in the normal contour of the bone are taken into account to conclude impingement syndrome.
Impingement syndrome is also referred to as thrower’s or swimmer’s shoulder.

Anti-Inflammatory medicines: The most commonly used methodology in impingement syndrome are anti-inflammatory medicines for a few weeks. In cases of non relief by medicines the other prescribed technique is stretching the shoulder muscles under warm water but only under an able guidance of a physical therapist.

Cortisone Injections: The orthopedics might also give cortisone injections under severe pain to the patient with impingement syndrome and advise the patient to avoid overhead use of the arm on the side of the shoulder affected. Impingement syndrome is contributory to Rotator Cuff Tendonitis or Shoulder Bursitis and under these conditions relief to the patient is provided by surgical techniques which can either be by arthroscopic technique or open surgery.

Arthroscopic Repair: under this technique thin and small surgical instruments are inserted in the shoulder region through small invasive cuts and one among them is an optic lens which enables the surgeon to view the damaged part. The tendons are thus repaired by removal of some part of acromion and bursa tissue and the patient is provide relief henceforth.

Open Surgery: Under this technique the surgeon makes a cut on the front of the shoulder region to expose the rotator cuff or bursa to repair the damaged part by either removing it or replacing it.

After the necessary technique, the shoulder arm will be immobilized for a short period to assist healing by putting it in a sling and certain exercises will be prescribed to bring back motion.

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