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Related Experiment Videos

Shoulder impingement presenting as neck pain.

Jerrold M Gorski1, Lawrence H Schwartz

  • 1Department of Orthopaedic Surgery, Winthrop University Hospital, Stonybrook University School of Medicine, Mineola, New York, USA. jgorskimd@hotmail.com

The Journal of Bone and Joint Surgery. American Volume
|April 4, 2003
PubMed
Summary

Chronic neck pain may stem from shoulder impingement syndrome. Treating shoulder impingement, diagnosed via specific signs and imaging, can effectively relieve neck pain in selected patients.

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Area of Science:

  • Orthopedics
  • Pain Management
  • Sports Medicine

Background:

  • Chronic neck pain presents diagnostic challenges due to varied etiologies.
  • Neck pain near the scapula can be referred pain from shoulder inflammation due to chronic impingement.
  • This study investigates the link between shoulder impingement and neck pain.

Purpose of the Study:

  • To evaluate if patients with specific neck pain presentations benefit from shoulder impingement treatment.
  • To identify clinical and radiographic indicators for diagnosing shoulder impingement as a cause of neck pain.

Main Methods:

  • Retrospective chart review of 34 patients with neck pain.
  • Diagnosis based on positive impingement sign with neck pain referral, radiographic abnormalities, and pain relief post-subacromial injection.

Related Experiment Videos

  • Pain scores assessed before and after lidocaine and cortisone injection.

    • Main Results:

    • 30 of 34 patients experienced immediate neck pain relief post-injection.
    • The remaining four patients showed substantial relief at three weeks.
    • Avoiding the shoulder impingement position (arm elevation > 90 degrees) reduced recurrence.

    Conclusions:

    • Shoulder impingement syndrome is a potential, treatable cause of chronic neck pain in selected individuals.
    • Diagnosis involves classic physical and radiographic signs, often presenting as neck rather than shoulder pain.
    • Subacromial injection and avoidance of impingement positions offer effective treatment.