A conservative approach to shoulder impingement syndrome and rotator cuff disease: A case report

As primary health care clinicians, chiropractors are increasingly providing assessment and treatment of many musculoskeletal disorders. Shoulder impingement syndrome refers to a condition whereby encroachment occurs to any of the structures running through the coracoacromial arch with particular involvement of the supraspinatus tendon. Repetitive overhead activity appears to be a significant contributing factor to impingement syndrome as well as simultaneously existing predisposing elements, such as tendinitis or subacromial spurs, collectively contributing to the development of this condition. Early introduction of conservative management is recommended for a beneficial and optimal outcome in patients with impingement syndrome. This case demonstrates the clinical treatment and successful outcome of a patient diagnosed with supraspinatus tendinitis and impingement syndrome following a conservative management approach using chiropractic treatment.