Physiotherapy for subacromial impingement

Subacromial impingement and bursitis are conditions that commonly affect the shoulder, causing pain and inflammation in the subacromial space. Physiotherapy can be an effective treatment for subacromial impingement and bursitis, as it can help to reduce pain, inflammation, and restore function. Here are some specific ways in which physiotherapy can help people with subacromial impingement and bursitis:

  1. Assessment: A physiotherapist can perform a thorough assessment of the individual's symptoms and physical examination to determine the type and severity of the condition. This can help to identify the underlying causes of subacromial impingement or bursitis and develop an appropriate treatment plan.

  2. Exercise: A physiotherapist can develop an exercise program that is tailored to the individual's needs and goals. Exercises that focus on strengthening the rotator cuff and shoulder blade muscles can help to improve stability and support the shoulder joint. Range-of-motion exercises can also be beneficial in reducing stiffness and improving mobility.

  3. Manual therapy: This involves hands-on techniques like soft tissue massage, joint mobilization, and stretching. Manual therapy can help to reduce muscle tension and improve joint mobility.

  4. Education: A physiotherapist can teach individuals with subacromial impingement or bursitis about proper posture and body mechanics. They can also provide advice on ergonomics and workplace modifications to reduce stress on the shoulder joint.

  5. Modalities: Different physical modalities like hot/cold therapy, ultrasound, and electrical stimulation can also be used to help alleviate pain and promote healing.

  6. Activity modification: A physiotherapist can advise on modifying daily activities or exercise routines to reduce stress on the shoulder joint.

Overall, physiotherapy can be an effective treatment for subacromial impingement and bursitis, as it helps to reduce pain, inflammation, and restore function. However, it is important to work with a trained and experienced physiotherapist who can design a treatment plan that is tailored to your specific needs and goals. In severe cases, other interventions such as injections or surgery may be required, and physiotherapy can also be helpful in post-surgical rehabilitation.