The first step is to rest the shoulder.
Icing, anti-inflammatories, physiotherapy and infiltrations can also help.
If the pain remains and the impingement is confirmed, arthroscopy is the treatment of choice. During arthroscopy, we remove the bursitis and file the surface of the acromion from the inside.
Surgical treatment is necessary in around 20% of cases.
Recovery after surgery is gradual, with physiotherapy sessions.
This inflammation of the tendon will be confirmated by further examinations (ultrasound, arthroscanner or MRI).
Inflammation of the shoulder tendon can also occur in people who often work with their arm above the plane of the shoulder. When the arm is raised, the narrow space into which the shoulder tendon normally slides is diminished, and rubbing occurs with the lower part of the acromion bone (the "roof" of the shoulder). Pain is sometimes severe at night, and everyday activities become increasingly difficult (fastening the bra, washing the hair, etc.).
Subacromial conflit syndrome represents inflammation or wear of the cuff tendons that are rasped by the lower surface of the acromion.