Shoulder pain and discomfort is a musculoskeletal problem that can affect virtually anyone at some stage in life. Although the causes of this ailment are varied, research indicates that most are linked to subcarpal tightness syndrome. It is a troublesome affliction that impedes normal functioning and interferes with sleep. Fortunately, there are treatment methods, physiotherapy and rehabilitation, that can help recover. Here's how to deal with it!
What is subarbar tightness syndrome?
Shoulder Impingement Syndrome (SIS for short) affects the subacromial bursa and rotator cone tendons. In simple terms, the problem occurs when the shoulder joint is blocked by adjacent structures, leading to rotator cone compression. As a result, the mobility of the shoulder is limited, and performing some movements can cause pain.
Subcarpal tightness syndrome is first stage rotator cone disorders.
Causes of subcarpal tightness syndrome
The most common cause of SIS is injury. Repeated overhead movements of the hands can lead to narrowing of the subacromial space. This results in Rotator ring damage, inflammation, swelling and pain. People who are particularly vulnerable to SIS are athletes (mainly volleyball, tennis and swimming players) and those who work professionally with overhead hand movements (e.g. painters, construction workers, electricians).
The cause may also be anatomical structurea (e.g., the hooked shape of the shoulder process) and degenerative changes, further narrowing the subcarpal space, exacerbating inflammation, pain and discomfort.
Symptoms of subcarpal tightness syndrome
Symptoms that may indicate the presence of SIS are mainly:
1. pain when raising the arm at an angle of 70-120° and lowering.
2. pain during sleep on the affected arm.
3. specific tenderness in the anterior and lateral part of the shoulder.
4. limited range of motion in the joint.
5. pain when reaching behind the back with the hand.
6 Sensation of stiffness in the shoulder.
7. noticeable weakness in shoulder muscle strength.
These symptoms develop gradually, often for several months. Professional diagnosis is key to successful treatment, and a visit to a specialist for appropriate tests (e.g., Neer and Yocum tests, X-rays, MRI scans) is essential.
How to treat subacromial tightness syndrome and regain function?
SIS treatment depends on individual case, diagnosed on the basis of research. In general, the treatment process includes:
1. rest and limit physical activity.
2. use of painkillers and anti-inflammatory drugs.
3. Physiotherapy and rehabilitation.
4 Steroid injections and possibly surgical intervention if previous methods are unsuccessful.
Physiotherapy provided by a qualified professional is key.
Its goal is to Relieve pain and inflammation and strengthening the rotator cone and stabilizing muscles of the shoulder blade. This leads to an increase in the space in which the tendons and the subacromial bursa are located, reducing pressure on the shoulder joint, which reduces inflammation and pain, restoring full function.
Laser therapy High Intensity Light Therapy (HILT), used at our Profizjoclinic clinic, is an effective therapeutic method. Studies have shown that HILT has immediate results in relieving pain and improving arm function. It works analgesicon and anti-inflammatory, having a beneficial effect on recovery. Laser therapy HILT works by reducing pain transmission and increasing the production of morphine-like substances. This non-invasive solution helps you regain full function by eliminating pain, resulting in restful sleep and a more comfortable life.
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