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Medical condition/treatment

Subacromial impingement syndrome

disc prolapse

shoulder

disc prolapse

Impingement syndrome, also known as impingement syndrome, is a common cause of shoulder pain. This condition occurs when the tendons of the rotator cuff become trapped between the humerus and a part of the shoulder blade known as the acromion. This causes pain and limited movement in the shoulder.

A detailed look at impingement syndrome requires an understanding of the anatomical structures and mechanisms that lead to this condition. The shoulder is a complex joint that allows for a wide range of motion. However, this flexibility also makes it vulnerable to injury and overuse injuries.

The causes of impingement syndrome can be varied. It often occurs as a result of repetitive overhead movements, which are common in sports such as swimming or tennis, but also in certain professions such as painters or electricians. These repetitive movements can lead to inflammation of the tendons, which then swell and take up more space in the subacromial space (the area under the acromion). The result is impingement.

Symptoms of impingement syndrome typically include pain when raising the arm, pain at night, especially when lying on the affected shoulder, and weakening of the shoulder muscles that makes raising the arm difficult.

The diagnosis of impingement syndrome is usually based on a physical examination and the patient's medical history. Imaging tests such as X-rays or MRI may be used to confirm the diagnosis and rule out other causes of the shoulder pain.

Causes/Description:

Several factors contribute to the development of subacromial impingement syndrome. The anatomy of the shoulder allows for a wide range of motion, but also makes it prone to entrapment. Overhead activities and repetitive movements, especially in certain sports and occupations, can increase the risk. The natural aging process also plays a role, as tissue loses elasticity over time.

Impingement

disc prolapse

Anatomie der Schulter, Überkopfaktivitäten, repetitive Bewegungen, Sport, berufliche Tätigkeiten, Alterungsprozess, Entzündung, Sehnenschwellung, eingeschränkte Schulterbeweglichkeit, physikalische Therapie, Ruhe, entzündungshemmende Medikation, operative Intervention, Präventionsmassnahmen

disc prolapse

Subacromial impingement syndrome occurs when the rotator cuff tendons, which run between the humerus and the acromion of the shoulder blade, become tight and irritated. This tightness causes the tendons to become pinched during shoulder movements, especially when raising the arm.

There are several reasons why this pinching can occur. Common causes include overhead activities and repetitive movements that occur in some sports or jobs. These activities can lead to strain and inflammation of the tendons, causing them to swell and narrow the space under the acromion.

Anatomical peculiarities can also play a role. For example, some people have a naturally tighter acromion, which increases the risk of impingement. Furthermore, the natural aging process can lead to changes in the tendons and surrounding structures, which can also increase the risk of impingement.

In summary, subacromial impingement syndrome is caused by a combination of anatomical conditions, overload and inflammatory processes that lead to entrapment of the rotator cuff tendons.

disc prolapse

If you have signs of subacromial impingement syndrome, you can take several steps to find relief and improve the situation. Rest and the application of ice help to reduce pain and inflammation. Physiotherapy is crucial to strengthen the shoulder muscles and promote mobility. If necessary, anti-inflammatory medication can be supportive. It is also important to avoid strenuous activities and to ensure that movements are performed in a way that is friendly to the shoulder. If the pain persists, a visit to the doctor is advisable to discuss further treatment steps. Last but not least, it is helpful to take regular breaks and ensure that the work or exercise area is ergonomically designed to support the health of the shoulder in the long term.

disc prolapse

The understanding and treatment of subacromial impingement syndrome has evolved significantly over time. This condition was documented as early as the early 20th century. A significant milestone was in the 1930s when Dr. Charles Neer began to intensively research impingement syndrome. In the 1970s, he coined the term "impingement syndrome" and identified entrapment of the rotator cuff tendons as the primary cause of the associated pain and limited movement.

The introduction of magnetic resonance imaging (MRI) in the 1980s greatly improved diagnostic understanding. In the 1990s, the development of arthroscopic techniques led to a revolution in treatment by enabling minimally invasive procedures. In the 21st century, research has continued to contribute to a more comprehensive understanding, leading to a multidisciplinary treatment approach.

Due to these historical developments, subacromial impingement syndrome is now a well-understood and successfully treatable medical problem.

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