Treatment of Impingement Syndrome

[O-Bear]

I would start with accessory movements; Inferior glide\AP\PA\Scapular control.
Also US and massage might help.

Did you perform any RC tests? what did you find out?
What do you mean 'block the joint'? is the lack of ROM is pain related or mechanical?

[thimawee]

thank you,
I traied accessory movement [at 1st visit], US, and friction [last 2wk]. but after the 90 degree joint lock, actively difficult move. passively can flex and abduct but can feel crepititus. after passing that point active movement are posible.
ROM reduced due to mechanical problem, this condition hapend due to RTA.


RC test- resist internal rotation }
- resist ext. Rot. }
- lift off test } no pain
- bucket handling test }
- drop arm test }