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This page was published on Feb 22, 2018, edited on Mar 25, 2018 by Dr. Melepura (Pain Management Doctor) of Sports Injury & Pain Management Clinic of New York

A quick and easy shoulder impingement test tells your NYC shoulder doctor whether you’re a candidate for shoulder impingement treatment. When you catch it early, your shoulder impingement recovery time may be as short as a couple weeks. Treatment with physical therapy helps you regain your full range of motion. Come to our sports injury clinic for pain evaluation and treatment. Meet our pain doctor Febin Melepura M.D. to get the pain relief you need in the safe, reassuring hands of the best sports pain specialists in NYC.

Shoulder Impingement Treatment Doctor in NYC, Shoulder SpecialistShoulder pain is a common condition due to the number of components that make up the shoulder. The three main bones that form your shoulder are the humerus, scapula and clavicle. And these bones are held in the shallow socket by your rotator cuff, making a rotator cuff injury the most common source of pain in the shoulder. Other sources of shoulder pain include:

Shoulder impingement, often called a pinched nerve, happens when your rotator cuff gets pinched between your humerus and scapula. Untreated, long-term impingement can lead to various stages of shoulder arthritis, tendonitis and bursitis, which is why you should see your Midtown Manhattan sports medicine and pain doctor for shoulder impingement treatment when you experience shoulder pain.

The Shoulder Impingement Test

A shoulder impingement test is designed specifically to target pain on the top and sides of your shoulder — and pain that occurs when you lift your arm or rotate it out to the side. Your New York City team of experts may begin with palpitations, observations and range-of-motion exercises to determine the extent of the damage. Then they’ll move to one or more shoulder impingement tests that may include:

  • Hawkins-Kennedy Test. In this exam, you raise your arm about 90 degrees in front of your body, with your elbow bent. Your doctor then moves your elbow up while moving your wrist in a downward motion. If this manipulation causes you pain, then you may have a supraspinatus impingement.
  • Empty Can Test. During this test, you lift your arm out in front of your body at a 45 degree angle with your thumb facing the floor, as if you’re holding a can. Your doctor applies pressure on top of your arm while you try to lift it. Pain during this movement indicates a potential tendon impingement.
  • Neer’s Sign. For this shoulder impingement test, you’re asked to place your arm in the same position as for the empty can test. This time, however, the doctor pushes your arm upward above your head. Impingement is likely if this test causes you pain or discomfort.

Do You Need Shoulder Impingement Treatment with Physical Therapy?

Rotator cuff tendons pass through a very tiny opening in your shoulder, leaving them susceptible to damage. Some of the most common causes of a pinched nerve include:

  • Physical activities demanding constant overhead movements with your arms, such as baseball, volleyball and football
  • A weakness within your rotator cuff, as well as the muscles located in your upper back
  • Tightness in your shoulder joint and/or muscles
  • Body and muscle changes due to years of wear and tear on the tendons and joints in your shoulder areas, which cause friction and tightness that can lead to pinched nerves
  • Congenital abnormalities
  • Shoulder overuse

Any sport involving a ball being thrown makes you highly susceptible to shoulder pain and injuries — so play with caution and protect yourself from harm.

Signs and Symptoms of Shoulder Impingement

Identifying the first signs of potential impingement helps you get the proper shoulder impingement treatment as soon as possible. The beginnings of shoulder impingement are mild and almost unnoticeable, but as the problem continues, the symptoms become much more severe. Indications include:

  • Sharp pains in the outside portion of your shoulder
  • Tenderness in your shoulder when touched
  • Radiating pain through to your neck
  • Weakness around your shoulder joint
  • Pain when throwing a ball

Identifying the symptoms of an impingement ensures you quicker treatment and shorter shoulder impingement recovery time. Seek treatment in Manhattan as soon as the problem becomes severe. The earlier the symptoms are identified, the faster treatment from your NYC medical team can begin.

Shoulder Impingement Treatment Options Vary

There are a number of shoulder impingement treatment options available. All result in either pain reduction or the restoration of mobility and function in your arm and shoulder. Initially, your New York City pain and sports team of medical professionals does not recommend surgery as an option. Other options you may be offered include:

  • Rest and restricted physical activity, specifically avoiding tasks involving overhead movements
  • Anti-inflammatory medications such as ibuprofen to reduce swelling and inflammation in your shoulder
  • Shoulder impingement treatment with physical therapy is one of the most important solutions to help restore a full range of motion in your shoulder
  • Ice alternated with heat
  • Cortisone injection
  • Lifestyle changes such as:
    • Improving your posture
    • Adding core strengthening exercises to your routine
    • Losing weight
    • Quitting smoking

Surgery’s required only if all else fails. Shoulder impingement recovery time after surgery can take as long as six months before you’re fully able to resume your previous level of activity. Eventually, however, thanks to shoulder impingement treatment with physical therapy and your NYC pain and sports experts, you’ll be able to return to your full athletic competitions, pain-free.

Do you have any questions about the shoulder impingement treatment we offer in NYC? Would you like to schedule an appointment with the best rated shoulder pain doctor Febin Melepura MD of sports pain clinic NYC? Please contact our office for consultation with the top pain relief specialist in Midtown Manhattan.