Shoulder Impingement in Gym Goers
Bench press, overhead press, pull ups and lateral raises are all wonderful movements when the shoulder is healthy. But push volume too hard, ignore mobility, and you end up with a pinching pain at the front of the shoulder that will not go away. That is impingement, and it is very treatable.
What impingement actually is
Impingement is a catch all term for structures at the top of the shoulder, tendons and bursa, getting pinched when you raise the arm. In gym goers it is usually driven by overloaded rotator cuff tendons, tight posterior structures and poor scapular control.
The exercises to pause temporarily
Behind the neck presses, upright rows, wide grip bench press and any painful overhead work. Keep pushing through pain and the tendon will not settle. Replace them with pain free alternatives while you rehab.
What to do instead
Isolated rotator cuff strength work, scapular retraction and lower trap activation, and thoracic mobility drills. Then a gradual reintroduction of overhead loading over a few weeks.
When to book physiotherapy
If pain lasts more than two weeks, wakes you at night, or you cannot lift your arm to shoulder height, it is time for an assessment. Early treatment prevents these cases from becoming chronic rotator cuff tendinopathy.
Related physiotherapy services
Frequently asked questions
Do I need a scan?+
Not usually. Most impingement cases are diagnosed clinically. Scans come in when symptoms are severe or not settling with treatment.
Will I need surgery?+
Very rarely. The vast majority of impingement responds to structured physiotherapy.
Can I still train while rehabbing?+
Yes, with modifications. We help you find pain free variations so you can keep training the rest of the body.
Medical disclaimer: this article is general education and does not replace a personal assessment. If your pain is severe, worsening, or accompanied by numbness, weakness or loss of bladder or bowel control, seek care promptly.
Book with N S Physiotherapy
In clinic in Eco Park, Centurion, or home visits across Centurion and Midrand.
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