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Shoulder impingement

Shoulder Impingement | Omar Saleem, MD, MsPT

Dr. Omar Saleem is a skilled orthopedic surgeon and physical therapist specializing in the treatment of shoulder impingement, a common condition where the shoulder tendons become irritated and inflamed due to repetitive overhead activities or structural abnormalities. His comprehensive approach focuses on accurate diagnosis, effective treatment strategies, and rehabilitation to restore function and alleviate pain.

Comprehensive Diagnosis

Dr. Saleem employs a thorough diagnostic process to assess shoulder impingement:

  • Medical History and Physical Examination: Evaluating the patient’s symptoms, including pain during overhead activities, weakness, and limited range of motion. Dr. Saleem conducts specific physical tests to determine the presence and severity of impingement.
  • Imaging Studies: Utilizing X-rays to assess bone structure and rule out other conditions. MRI or ultrasound may be employed to evaluate the soft tissue structures, including the rotator cuff tendons and bursa, providing detailed insights into the condition.

Non-Surgical Treatment Options

For most cases of shoulder impingement, Dr. Saleem emphasizes non-surgical management techniques:

  • Activity Modification: Advising patients to avoid activities that exacerbate symptoms while encouraging gradual return to normal activities.
  • Physical Therapy: Developing a tailored rehabilitation program focusing on strengthening the rotator cuff muscles, improving shoulder stability, and enhancing flexibility. This may include exercises, manual therapy, and modalities such as ultrasound or electrical stimulation.
  • Anti-Inflammatory Medications: Prescribing non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation associated with the condition.
  • Corticosteroid Injections: In certain cases, Dr. Saleem may recommend corticosteroid injections to relieve pain and inflammation in the shoulder joint.

Surgical Treatment Options

In cases where conservative treatments are ineffective, or if there are significant structural issues, Dr. Saleem may consider surgical intervention:

  • Arthroscopic Surgery: Performing minimally invasive procedures to remove bone spurs, repair damaged tendons, or release tight structures around the shoulder joint. This approach typically results in less postoperative pain and quicker recovery.
  • Subacromial Decompression: Removing the bony prominence on the shoulder blade to create more space for the rotator cuff tendons, alleviating impingement symptoms.

Holistic Care and Long-Term Management

Dr. Saleem focuses on a holistic approach to managing shoulder impingement, ensuring long-term recovery and optimal function:

  • Ongoing Monitoring: Regular follow-up appointments to assess recovery progress, adjust treatment plans as necessary, and monitor for any recurrence of symptoms.
  • Education and Support: Providing patients with information on the condition, treatment options, and strategies for injury prevention, especially for those engaged in overhead activities or sports.
  • Rehabilitation: Collaborating with physical therapists to create individualized rehabilitation programs aimed at restoring strength, mobility, and function after treatment.