Shoulder Impingement Physiotherapy
Treatment for shoulder impingement symptoms, especially pain during reaching, lifting, and overhead movements.
Shoulder impingement symptoms are often linked to tendon irritation and movement control deficits. Physiotherapy aims to reduce pain and restore function safely.
Medically reviewed by Lead Musculoskeletal Physiotherapist
Reviewed: 11 March 2026 - Next review due: 11 March 2027
Common Symptoms
Pain on lifting the arm, especially overhead
Pain during reaching behind the back
Discomfort with repetitive upper-limb activity
Night pain and reduced shoulder confidence
Seek Prompt Medical Advice If You Have
Acute injury with inability to raise arm
Severe persistent pain after trauma
Progressive neurological symptoms
Signs of infection such as fever with shoulder swelling
If you are unsure, call NHS 111 or seek urgent medical care.
Assessment
Detailed shoulder and neck clinical examination
Movement pattern and load tolerance assessment
Strength testing for cuff and shoulder blade control
Plan for staged rehabilitation and progression
Treatment
Activity modification during high-irritability stages
Targeted strengthening for cuff and scapular control
Mobility work to improve shoulder mechanics
Gradual return to overhead and sports activities
Self-Management
Reduce aggravating overhead volume temporarily
Perform prescribed exercises consistently
Use progressive loading rather than sudden increases
Monitor pain response after activity and adjust
Frequently Asked Questions
Is shoulder impingement the same as a tear?+
Not necessarily. Symptoms can overlap. Assessment clarifies whether tendon irritation, tear, or another source is present.
Can I keep training upper body?+
Usually yes, with temporary exercise modification and load adjustments.
Will I need an injection?+
Not always. Many people improve with physiotherapy-led rehabilitation. We advise onward review when needed.
Related Pages
Continue with related condition guidance or return to the treatments directory.