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.

Calcified shoulder

Shoulder pain and shoulder injuries

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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

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.

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