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Impingement (subacromial impingement syndrome)

Every time the upper arm is lifted overhead, a narrowing of the space between the humeral head and acromion occurs. This space, (the subacromial space) is where tendons of the rotator cuff are located, protected by the bursa.

Performing sports, or everyday activities which require repetitive overhead movements, rotator cuff muscle imbalances, or irregularities in the acromion profile may all cause increased friction inside this space, which can lead to the formation of calcium deposits within the subacromial space. Pain usually occurs at night. This series of events inevitably provokes the non use of the superior limb, causing the arising of intra-articular adherences and a worsening of the clinic condition.

Quick and correct diagnosis followed by an early start to rehabilitation is key here, as stopping the vicious cyrcle mentioned above ensures rehabilitation is faster and more effective.
Adopting this approach negates the need for prolonged courses of anti-inflammatory drugs, as well as preventing secondary damage to the joint through the adoption of bad postures.
In case investigations show the presence of relevant anatomic alterations, such as almost complete tear of tendons of the rotators cuff or the localisation of large calcific deposits, surgery may be required together with a following rehabilitation.

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