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Initial treatment for shoulder impingement should begin with and include rest and a reduction in activity. The avoidance of all overhead activities is recommended. |
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A rehabilitation program involving physical therapy is suggested after the initial shoulder symptoms have subsided. |
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NSAIDs
NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) are a group of drugs used to control pain. This category of medications includes both prescription and common over-the-counter painkillers such as ibuprofen. NSAIDs are effective for many types of pain that can occur because of inflammation of muscles, joints and bones. The drugs work quickly and people often notice some benefit within a few hours of taking the tablet. However, the complete effectiveness of the drug may not be realized for up to four weeks. For each individual, some varieties of NSAIDs are more effective than others. Often, patients will find that one or two varieties are helpful whereas others may not be as effective in controlling symptoms. It is usually necessary to try several brands and continue with the one that is most suitable. NSAIDs can be used to treat:
Pain resulting from inflammation or swelling.
Pain after injury.
Joint pain and arthritis.
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Patients who follow the recommended course of therapy, should expect a complete recovery within six (6) weeks. With a severe shoulder injury where tearing of the muscle and tendon has occurred, scar tissue may remain and full range of motion may never be obtained.
Patients with rotator cuff tears in addition to impingement often require surgery. In these cases, it may take 3-6 months for recovery; however, a majority will be able to return to their preinjury level of activity.
A complete recovery is dependent on the severity of the injury, the health and habits of the patient, the pre-injury condition of the shoulder, and the patient's compliance with a prescribed physical therapy program or conditions present.
Maintaining an active exercise program, which includes stretching and strengthening of the shoulder muscles to avoid stiffness and weakness is recommended. Adhesive capsulitis (Frozen Shoulder syndrome) may result if exercise is avoided.
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Poor muscle conditioning or nutrition may increase the risk for further injury or prolong your recovery time.
Improper lifting of heavy objects following may inhibit healing or result in further injury to the tendons.
The participation in sports involving repetitive motion of this arm and shoulder may predispose the rotator cuff to further injury.
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