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Home , Supraspinatus muscle

impingement syndrome Self-care Guide

Introduction muscle. Underlying soft tissue structure will inflame slowly and become thickened. Further deterioration will cause muscle fibrosis and calcification or even tear. Symptom

Inflammation stage

 Pain during shoulder elevation or carrying objects, especially within the painful arc range. Pain is usually at the anterior of lateral side of the . Fibrotic stage

Shoulder impingement syndrome is a result of  Pain may occur at night and disturbing sleep, several shoulder syndromes including muscle especially if lying on the affected shoulder. tendinitis (usually supraspinatus muscle), Calcification stage , acromioclavicular  The range of motion at osteoarthritis, or cuff muscle tear. Shoulder joint the shoulder became consists of and bones which are limited and affecting collected by 4 deep muscles called rotator cuff. the daily activities When the is raised, the supraspinatus muscle such as combing hair tendon will pass through the gap between the or wearing bar. anterior edge of the of scapula and Home care program the head of the humerus. Acute stage (Active Inflammation stage) During forward  Ice therapy and rest elevation of the arm from 60° to 120°, the Resting pain, night pain, warm and swelling of gap will be narrowed the shoulder are common at the acute stage. Rest and compressed on the and avoid shoulder elevation, use of ice pad to muscle tendon insertion cover the involved area (3 times per day, lasting to cause pain. 15 min each time) can help to relieve the symptoms. Cause Chronic stage: Repeated overhead working task, weakness of rotator cuff muscle and variations in the shape of the As the active inflammation subsided, home care acromion will lead to prolonged compression and program can be started according the therapist’s irritation of the subacromial bursa and rotator cuff instruction:  Hot pad Strengthening exercise

Cover the shoulder with hot pad (<45ºC) for 15  The rotator cuff min in the morning and at night can help to strengthening exercise improve the circulation and relax the shoulder should be done twice a day muscle. with an elastic band. Each action should hold for 10  Posture correction and stretching exercise sec and repeated 10 times. Avoid “round shoulder” posture during sitting or standing by keeping your back straight.  Stand on the elastic band, Stretching exercise should be performed in slow keep elbows straight and lift pacing progressively. Sustain the stretching to shoulder level along position for 10 sec while feeling of gentle muscle lateral side. stretch but not the pain, avoid  Secure elastic band at door overstretching. Repeated each exercise 10 times. handle. Close the scapula together and pull arm  Supine on bed, use the good to backwards keeping elbow support the straight. affected shoulder  Secure elastic band at door to move into handle. Close the scapula, overhead position. Remember to turn the grasp elastic band in hand palm to face ground during elevation. with elbow bent to 90° and arm at side.  Stand straight, hand behind back with elbow straight. i) Rotate arm outward. Open the chest wall and ii) Pull hand inward actively lift the in posterior direction.

 Place one forearm arm against the corner of a wall. Lean forwards until a gentle stretch feeling in the anterior chest muscles.