Shoulder Impingement


Subacromial Impingement Syndrome (SAIS) is defined as an encroachment of soft tissue structures, such as the supraspinatus tendon, under the coracoacromial arch of the shoulder in the subacomial space.


The current evidence based standard of care for the clinical management of SAIS includes therapeutic exercise and manual therapy. There have been a multitude of studies that have examined the most efficacious exercises to manage SAIS, with a consensus on directly addressing the shoulder muscle length and strength deficits typically resulting from the impingement. The manual therapy interventions noted to be effective in managing SAIS are techniques aimed at improving mobility of the glenohumeral joint and the cervicothoracic junction.

Dry needling as a manual therapy technique can be very effective when utilized as an adjunctive intervention in managing impingement syndrome. 


Common Symptoms

  • Difficulty Reaching up Behind the Back
  • Pain With Overhead Use of the Arm
  • Weakness of Shoulder Muscles


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