Shoulder impingement exercises as requested by Dr Kaur @manrajkaurd Shoulder impingement is a common cause of shoulder pain. It occurs when there is impingement of tendons (usually supraspinatus) in the shoulder against the bone of the shoulder. Overhead activity of the shoulder, especially repeated activity, is a risk factor. Sleeping positions and strains during activity are examples of causes. Motions such as reaching up behind the back or reaching up will be painful. Over time, impingement can lead to pain in the other muscles around the shoulder. Directions The above external rotation exercise can be carried out with a dumbell, heavy household object, cable machine or resistance band. The principle is that you keep your elbow bent to 90 degrees and at your side. You then move your fist away from you whilst maintaining the elbow position. 1. Build up to 30 controlled reps x 3 set, once a day until the symptoms resolve. 2. Avoid overhead activities 3. Sleep with a pillow underneath your elbow to support your shoulder when you sleep. NB: The exercise can be carried out in any of the 3 positions shown. The research study below demonstrated that although this exercise (horizontal abduction) was the most popular exercise for this injury, the empty can and full can exercises (other supraspinatus exercises- future post) are superior for activating the supraspinatus muscle. Reference: http://bit.ly/2nsRPQd

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