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Splinting > Conditions
Hand, Wrist, Forearm & Elbow Conditions > Shoulder
Impingement Hand Therapy
Shoulder Impingement Hand Therapy
“Working with a knowledgeable hand therapist can make the difference between success and failure in complex hand surgical cases. The therapist extends the continuum of our care, as well as functioning as coach and trainer for our patients.”
Marybeth Ezaki, MD, Past President, American Society for Surgery of the Hand
In Phoenix Rehab, our senior hand therapists are experienced licensed and dedicated therapists (physiotherapists and/or occupational therapists) who specialized ONLY in the rehabilitation, treatment and management of painful fingers, hands, wrists, forearm & elbow conditions, because of interest, passion and expertise.
Our rotator cuff muscles are a group of muscles and tendons in the shoulder that connect the bone in the upper arm (humerus) to the shoulder blade (scapula).
Our rotator cuff muscles allows for stability and flexibility while moving the shoulder.
Shoulder impingement happens when the muscles and soft tissues around the rotator cuff are pinched or squeezed.
This pinching occurs between the humerus and the front of the shoulder blade called the acromion.
What causes shoulder impingement?
There are several factors that contribute to shoulder impingement.
- The shape of the acromion can pinch on the tissues in the shoulder causing impingement.
- Weakness of the shoulder muscles along with poor posture can cause impingement.
- Impingement may also be the result of repetitive shoulder motion, such as throwing a ball or reaching overhead
What are the symptoms of shoulder impingement?
Shoulder impingement is one of the most common causes of pain in the shoulder.
This shoulder pain usually develops after performing activities that involve reaching behind the back or above the head.
Pain caused by shoulder impingement may be mild at first, and then become worse while performing activities and while sleeping.
What is the treatment for shoulder impingement?
Nonsurgical treatment includes
- changing the ways activities are performed
- a referral to both physiotherapy and hand therapy to instruct in exercises for posture and stretching
If the symptoms do not improve with therapy, the physician may recommend a cortisone injection or surgery.
Surgery involves widening the space in the shoulder to decrease pressure on the rotator cuff. Physiotherapy and hand therapy has an important role in recovery after surgery.
What can a hand therapist do for me?
Our senior physiotherapists and senior hand therapist can help
- evaluate the cause of shoulder impingement
- determine which activities aggravate the symptoms and
- provide treatment to decrease pain
After surgery, the hand therapist will provide instruction in exercises to restore flexibility and strength around the shoulder joint.
Shoulder stabilizing and strengthening to increase stability and glide
Patients may also receive the following hand therapy treatment modalities:
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Phoenix Rehab physio Services
Phoenix Rehab Group works with specialist
physiotherapists and rehab therapists who are highly
trained, qualified, experienced and passionate to provide high level of
expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on
- core stability
- flexibility and
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to
- accelerate recovery and
- shorten downtime / recovery period required
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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