Shoulder impingement

Shoulder impingement can start suddenly or come on gradually.

The main symptoms are:

• pain at the top and the outside of your shoulder – the pain may be worse at night while you're sleeping
• shoulder pain that's worse when you lift your arm, especially when you lift it above your head
• weakness in your arm

If you have shoulder impingement, there are some things you can do to help ease the symptoms.

• follow any exercises from your GP or physiotherapist as early as you can

• hold an ice pack (or bag of frozen peas) wrapped in a tea towel on your shoulder for up to 20 minutes, 2 to 3 times a day

• take painkillers like paracetamol or ibuprofen or use ibuprofen gel

• do not carry on with activities that caused your shoulder pain or involve repeatedly lifting your arm above your head (such as swimming or playing tennis)

• do not stop moving your shoulder completely – this can stop it getting better

• you have shoulder pain that does not go away after a few weeks
• shoulder pain is stopping you from doing your usual activities

A physiotherapist can also diagnose shoulder impingement.

A GP can prescribe a stronger painkiller for shoulder impingement if you need it.

A physiotherapist can also help with shoulder impingement. They can suggest exercises to help your range of movement and reduce pain.

Some people with shoulder impingement may be offered:

• steroid injections, which may relieve pain if rest and exercises do not help on their own
• surgery to widen the space around the tendon to prevent it rubbing on the tissue or bone

Find out more about physiotherapy

The most common symptom of shoulder impingement is pain in your shoulder. It's usually worse when you lift your arm.

Stopping the activity that caused the injury, using ice packs, and taking painkillers and keeping your arm moving can help with shoulder impingement.

Shoulder exercises and stronger painkillers can help with shoulder impingement. Some people may need steroid injections or surgery.