About the program:
This program is aimed at conservative therapy for patients with shoulder impingement syndrome.
You may begin this program after consulting your physician or a member of our team.
The goal of the program is to decompress the rotator cuff, improve blood flow, and strengthen the muscles responsible for normal shoulder movement.
For a full and timely recovery, it is necessary to perform the exercises daily.
What the program contains:
- The program contains video playlists.
- A new playlist is loaded every day.
- The videos combine a detailed description of the exercise with a visual demonstration of how to correctly perform it.
- The exercises gradually progress in difficulty.
39 days of rehabilitation
66 different exercises
638 videos total
All rehabilitation exercises are only to be performed until you feel a stretch up to a mild discomfort. Under no circumstances should you cause yourself any pain. If you feel any pain, please take a short break and resume exercising at a reduced strain level. Overexertion will slow down the recovery process!
This program was created with the help of:
Dr. Robert Halvadjian, MD, Chief of Orthopedics and Traumatology at Avis Medica Hospital in Pleven
Please don’t hesitate to ask us your questions. Dial +359889250440 or use the chat bubble on the bottom right.
The rotator cuff is made up of 4 muscles: supraspinatus, infraspinatus, subscapularis, and teres minor, along with their tendons. They provide stability and durability to the shoulder joint by enabling it to make fluid and coordinated motions.
Impingement syndrome involves a compression of soft tissue as it passes between two bony structures. In this case, the soft tissue is the muscles and tendons of the rotator cuff, and the bones are the humerus and the acromion of the scapula. What’s unique about the shoulder girdle is that these bones even normally sandwich the soft tissue between them – the muscles of the rotator cuff, the long head biceps tendon, the subacromial bursa, and the joint capsule. The shoulder complex is one of the most frequently affected areas of the human body, and not just due to sports activity. Many of the cases involve the work environment, overexertion or lack of exertion, as well as degeneration that comes with aging. Over the years, the rotator cuff weakens in relation to the deltoid muscle, leading to a vertical muscle imbalance. This in turn causes the distance between the acromion and the scapula to shorten. When the arm is extended forward, sideways, or overhead, this causes an irritation and compression of the tissue between the bony surfaces known as impingement syndrome.
The mechanism of developing impingement syndrome mainly involves mechanical (external) and degenerative (internal) factors.
External factors often have to do with incorrect body posture, muscle imbalances, as well as impaired neuromuscular control over the glenohumeral and scapular stabilizers.
External factors also include traumatic injuries to the tendons and stabilizing structures of the shoulder, caused by falling or some other incident.
Overexertion injuries occur due to repetitive motions, such as lifting, pulling, pushing, and throwing; improper technique for athletes; a non-ergonomic work environment; etc. These also fall under external factors.
Internal factors relate to reduced blood flow, or wear and degeneration of the tendons due to age, as well as their calcification (hardening). Internal factors also include structural anomalies around the shoulder arc.
This is one of the main reasons kinesiotherapy is among the foremost methods of conservative treatment for impingement syndrome. It reduces swelling, inflammation, irritation in the compressed area, and it improves the balance between the muscles in the shoulder complex.