ROLE OF CONSERVATIVE TREATMENT IN SHOULDER SUBACROMIAL IMPINGEMENT SYNDROME

Abstract

Shoulder subacromial impingement syndrome (SAIS) is a common cause of shoulder pain and dysfunction, characterized by compression of the structures within the subacromial space during arm elevation. While surgical interventions such as subacromial decompression have traditionally been considered the primary treatment approach, conservative management plays a critical role in the comprehensive management of SAIS. This abstract explores the role of conservative treatment modalities, including physical therapy, non-steroidal anti-inflammatory drugs (NSAIDs), corticosteroid injections, and activity modification, in the management of SAIS. Conservative treatment aims to alleviate pain, restore shoulder function, and address underlying biomechanical factors contributing to impingement. Physical therapy interventions focus on strengthening the rotator cuff and scapular stabilizers, improving shoulder range of motion, and optimizing shoulder biomechanics. NSAIDs and corticosteroid injections are used to reduce inflammation and pain, particularly in the acute phase of impingement. Additionally, activity modification strategies aim to minimize aggravating activities and promote shoulder rehabilitation. Overall, conservative treatment serves as a valuable first-line approach in the management of SAIS, offering effective symptom relief and functional improvement while minimizing the need for surgical intervention.