Impingement Syndrome-Swimmers Shoulder Throwers Shoulder Information

Impingement Syndrome-Swimmers Shoulder Throwers Shoulder Information

Impingement Syndrome, also called swimmer’s shoulder, thrower’s shoulder, painful arc syndrome, and supraspinatus syndrome, is a common cause of shoulder pain, weakness, and range of motion limitations.

 

 

 

Anatomy As It Relates To Impingement Syndrome

The main structures of the shoulder are the clavicle (collarbone), scapula (shoulder blade), and the humerus (upper arm bone) bones; the supraspinatus, infraspinatus, teres minor, and subscapularis muscles; and the glen humeral, sternoclavicular, and acromioclavicular joints. The glenohumeral joint is the shoulder joint is a ball and socket joint that formed by the articulation of the head of the humerus (ball) and the glenoid fossa of the scapula (socket). The rotor cuff, also called the rotator cuff, is an anatomical term used to describe the four shoulder muscles mentioned above and their tendons. The rotor cuff connects the scapula and humerus bones and moves within a space termed the subacromial space. When the muscles in the arm are used for abduction or rotation movements, the muscles pull on their connective tendons to perform the movement. The rotor cuff works to keep the head of the humerus tightly in the glenoid fossa. Another important structure involved in impingement syndrome are the bursae, which are fluid filled sacs that reduce friction and permit smooth movement between muscles, tendons, and bones. In the shoulder, a bursa cushions the rotor cuff from the acromion (the upper aspect or roof of the scapula.)

What Is Impingement Syndrome - Swimmer's Shoulder And Thrower's Shoulder?

The space where the rotor cuff moves is limited, with little free space available. Impingement syndrome occurs when the space within the subacromial space becomes further limited and the tendons of the rotor cuff are impinged or pinched as they pass through the space. The pinching results in the tendon or tendons becoming inflamed and irritated. Of note, while untreated impingement syndrome may lead to a rotor cuff tear, these two are separate conditions.

What Causes Impingement Syndrome?

The narrowing of the subacromial space is usually secondary to another medical process; for example, subacromial or osteoarthritis spurs, thickening or calcification of the coracoacromial ligament, injury to the rotor cuff muscles, localized tendonitis or bursitis, shoulder instability, scapula injury, an oddly shaped acromion, congenital abnormalities of the acromion (os acromial), or a muscular imbalance between the rotor cuff and deltoid muscles.

A slight impingement usually occurs to some degree in most shoulders. This occurs from wear and tear on shoulder structures from everyday activities that require abduction and rotation. It is when these motions are prolonged and repetitive that a problem occurs, such as seen in professional/athletic swimmers or baseball pitchers. Both of these sports require the participant to raise their arms overhead to perform a swim stroke or throw a ball, thus the terms thrower’s shoulder and swimmer’s shoulder. Shoulder impingement syndrome is also common among those with jobs that require repetitive overhead work like painting or construction professions.

What Are The General Symptoms Of Impingement Syndrome?

* usually starts as a generalized shoulder ache, but may have a sudden onset if acute trauma is involved
* shoulder pain usually gradually progresses as impingement worsens
* pain intensifies with overhead activities or when the arm is abducted or rotated
* pain may radiate from the shoulder to the side of the arm
* joint stiffness or loss of motion
* a catching sensation upon abduction and rotation movements
* shoulder weakness
* sleeping might be difficult, especially for those that sleep on their side

 

Strengthening Exercises

These Impingement Syndrome Exercises are ideal to build strength and flexibility.

Massage Treatment

These Impingement Syndrome Massage Techniques are of great value in pain relief; circulation stimulation; dispersing blood and fluid accumulations; swelling reduction; and relaxing muscle spasms, especially when used alongside the Sinew Therapeutics liniments, soaks and massage oil.

 

ACUTE STAGE SYMPTOMS AND TREATMENT

 

This stage is characterized by swelling, redness, pain, and possibly a local sensation of heat, indicating inflammation. If coolness makes your pain feel better, then the Acute Stage Treatment is recommended.

 

ACUTE STAGE SYMPTOMS:

 

The acute stage starts the moment an injury occurs and lasts until the swelling and inflammation are gone. The swelling is the result of the blockage of blood, tissue fluids and circulation in the shoulder because their normal movement has been disrupted by the force of the injury. Just like cars back up behind a traffic jam, causing congestion, exhaust and overheating; blood and fluids back up behind the injured shoulder, causing pain, inflammation, lumps and swelling.

The sensation of heat is due to the warming action of the blood and fluids overheating in the injured shoulder as they back up and accumulate. Stiffness and decreased mobility are due to spasms in tendons and ligaments that have contracted reflexively beyond their normal range from the impact of the injury.

As ligaments and tendons stretch and tear, blood from ruptured blood vessels becomes trapped in the local tissues. As the trapped blood clots up, it sticks the tissues together creating adhesions. Adhesions cause pain, inflammation and restricted movement because the layers of tissue that used to slide smoothly across one another now adhere and snap which interferes with normal functioning. It is essential to break up clotted blood as quickly as possible to prevent adhesions and scar tissue from forming.

During the acute stage it is very important to restore normal circulation to the shoulder, break up clotted blood and stagnant fluids, reduce swelling, and reduce the redness and heat associated with inflammation. By restoring the flow of blood, fluids, and circulation in the shoulder, then pain is relieved, damaged tissues can regenerate with healthy functional tissue, and the shoulder can strengthen and regain it's mobility.

 

ACUTE STAGE TREATMENT:

 

1. Apply the Sinew Herbal Ice on your shoulder to reduce redness, swelling, and inflammation while dispersing accumulated blood and fluids to help restore normal circulation to the shoulder. This first-aid treatment is used in place of ice to significantly speed up the healing process. It reduces the swelling and inflammation more effectively than ice, allowing you to more quickly regain range of motion. Acute Sinew Liniment can be used in-between applications.

Ice is not recommended because it does not help repair damaged tissues and keeps everything in the injured area frozen, causing the stagnation of blood and fluids and the contraction of muscles, tendons and ligaments. In Chinese sports medicine ice is not used and is considered a culprit in injuries that donít heal well.

2. Massage your shoulder with Acute Sinew Liniment to relieve pain, reduce swelling and inflammation, break up clotted blood and stagnant fluids, and stimulate circulation of blood and fluids to help cells quickly repair damaged tissues. Sinew Herbal Ice can be used in-between applications.

3. The Sinew Sports Massage Oil is recommended for use before and after exercise, sports and strenuous activity. It warms and stimulates your muscles, increases circulation and relieves tightness, hence improving your performance and helping to prevent injury.

 

 

CHRONIC STAGE SYMPTOMS AND TREATMENT

 

This stage begins once the swelling and inflammation are gone, but you still feel pain, stiffness, weakness, and/or sensitivity in cold and damp weather. If heat makes your pain feel better, then the Chronic Stage Treatment is recommended.


CHRONIC STAGE SYMPTOMS:

 

The chronic stage begins once the swelling and inflammation are gone, but you still feel aching pain and stiffness. This is because there are still accumulations of stagnant blood and fluids in your shoulder that are blocking circulation and blood supply to damaged tissues, creating residual pain, stiffness and weakness. You may actually feel hard nodules like sand in the tissue, indicating accumulation, calcification, and adhesions, which all cause pain, stiffness, and joint instability.

Your shoulder may feel more sensitive to the cold and ache in cold and damp weather due to impaired circulation. When you move your shoulder you may hear a clicking or popping sound from the tendons and ligaments slipping very slightly in and out of their natural alignment indicating weakness and joint instability, causing chronic pain and a cycle of reinjury. These symptoms are often the result of failure to treat the injury properly from the outset and overicing.

Increasing circulation and blood supply to the damaged tissues is very important in treating chronic injuries because tendons and ligaments do not have an extensive direct supply of blood. That is why chronic injuries can be slow to heal. Increasing local circulation also prevents cold and dampness from penetrating the injured area, preventing pain and stiffness.

During the chronic stage it is very important to break up remaining accumulations of blood and fluids, and increase circulation and blood supply to the damaged tissues. By increasing circulation and blood flow in the shoulder, then pain and stiffness is relieved, and the tendons and ligaments can strengthen to restore stability.


CHRONIC STAGE TREATMENT:

 

1. Massage your shoulder with Chronic Sinew Liniment to relieve pain and stiffness, strongly stimulate circulation and blood flow to damaged tissues, and promote the healing of overstretched tendons and ligaments. Sinew Injury Poultice can be used in-between applications.

2. Apply the Sinew Injury Poultice on your shoulder to relieve residual pain and stiffness, significantly stimulate circulation and blood flow to damaged tissues, and further promote the healing of overstretched tendons and ligaments. The Sinew Injury Poultice is particularly useful if your shoulder is more painful in cold and damp weather. Chronic Sinew Liniment can be used in-between applications.

3. The Sinew Sports Massage Oil is recommended for use before and after exercise, sports and strenuous activity. It warms and stimulates your muscles, increases circulation and relieves tightness, hence improving your performance and helping to prevent injury.