Dr. Mitchell F. Fagelman specializes in the treatment of a wide range of orthopedic conditions affecting the shoulder joint. He uses advanced techniques to treat Shoulder Impingement and help patients find relief from pain.

Shoulder Impingement

The rotator cuff is made up of four muscles and tendons which joins the upper arm with the shoulder blade. Shoulder Impingement is a condition characterized by irritation or inflammation of the rotator cuff muscles. People involved in activities such as painting, weight lifting, swimming, tennis etc. are more susceptible to this condition.

Depending on the severity of the condition, it may be classified into:

  • Grade 1:  There is inflammation of the bursa which is a fluid filled sac that lies between rotator cuff tendon and acromion.
  • Grade 2: Thickening of the bursa occurs in this condition.
  • Grade 3: Rotator cuff degeneration and tearing takes place.

Causes Of Shoulder Impingement

  • Sudden Fall or Injury: A sudden fall or injury may result in thickening of the rotator cuff tendon which causes pain in the shoulder.
  • Bone Spurs: Bone spurs at subacromial space may lead to Shoulder Impingement Syndrome by narrowing the space causing the tendons to rub against the bone.
  • Lifting heavy weights: It can strain the shoulder joint and cause pain in the muscles.
  • Accumulation of calcium deposits: Amassing of the calcium deposits in the rotator cuff tendon can also lead to Shoulder Impingement.

Symptoms Of Shoulder Impingement

  • Pain: There is gradual pain initially but it may increase in the early stages. The pain may also proliferate at night.
  • Weakness: Weakness can be felt while raising the shoulder.
  • Limited range of motion: It may become difficult to move the shoulder.
  • Popping sensation: Popping sensation occurs during movement of shoulder.

Diagnosis Of Shoulder Impingement

An orthopedic doctor may examine the shoulder by elevating or twisting the arm of the patient. He may conduct X-ray, MRI, Ultrasound or Arthrogram to determine the cause and severity of the condition.

Treatment For Shoulder Impingement

  • Medications: Non-steroidal anti-inflammatory medications may be prescribed by the doctor to provide relief from pain and swelling.
  • Exercises: The orthopedic doctor may recommend specific exercises to improve flexibility and strength of shoulder muscles.
  • Rest:  Providing sufficient rest to the affected area may improve the condition. The patient may also be advised to avoid activities that may strain the joint.
  • Ice packs: Applying ice packs at frequent intervals may help in reducing swelling and pain. Heat therapy may also be beneficial in relieving discomfort.

Surgical treatment

Subacromial Decompression: In this procedure, subacromial space i.e. a narrow space in the top of the shoulder, is broadened with the help of arthrocopy. It is done to prevent rubbing of rotator cuff tendon against the bone. Arthroscopy can also be used to remove calcium deposits in the shoulder.

Visit Dr. Fagelman for diagnosis and treatment of Shoulder Impingement. For appointment with the shoulder specialist in Carrollton, TX, call at (972) 492 – 1334.