Impingement Syndrome - Pain on raising the arm

Signs or Symptoms

Pain and restriction on raising the arm in front of you.


The arm bone fails to move properly rubbing against the bones at the top of the shoulder slowly shredding the tendon that runs across the top of the shoulder.


Improper functioning of the muscles of the shoulder, anatomical malformation, arthritic changes in the shoulder joint

Standard treatment

Stretching exercises, anti-inflammatory medications, cortisone and surgery

AK Approach

The muscles that support the arm in its muscular socket are evaluated to find the ones that are malfunctioning. These are corrected and then tested for the need of corrective exercises. The attention is then shifted to the localized structures that are injured and failing to support the shoulder joint properly like the clavicle and the scapula. These can include specialized treatments for ligaments, muscles, skin and joints. Finally, attention is directed to corrective procedures that can help coordinate the muscles to help prevent future injuries. Nutritional therapies aimed at increasing factors that would speed healing and reduce any inflammation are considered.

Other lifestyle modifications are used to prevent or minimize exacerbating the condition. A specific program for your needs is created.