Condition guide
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.
This guide is general information and does not replace a clinical assessment.
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
Aftercare & self-management
At your appointment, agree which exercises to do, how often to practise them and when to review your progress.
Reduce aggravating overhead volume temporarily
Perform prescribed exercises consistently
Use progressive loading rather than sudden increases
Monitor pain response after activity and adjust
Plan your visitClinic, prices, insurance and home visits
- Your clinic & directions
- Newham clinic, Plaistow
Newham Leisure Centre, 281 Prince Regent Lane, Plaistow, London E13 8SD
- Self-pay
£60 for a 30-minute physiotherapy appointment.
Prices & self-pay- Health insurance
Cover depends on your plan and chosen physiotherapist.
Insurance & cash-plan guidance
Would a home visit suit you better?
If getting to the clinic is difficult, explore physiotherapy at your visit address. Suitability depends on your condition, care needs, travel and the available clinician; the clinic price and insurance arrangements above do not automatically apply to home treatment.
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 care and guides
Further reading
For public health information, self-care guidance and advice on when to seek medical help:
About your care at Nexus: meet our physiotherapists and read our clinical governance information.