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Front of shoulder pain or Anterior Shoulder impingement. Fix it now.

Tackling Anterior Shoulder Impingement: A Comprehensive Approach

Anterior shoulder impingement, also known as subacromial impingement, is a common condition that causes pain and dysfunction in the shoulder joint.


This condition occurs when the rotator cuff tendons, particularly the supraspinatus tendon, become pinched or impinged between the acromion (part of the shoulder blade) and the humeral head (upper arm bone) during overhead or reaching movements. The primary cause of anterior shoulder impingement is often related to scapular dyskinesis, which is a fancy term for the improper movement of the shoulder blade. When the shoulder blade doesn't move efficiently, it can cause the entire shoulder to shift forward into a slumped, rounded position, increasing the likelihood of the rotator cuff tendons becoming trapped. Patients with anterior shoulder impingement typically experience pain in the front of the shoulder, especially with overhead activities or reaching behind the back. This can significantly impact daily tasks and athletic performance. To effectively address anterior shoulder impingement, a comprehensive approach is required. This includes a combination of manual therapy techniques, targeted exercises, and lifestyle modifications:

Manual Therapy Techniques

  • Active Release Technique (ART): A soft tissue treatment that applies targeted pressure to break up muscle tension and take pressure off the impinged tendon.

  • Graston Technique: A method that uses specialized tools to increase blood flow and improve range of motion in the affected area.

  • Dry needling: A technique that uses fine needles to target specific areas of muscle tension and inflammation.

Rehabilitation Exercises

  • Scapular stabilization exercises: Exercises that focus on strengthening the muscles that control the movement of the shoulder blade, such as the serratus anterior and lower trapezius.

  • Rotator cuff strengthening: Exercises that target the rotator cuff muscles to improve their ability to center the humeral head and reduce impingement.

  • Flexibility exercises: Stretches for the posterior shoulder capsule and pectoral muscles to improve overall shoulder mobility.

Lifestyle Modifications

  • Proper posture and ergonomics: Maintaining good posture, especially when sitting or using electronic devices, can help prevent the shoulder from slumping forward and increasing impingement risk.

  • Activity modification: Temporarily reducing or modifying activities that aggravate the condition, such as overhead movements or heavy lifting, can allow the shoulder to heal.

By addressing the root causes of anterior shoulder impingement through a combination of manual therapy, targeted exercises, and lifestyle adjustments, patients can find relief from their symptoms and regain full shoulder function. If you're experiencing persistent shoulder pain, don't hesitate to seek the expertise of a healthcare professional who can develop a personalized treatment plan to help you get back to the activities you love.


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