Impingement syndrome
What is impingement syndrome?
The shoulder joint has a part called the acromion, which covers the shoulder like an eave. Impingement syndrome occurs when the space between the acromion and the arm bone narrows so that the acromion and the shoulder tendons (rotator cuff) collide during shoulder movement, causing inflammation and pain.
Symptoms
- 1
- Pain occurs when lifting the arm to shoulder height.
- 2
- Pain occurs when moving the arm overhead.
- 3
- When raising the arm, something feels as though it catches inside the shoulder.
- 4
- At first it hurts only with movement, but gradually the pain lasts all day.
- 5
- Hard to sleep on the painful side, and the pain wakes you up.
Diagnosis and Treatment
Diagnosis is made by history taking, physical examination, X-ray, ultrasound, MRI and infrared thermography.
When shoulder impingement syndrome is detected early, it improves in most cases with non-surgical treatments such as DNA injection therapy, extracorporeal shockwave therapy (ESWT), exercise therapy and drug therapy.
In severe shoulder impingement syndrome that restricts daily life, a minimal incision is made under local anesthesia and joint endoscopy is used to perform detailed examination and surgery at the same time.

