Treatment of impingement syndrome
We help you with your shoulder pain
The precise diagnosis can be difficult to make from clinical tests alone, which is why we rely heavily on ultrasound imaging as a natural part of our investigation. This way, we can initiate the correct course of treatment, already at the first treatment in the clinic.
In primary extensor impingement syndrome, which is usually the result of a real strain, laser therapy is used initially to reduce the level of pain and inflammation in the area. At the same time, gentle joint mobilisation techniques and massage are used to calm the area. Then we will probably supplement with shockwave treatment, which gives a really good effect to get in depth.
The internal impingement syndrome is more frequently seen in throwing sports, and is caused by a forced outward rotation of the upper arm during the throw. This pinching causes discomfort at the back of the shoulder joint. Treatment consists of eliminating the awkward movement using external support, such as tape, and then training your own muscles to control the position of the shoulder in external positions. Laser can be used for pain relief in the initial period of treatment, as well as in case of relapse.
Shoulder pain and shoulder injuries
Effective and fast-acting treatment from a highly competent practitioner. Before a race I overloaded my knee, which resulted in severe pain and made my participation in the race unlikely. I was lucky enough to get an appointment on the day, which resulted in me being able to complete the race without pain – even afterwards. I would definitely recommend MS Insight.Christian Henderson
Michael fixed my knee injury after only 2 treatments.. No waiting time and super effective treatment.. Thank you for your help. Greetings KnudKnud Hyltoft
I received very professional treatment from Michael. I arrived with shoulder pain where my arm could not be brought up to my ear and before I left the clinic my shoulder was fully functional and pain free. Highly recommend MS insight. The best treatment I have received in a long time.Sissel Secher-Nielsen
I have received exceptionally good and very effective treatment from Michael at MS Insight. The combination of Shockwave and Magnetolith, has given extremely good and clearly noticeable results, even before I left the clinic. Michael is extremely skilled, and with the equipment the clinic possesses, can help where no one else could, and even with great success. My best recommendations. You will not regret your visit to MS Insight – I am impressed.Louise Hansen
Good treatment. Professional and explorative. Michael works with many forms of treatment and this means you don’t have to go to 10 different treatments. His knowledge and expertise is super. You are in safe hands. What otherwise couldn’t be treated with either chiropractic, medication or exercise, he fixed with one of his great machines (I had Chostocondritis as far as I could tell, inflammation between the sternum and ribs that prevented me from stretching and caused chest tightness). He also helped my mother through a herniated disc and not just the herniated disc itself, but the things that can come with not having your body 100% in balance, leg pain, infiltrations(or whatever it’s called😊) and good shoe inserts for posture and when walking.Athene Vistisen
Received treatments at MS Insight for an acute muscle injury in the shoulder. Have experienced improvement from first treatment as well as great flexibility in getting an appointment quickly with follow up treatments. Have returned to normal function well and quickly after 1 month.Charlotte Bodil Hermansen
Clear recommendation from here !!! 🙂 — Fixed my fatigue fracture with laser and eventually got me running again — You can always contact him for an emergency appointment; usually answers within a short time. Thumbs up !!Que Son Vu
FAQ on Treatment of Impingement Syndrome
In the treatment, we have chosen to use Level-4 laser, and if necessary, we can supplement with focused shockwave. The laser light goes in and increases circulation in the tissue and softens the structure around the tendon and musculature and is 100% painless.
With laser treatment of impingement with the level 4 lasers we have in the clinic, we can go in to stimulate the following in the tissue:
- 650-nm Stimulates surface healing
- 810-nm Stimulates and increases ATP production in cells
- 915-nm Stimulates a more efficient release of oxygen to the cells
- 980-nm Stimulates increased blood circulation
In particular, the ability to dull pain and increase circulation is important in the treatment of Impingement Syndrome. It does this by stimulating the cells’ healing process and fighting inflammation, which will allow the condition to diminish and real rehabilitation to begin.
If the ultrasound scan reveals minor calcifications and restrictions, we can complement the laser treatment with focused shockwave. Pain-free mobilisation and “optimal loading” are super important to promote the healing process.
Rotator cuff syndrome or impingement syndrome is the term used to describe a disorder involving pain in the shoulder. It is frequent with radiation to the upper arm, especially when moving the arm out to the side or forward in front of the body. It could be picking up a cup from a cupboard in the kitchen or putting your arm out to signal a turn on your bike. The pain is typically localised around the supraspinatus tendon, which sits on top of the shoulder. It can mainly be divided into 2 categories, an external and an internal impingement.
The internal impingement can be where there is a physical barrier to movement, for example a minor calcification of the tendon which is causing discomfort and inflammation.
The external impingement often comes as a result of an overload of the structure of the shoulder. This can be caused by instability in the shoulder joint, which gives rise to shoulder pain. It is therefore important to identify the cause.
After the initial treatment with laser therapy, the shoulder faces a period of rehabilitation of the tendon tissue of the shoulder, with training gradually increasing in load and intensity. Here you will be followed to the letter by the clinic’s physiotherapists, as the tendons are damaged and weakened and require the right control of intensity to prevent a relapse. This period can take up to 1 year, during which you train yourself and with us.
In the case of a secondary external impingement, which has arisen due to a functional instability of the shoulder joint, treatment in the initial phase will also consist of laser treatment, massage and not least mobilisation to correct shortened structures in the form of tight muscles or reduced mobility in joints, but here rehabilitation of shoulder control, and especially control of the scapula, is the most important part of the course of treatment after the first weeks. Here we can continuously supplement with laser therapy, to provide increased mobility and the possibility of higher quality movements.
The clinic works with Secma Medical to train other therapists and practitioners in shockwave and laser treatment.
Shoulder pain limits your quality of life and we are ready to help you.
We work with specialized treatment of acute and chronic shoulder pain in a combination of different shockwave technologies, EMTT and laser therapy.