Neer Impingement Syndrome

Overview

Neer Impingement Syndrome, commonly referred to as shoulder impingement syndrome, is a condition characterized by the painful entrapment of soft tissues, including the rotator cuff tendons and the subacromial bursa, beneath the acromion process of the shoulder. This syndrome is named after Dr. Charles Neer, who first described it in the 1970s. It is often associated with repetitive overhead activities and can lead to significant discomfort and functional limitations if not addressed promptly.

Introduction

Shoulder impingement syndrome is one of the most common causes of shoulder pain and dysfunction, particularly among athletes and individuals involved in manual labour. The condition arises when the space between the acromion and the humeral head narrows, causing friction and inflammation of the rotator cuff tendons. In India, where sports participation is high and occupational injuries are prevalent, understanding Neer Impingement Syndrome is crucial for early diagnosis and effective management.

Symptoms

The symptoms of Neer Impingement Syndrome may include:

– Shoulder Pain: A dull ache or sharp pain in the shoulder, especially during overhead activities or when lifting objects.
– Limited Range of Motion: Difficulty in raising the arm or reaching overhead.
– Weakness: Reduced strength in the shoulder muscles.
– Night Pain: Discomfort that worsens at night, particularly when lying on the affected side.
– Crepitus: A grinding or popping sensation during shoulder movement.
Symptoms can vary in intensity and may worsen over time if left untreated.

Causes

Neer Impingement Syndrome can result from various factors:

– Repetitive Overhead Activities: Frequent lifting or reaching overhead can lead to irritation of the rotator cuff tendons.
– Anatomical Variations: Certain structural features of the acromion can predispose individuals to impingement.
– Rotator Cuff Weakness: Weakness in the rotator cuff muscles may lead to improper shoulder mechanics.
– Age-related Changes: Degenerative changes in the shoulder joint due to ageing can contribute to impingement.
– Previous Injuries: A history of shoulder injuries may increase susceptibility to impingement.

Treatment

Treatment for Neer Impingement Syndrome aims to relieve pain and restore function:

– Conservative Management:
– Rest and Activity Modification: Avoiding activities that exacerbate symptoms is essential for recovery.
– Physical Therapy: A rehabilitation program focusing on strengthening exercises and improving flexibility can help restore normal function.
– Ice Therapy: Applying ice packs can reduce swelling and alleviate pain.

– Medications:
– NSAIDs: Nonsteroidal anti-inflammatory drugs may be prescribed to manage pain and inflammation.
– Corticosteroid Injections: In cases of severe inflammation, corticosteroid injections may provide relief.

– Surgical Options:
– Subacromial Decompression: A surgical procedure that removes bone spurs or other structures causing impingement.
– Rotator Cuff Repair: In cases where there is a tear in the rotator cuff, surgical repair may be necessary.

Prevention and Risk Factors

Preventive measures for Neer Impingement Syndrome include:

– Proper Technique in Sports and Activities: Learning correct techniques for lifting and overhead movements can minimize strain on the shoulder.
– Regular Strengthening Exercises: Engaging in exercises that strengthen the rotator cuff muscles can help prevent injuries.
– Ergonomic Adjustments: Making ergonomic changes at work or during sports can reduce stress on the shoulder.

Risk factors for developing Neer Impingement Syndrome include:

– Age: More common in individuals over 40 years old due to degenerative changes in the shoulder joint.
– Gender: Males are generally at higher risk due to increased participation in contact sports.
– Occupation: Jobs involving repetitive overhead work increase susceptibility.

Insights from Sancheti Hospital

At Sancheti Hospital, we understand that Neer Impingement Syndrome can significantly impact your quality of life. Our team of experienced orthopedic specialists employs advanced diagnostic techniques to accurately assess your condition. We offer a comprehensive range of treatment options tailored to individual needs, ensuring optimal recovery. Our focus on patient education empowers individuals with knowledge about their condition while promoting proactive management strategies for better outcomes. By addressing both immediate symptoms and long-term health goals, we strive to enhance our patients’ quality of life through compassionate care.