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Understanding Shoulder Impingement: Why Physical Therapy is Your Best First Step

Physical therapist assisting a patient with shoulder exercises during therapy session.

Shoulder pain can be frustrating, especially when it keeps you from doing the things you love. If you’ve recently been told you have shoulder impingement, you might feel unsure about what to do next. The good news is that you don’t need X-rays, MRIs, or injections to start feeling better. Physical therapy is a direct, effective solution that can help you recover naturally. Let’s dive into what shoulder impingement is and how physical therapy can help.

What is Shoulder Impingement?

A Simple Explanation

Shoulder impingement happens when the tendons in your shoulder get pinched or irritated. This can make it painful to lift your arm or do simple activities like brushing your hair or reaching for something on a shelf.

Common Signs and Symptoms

  • Shoulder pain, especially when lifting your arm
  • A feeling of weakness in your shoulder
  • Pain that worsens at night or after activity

Why Shoulder Impingement Happens

Often, shoulder impingement is caused by repetitive movements, poor posture, or overuse of the shoulder. It can also happen if the muscles around your shoulder aren’t strong enough to support the joint properly.

Why Physical Therapy Should Be Your First Choice

Physical therapist demonstrating tailored shoulder exercises to a patient as a first-choice treatment for recovery

No Need for X-Rays or MRIs

You don’t need expensive tests like X-rays or MRIs to start feeling better. Physical therapists are experts in diagnosing and treating shoulder impingement just by understanding your symptoms and testing your range of motion and strength.

Avoiding Injections and Pain Medications

Injections and pain medications only mask the problem temporarily. Physical therapy gets to the root cause of the issue, helping you heal naturally and avoid side effects.

Breaking Free from the Healthcare Hamster Wheel

It’s easy to feel stuck when you’re bouncing between doctors, specialists, and tests. Physical therapy offers a direct, effective solution that saves you time, money, and frustration.

How Physical Therapy Helps Shoulder Impingement

Reducing Pain Naturally

Physical therapy uses gentle techniques to ease pain without medications. Therapists may use methods like heat, ice, or manual therapy to reduce swelling and discomfort.

Improving Shoulder Strength and Flexibility

Physical therapy focuses on strengthening the muscles around your shoulder to provide better support. Therapists also guide you through stretches to improve flexibility and reduce tension, making it easier for you to move your arm without pain.

Personalized Care for Lasting Results

Unlike one-size-fits-all solutions, physical therapy is tailored to your specific needs. Your therapist will create a plan that works for your pain level, activity goals, and lifestyle, ensuring lasting recovery.

Common Physical Therapy Techniques and Exercises

Illustration of simple home exercises for managing shoulder impingement, promoting recovery and mobility.

Strengthening the Shoulder Muscles

Strengthening exercises focus on building up the muscles in your shoulder and back. For example, exercises like wall push-ups or light resistance band work can make a big difference.

Improving Posture to Reduce Shoulder Strain

Poor posture often contributes to shoulder impingement. Your therapist can teach you how to sit, stand, and move in ways that take pressure off your shoulder joint and reduce strain.

Tips for Managing Shoulder Impingement at Home

Safe Exercises to Do on Your Own

Your physical therapist may recommend simple exercises you can do at home, like shoulder rolls or pendulum swings, to keep your recovery on track.

When to Rest and When to Move

It’s important to find the right balance between rest and movement. Avoid overusing your shoulder, but don’t let it become stiff from inactivity.

How to Prevent Shoulder Problems in the Future

After your recovery, maintaining strong and flexible shoulder muscles can help prevent future injuries. Regular exercise, good posture, and taking breaks during repetitive activities can keep your shoulders healthy.

Frequently Asked Questions About Shoulder Impingement

Can Physical Therapy Help Without an MRI or X-Ray?

Yes! Physical therapists can diagnose and treat shoulder impingement based on your symptoms and how your shoulder moves. No imaging is needed to start feeling better.

How Long Does Recovery Take with PT?

Every person is different, but many people start noticing improvements within a few weeks of starting physical therapy. Consistency with your therapy plan is key to faster recovery.

Will I Need Surgery if I Start PT Early?

In most cases, surgery isn’t necessary for shoulder impingement. Starting physical therapy early can address the problem before it gets worse, reducing the chances of needing more invasive treatments.

Conclusion

Shoulder impingement doesn’t have to hold you back. Physical therapy offers a safe, effective, and direct path to recovery without the need for costly tests, injections, or medications. By working with a physical therapist, you can take control of your shoulder health and get back to the activities you love. Don’t wait—start your recovery today!

Jenn Wallace​
AUTHOR

Jenn Wallace

Progressive Mobility

"We help active adults and athletes in the Spartanburg area get back to sports and activities that they love, while avoiding surgery, injections & medications"
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