What we treat Shoulder
Shoulder Impingement Syndrome
Shoulder impingement syndrome occurs from the rotator cuff tendons being compressed by the acromion process (external) or against the shoulder joint/glenoid labrum (internal), typically causing pain and irritation during arm elevation. This common condition affects athletes and individuals with active lifestyles, often leading to functional limitations if left unaddressed. Our clinical approach focuses on restoring clear space within the joint to eliminate mechanical pinching and restore painless movement.
Typical Signals
A sharp pinching sensation often occurs during overhead reaching movements, like dressing or placing objects overhead.
Deep aching or sharp pinches when rolling onto the arm, which frequently interrupts your rest.
A distinct drop in lifting power and a pinched, tight feeling when moving your shoulder.
The Assessment Process
Diagnosis at Hoban Physical Therapy begins with a comprehensive movement analysis. We utilize specific clinical tests to identify the exact cause of your shoulder impingement: • Subjective Intake: A thorough discussion of your symptoms and performance goals. • Functional Testing: Assessing shoulder mechanics, scapular mechanics, strength, and range of motion. • Orthopedic Screens: Specialized tests designed to isolate tissue involvement within the subacromial space. • Performance Review: Analyzing specific triggers related to your daily or athletic activities.
Targeted Recovery Techniques
We utilize a combination of manual therapy, dry needling, and corrective loading to reduce inflammation and restore space within the shoulder joint. Our approach focuses on retraining the scapular stabilizers and rotator cuff to ensure long-term impingement relief and return to full function.
Safe Movements to Start Today
Pendulums - Lean forward and support your weight with your non-injured arm on a table. Let your injured arm hang straight down and slowly swing it in small circles. This gentle movement helps create space in the shoulder joint and reduces early-stage stiffness without aggravating the impingement.
Scap squeeze - Sit or stand tall with your arms by your sides. Gently squeeze your shoulder blades together and down, as if you are trying to put them in your back pockets. Hold for 5 seconds. This exercise strengthens the postural muscles that support proper shoulder mechanics and relieves pressure on the tendons.
Tell us what you want to return to?
This page is general information, not a diagnosis. If it sounds like what you have, an evaluation is where we find out properly.