Shoulder Impingement Syndrome

Shoulder Impingement Syndrome

Shoulder impingement syndrome is a common cause of shoulder pain. It happens when the supraspinatus tendon is impinge in the shoulder joint. Repeated overhead activity of the shoulder is a risk factor for shoulder impingement syndrome. Examples include: badminton, lifting, swimming, tennis and other overhead sports. Other risk factors include uncoordinated shoulder blade movements, bone and joint abnormalities.

With impingement syndrome, pain is persistent and affects everyday activities. Activities such as washing your hair or reaching up overhead to put on a coat or blouse, for example, may cause pain.

Over time, impingement syndrome can lead to inflammation of the rotator cuff tendons (tendinitis) and bursa (bursitis). If not treated appropriately, the rotator cuff tendons can start to thin and tear.


What are the Symptoms of Shoulder Impingement Syndrome?

The classical symptoms of impingement syndrome include difficulty performing overhead movements, sharp pain, difficulty lying on the affected shoulder and weak or atrophied shoulder muscles.

If tendons are injured for a long period of time, the tendon can actually tear in two, resulting in a rotator cuff tear. This causes significant weakness and may make it difficult for the person to elevate his or her arm.


How is Impingement Syndrome Diagnosed?

Diagnosis of impingement syndrome begins with a thorough history taking and physical examination by your clinician. X-rays will be taken to rule out arthritis or fractures. Bone spurs or changes in the normal contour of the bone may be present.

Magnetic resonance imaging (MRI) and ultrasound create better images of soft tissues like the rotator cuff tendons. They can show fluid or inflammation in the bursa and rotator cuff. In some cases, partial tearing of the rotator cuff will be seen.


How is Shoulder Impingement Syndrome Treated?

Painkillers are usually given for six to eight weeks since it often takes that long to fully treat the problem. You should do this under the care of a doctor because these medications can cause stomach irritation and bleeding.

In addition to taking medication, you should also be treated by a physiotherapist. The initial focus will be pain relief and maintaining shoulder range of movements and muscle strength. Once your pain is improving, your physiotherapist will work with you on restoring normal shoulder movements and strengthening the shoulder.  You will also be given some home exercise to follow.

Shoulder Impingement Syndrome2018-06-07T08:25:20+08:00

Fathers Day at Healthworks

In conjunction with Father’s Day, please join us for an in-house talk by our Physiotherapist on benefits of Dad’s having an active lifestyle.

Book your seats now – details as follows…

Fathers Day at Healthworks2018-07-04T11:19:41+08:00

MBB Ergonomics Carnival – 15th & 16th May 2018

MBB Ergonomics Carnival

We received an overwhelming response during the two-day event at Menara Maybank.

Healthworks’ team of Chiropractors were at the event giving away free digital posture screenings to all Maybank staff.

If you missed us – give us a call or drop us an email…

MBB Ergonomics Carnival – 15th & 16th May 20182018-05-31T05:19:38+08:00

The HAG Capisco Chair

The HAG Capisco 8010 chair is delivered with a seat and back. The seat has an integrated cushion for improved comfort. The saddle seat can be adjusted between low and high working positions, all the way up to standing, enabling you to be more dynamic in your movements while still balanced.


  • The seat height, seat depth and back height can all be adjusted.
  • Tilt resistance is adjustable and lockable.
  • There is a standard 200 mm gas lift.
  • The foot base comes in polished aluminium.

Call us to find out the Healthworks promotion price.

Hurry – they are going fast!

The HAG Capisco Chair2018-05-02T09:26:56+08:00

Is it a migraine or a headache?

Clients commonly mention to me that they suffer from migraines. In reality, however, many of these ‘migraines’ are actually unilateral (one-sided) headaches or even cervicogenic headaches – headaches that are caused from the neck.

So, what are migraines and how do you know if you having one? How can chiropractic help in reducing them?

Headaches, in general, are classified into 3 different classifications according to the International Headache Society (IHS):

  1. Primary Headaches
  2. Secondary Headaches
  3. Neuropathies & Facial Pains

Let’s focus on primary headaches which are headaches due to the headache itself being the cause of pain – they include:

  • Migraines
  • Tension-type headaches
  • Trigeminal autonomic cephalgias
  • Other primary headache disorders

Am I having a Migraine? Triggers & symptoms:

Migraine-sufferers have certain triggers which may include stress, fatigue, food or drink related, bright flashing lights, loud or sudden noises, certain medications, changes in temperature and environment just to name a few.

There are also many common migraine symptoms which can help you self-diagnose if you are suffering from a common migraine.



Can Chiropractic help?

Yes! – A study done in 2000 showed that chiropractic manipulations are effective in helping patients with migraines. There are also other studies showing that chiropractic can help with cervicogenic headaches and other neck and upper back pain.

At Healthworks we have a simple two-step process – the first step we take is to correctly diagnose your headache, the second is to proceed with the appropriate treatment.

If you have headaches or suffer from migraines, neck pain or upper back pain, please make an appointment or just drop by and let us help to get you back on your feet!

Is it a migraine or a headache?2018-05-01T04:17:24+08:00
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