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Subacromial pain syndrome is a non-traumatic one sided condition of the shoulder. This common condition is two thirds of all shoulder complaints at Acland Street Physiotherapy. This condition is more prevalent as you age. It usually causes pain localised around the acromion (bony process of the shoulder) when lifting the arm. Usually one or structures are injured within the subacromial space. Common conditions that cause subacromial pain syndrome include:
The above conditions often respond very well to physiotherapy treatment which includes manual therapy, dry needling, extracorporeal shockwave therapy, exercise programs involving stretching, strengthening the rotator cuff and stabilising the scapula (shoulder blades). 
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Supraspinatus tendinopathy or supraspinatus "tendinitis" is a common source of reported shoulder pain in patients that perform repetitive overhead activities, overloading the tendon. Examples of this include painting, hairdressing or sports requiring overhead actions such as tennis and volleyball. This is commonly clinically diagnosed by experienced physiotherapists and formally confirmed on shoulder ultrasound scans. The supraspinatus tendon is part of the rotator cuff muscle group in the shoulder, involved in stabilising, "externally rotating" and "abducting" the shoulder (side raise). The tendon often experiences impingement as it passes in between the humeral head ("ball and socket" joint) and acromion (the bony process on the shoulder blade). Friction between the tendon and acromion is reduced by the subacromial bursa which can also get inflamed causing "subacromial bursitis". Supraspinatus tendinopathy can cause significant reduced shoulder function, pain, strength and range of motion, particularly with overhead activites. Physiotherapy treatment is often the first line of treatment before a cortisone injection is considered. Manual therapy, extracorporeal shockwave therapy, dry needling and a rotator cuff strengthening and shoulder stabilisation exercise program often can help resolve the problem quickly.   Subacromial pain syndrome is usually non-traumatic, one sided shoulder problems which cause pain, localised around the acromion (bony process of the shoulder blade). This painful condition makes up over two thirds of the shoulder presentations at Acland Street Physiotherapy. Patients often report the pain to be worse with lifting of the arm. From an anatomical point of view, pain associated with this syndrome suggests that there is a lesion or injury associated with one or more structures within the subacromial space. Common conditions associated with subacromial structures include:
These clinical conditions often respond very well to physiotherapy treatment and modified rest. Physiotherapy treatment may involve manual therapy, extracorporeal shockwave therapy, dry needling and rotator cuff strengthening, shoulder stretching and stabilisation exercises. |
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August 2024
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