Impingement syndrome in the shoulder has generally been considered to be a clinical condition of mechanical origin. However, anomalies exist between the pathology in the subacromial space and the degree of pain experienced. These may be explained by variations in the processing of nociceptive inputs between different patients. We investigated the evidence for augmented pain transmission (centra...

Background: Shoulder impingement is a common diagnosis for patients with pain and dysfunction of shoulder joint. Due to its chronicity clinical manifestation the syndrome, there need find new therapies that collaborate improve management. Methods: A hospital based descriptive, epidemiological study was conducted 150 patients. The were divided in following three groups 50 each: Platelet-rich pla...

One of the most common pathologic processes seen in overhead throwing athletes is posterior shoulder pain resulting from internal impingement. "Internal impingement" is a term used to describe a constellation of symptoms which result from the greater tuberosity of the humerus and the articular surface of the rotator cuff abutting the posterosuperior glenoid when the shoulder is in an abducted a...

The incidence of arthroscopic subacromial decompression has been increasing over the last few years. Little is known about the duration of sick leave after such a procedure. The aim of this study was to determine the time till return to full duty and to explore the various influencing factors. We retrospectively evaluated a group of 166 patients who consecutively underwent arthroscopic subacrom...

Chronic shoulder pain and dysfunction are common complaints among overhead athletes seeking care from physical medicine and rehabilitation. Impingement is a frequently described pathological condition in the overhead athlete. Impingement symptoms may be the result of rotator cuff pathology, shoulder instability, scapular dyskinesis or muscle dysfunction, biceps pathology, SLAP lesions and chron...

BACKGROUND Subacromial impingement syndrome (SAIS) is the most common disorder of the shoulder. The evidence for the effectiveness of treatment options is inconclusive and limited. Therefore, there is a need for more evidence in this regard, particularly for long-term outcomes. HYPOTHESIS Platelet-rich plasma (PRP) would be an effective method in treating subacromial impingement. STUDY DESI...

QUESTION Does a specific exercise program improve shoulder function more than non-specific exercises in patients with subacromial impingement? DESIGN Randomised, controlled trial with concealed allocation and blinded outcome assessment. SETTING University hospital in Sweden. PARTICIPANTS Patients aged 30 to 65 years with subacromial impingement syndrome of at least 6 months duration, and ...