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https://www.arlingtonortho.com/condit... Excessive use of the shoulder joint may sometimes cause a condition known as Shoulder impingement. Occupations such as painting or construction, which require repetitive overhead motions, can leave patients more susceptible to shoulder impingement. Shoulder impingement syndrome occurs when the tendons of the rotator cuff, along with the subacromial bursa, compress against the acromion. As these tissues continually rub against bone, they cause irritation and inflammation. Symptoms of shoulder impingement often start with a reduced range of motion, making it difficult to reach upward. Most patients report pain when lifting anything over your head, as well as a weakening of the shoulder muscles. If not properly treated, Shoulder impingement can cause other issues such as arthritis and bursitis in the shoulder joint. physicians may treat Shoulder impingement in several ways. To reduce inflammation, Patients should limit or eliminate entirely, activities that irritated the shoulder. Physicians may recommend over the counter NSAIDS for 6-8 weeks, after which a physician may administer steroid injections. Patients should stretch daily with wet heat, such as in the shower, by making a “thumbs up” behind their back and reaching as high as they can get between your shoulder blades. If non surgical options do not relieve the symptoms, shoulder impingement surgery may be considered.