Pain in the shoulder joint when lifting the arm above shoulder height is commonly known as subacromial impingement syndrome. Subacromrial impingment syndrome can then lead to many issues such as bursitis, tendinopathy or tendinitis, calcific changes and much more! This makes it vital that we correct the factors that predispose people to this issue.
The video above depicts one of the most common reasons behind people experiencing subacromial impingement syndrome, and that is what we call in the business, excessive medial rotation of the humerous bone due to poor rotator cuff control (the muscles keeping your shoulder aligned).
Why the shoulder? Well unfortunately the shoulder isn't your normal ball and socket joint. As opposed to the hip, which has a deep socket (acetabulum) making it extremely congruent but not overly mobile, the shoulder is more like a seal balance a ball on its nose. It has a very small shallow socket (glenoid) and a very large ball (humeral head), this giving it vast mobility but this increases the demand to have muscles (rotator cuff) to keep the ball in the centre of the socket.
The pictures show how just a small change in humeral rotation can completely remove the presence of the supraspinatus tendon (green) rubbing between the two bones.
So, how do we correct this?
Because of the nature of the beast, massage, acupuncture and other techniques will only offer short term relief. The best way to target and eradicate these issues is to complete a detailed exercise programme as prescribed by your Physiotherapist in conjunction with massage, acupuncture and other treatments. These exercises will be solely focused on improving not only the strength of your rotator cuff muscles, but improving the control of the shoulder joint. This all equates to improved shoulder function upon overhead activity.
Does any of this sound familiar?