Shoulder Impingement

Patients with subacromial impingement often respond to non-operative measures and only a small proportion of patients will require surgery.

1. Rest and painkillers. Initial treatment includes rest and modification of activities, and painkillers such as paracetamol or nonsteroidal anti-inflammatory drugs (NSAIDs).
2. Physiotherapy. A physiotherapy programme aimed at improving strength and coordination of the rotator cuff may be useful.
3. Corticosteroid injection. Sometimes, an injection of corticosteroid into the subacromial bursa may reduce inflammation.

Most people recover with rest and physiotherapy. If non-operative options fail, surgery may be considered.