Musculoskeletal Multimodal Rehab Allied Health Care Clinic Myotherapy & Chiropractic
Musculoskeletal Multimodal Rehab Allied Health Care Clinic Myotherapy & Chiropractic
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Shoulder impingement syndrome—now more commonly grouped under the broader term subacromial pain syndrome (SAPS) or rotator cuff–related shoulder pain—describes a pattern of shoulder pain where lifting the arm (especially overhead) provokes symptoms because tissues in the “subacromial space” become irritated and painful. In this region, the rotator cuff tendons and the subacromial bursa sit beneath the bony arch formed by the acromion and nearby ligaments; when the arm elevates, these soft tissues can be compressed and rubbed (“impinged”) under the arch, and/or overloaded by altered shoulder blade–upper arm mechanics, which can amplify pain and limit motion.
SAPS is pain and impaired shoulder function. Typically during movements of elevation and external rotation—where multiple structures may contribute, including the subacromial bursa, rotator cuff tendons/muscles, the acromion and coracoacromial ligament, and even capsular/intra‑articular tissues.
Chiropractic care can support shoulder impingement syndrome by using targeted joint mobilisations and adjustments to the cervical spine, thoracic spine, ribs, and shoulder complex to improve biomechanics and reduce pain sensitivity. By restoring normal motion to stiff spinal and shoulder joints, chiropractic treatment can optimize scapulothoracic and glenohumeral mechanics, reduce excessive load on the rotator cuff tendons and subacromial bursa, and calm pain driven by altered movement patterns rather than isolated tissue damage.
When combined with exercise-based rehabilitation, this approach aligns with contemporary evidence showing that improving joint motion, load distribution, and neuromuscular control is central to reducing subacromial pain and restoring shoulder function.
Chiropractic care can help address a broad range of shoulder girdle–related conditions commonly described in contemporary evidence‑based literature, including rotator cuff–related shoulder pain, subacromial pain (impingement) syndrome, supraspinatus and infraspinatus tendinopathy, subacromial bursitis, scapular dyskinesis, acromioclavicular (AC) joint dysfunction, long head of biceps tendinopathy, glenohumeral joint hypomobility, postural shoulder pain, and cervicothoracic or rib joint–related referred shoulder pain.
Specific techniques—such as targeted spinal and extremity adjustments, shoulder and rib mobilisation, myofascial release, and cervicothoracic–scapular alignment strategies—aim to restore normal joint motion, improve load sharing across the shoulder complex, reduce mechanical stress on sensitive tissues, and enhance coordinated shoulder movement, supporting pain reduction, functional recovery, and long‑term shoulder health.
Dr Yusuf Ozenoglu (2026)
Rotator cuff injury involves strain, tendinopathy, or tearing of the shoulder’s stabilising tendons, causing pain, weakness, and difficulty lifting or rotating the arm, often aggravated by overhead activity or repetitive loading.
(Adhesive Capsulitis)
Frozen shoulder is a condition marked by progressive shoulder stiffness and pain due to capsular thickening and inflammation, leading to a significant loss of active and passive movement over time.
Subacromial bursitis is inflammation of the fluid‑filled bursa beneath the acromion, causing shoulder pain during lifting or overhead movement. Swelling increases friction between the rotator cuff and bony arch, leading to aching pain, tenderness, and reduced range of motion.
Scapular dyskinesis refers to abnormal movement or positioning of the shoulder blade during arm motion. Poor scapular control alters shoulder mechanics, increasing stress on the rotator cuff and surrounding tissues, often contributing to pain, weakness, reduced stability, and impaired overhead or repetitive arm function.
Biceps tendinopathy involves irritation or degeneration of the long head of the biceps tendon at the front of the shoulder. It commonly causes anterior shoulder pain, tenderness, and discomfort with lifting, reaching, or repetitive overhead activity, often occurring alongside rotator cuff or shoulder instability issues.
Glenohumeral joint hypomobility refers to restricted movement of the shoulder’s ball‑and‑socket joint. Stiffness limits normal arm motion, alters shoulder mechanics, and increases strain on surrounding muscles and tendons, often contributing to pain, weakness, and reduced functional reach or overhead movement.