Shoulder impingement and rotator cuff related pain
“Shoulder impingement” is often used to describe pain from the rotator cuff tendons and the subacromial bursa. It typically causes pain when lifting the arm, reaching behind the back, or lying on the shoulder at night. Most cases respond well to targeted physiotherapy and progressive strengthening.
Common symptoms
- Pain between 60–120° when lifting the arm (painful arc)
- Night pain, especially when lying on the affected side
- Weakness or “giving way” with lifting
- Pain with pushing, pulling or overhead work
Assessment and diagnostic ultrasound
Clinical assessment identifies whether your pain is more consistent with bursitis, tendinopathy, a tear, AC joint irritation or referred neck pain. Diagnostic ultrasound can assess rotator cuff tendons, bursa thickening/fluid, and guide injections with accuracy if indicated.
Physiotherapy (first‑line)
- Progressive rotator cuff and scapular strength programme
- Load management for overhead work and gym movements
- Mobility work for thoracic spine and shoulder as needed
- Return‑to‑sport or return‑to‑work planning
Cortisone injection (when clinically appropriate)
A subacromial bursa cortisone injection can reduce inflammation‑driven pain in selected cases (e.g., painful bursitis) and help you progress rehab. We use ultrasound guidance for accuracy and provide consent and aftercare guidance.
Local keywords (for search)
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