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Nerve impingement near the shoulder

Also known as Shoulder Impingement Syndrome and Subacromial Impingement

Compression of the rotator cuff tendons and subacromial bursa between the humeral head and structures that make up the coracoacromial arch and the humeral tuberosities. This condition is associated with subacromial bursitis and rotator cuff (largely supraspinatus) and bicipital tendon inflammation, with or without degenerative changes in the tendon. Pain that is most severe when the arm is abducted in an arc between 40 and 120 degrees, sometimes associated with tears in the rotator cuff, is the chief symptom. (From Jablonski's Dictionary of Syndromes and Eponymic Diseases, 2d ed)

Source: MeSH

What are the symptoms?

Within all the people who go to their doctor with nerve impingement near the shoulder, 96% report having shoulder pain, 32% report having neck pain, and 32% report having knee pain. The symptoms that are highly suggestive of nerve impingement near the shoulder are shoulder pain, shoulder stiffness or tightness, shoulder weakness, and vulvar irritation, although you may still have nerve impingement near the shoulder without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with nerve impingement near the shoulder often receive radiographic imaging procedure, physical therapy exercises, plain x-ray, magnetic resonance imaging, other non-or therapeutic procedures on musculoskeletal system, other therapeutic procedures, occupational therapy assessment and other therapeutic procedures on muscles and tendons .

Common Medications

The most commonly prescribed drugs for patients with nerve impingement near the shoulder include bupivacaine, triamcinolone topical product, cortisone, betamethasone topical product, metformin / rosiglitazone, exenatide (byetta), hydrochlorothiazide / valsartan, rocuronium, ephedrine / hydroxyzine / theophylline, bulk producing laxatives, aspirin / carisoprodol, ropivacaine and acebutolol .

Who is at risk?

Groups of people at highest risk for nerve impingement near the shoulder include age 60-74 years age 45-59 years. On the other hand, age 1-4 years and age < 1 years almost never get nerve impingement near the shoulder.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.1x
15-29 years
0.3x
30-44 years
1.0x
45-59 years
2.0x
60-74 years
2.1x
75+ years
0.6x

Sex

Male
1.1x
Female
0.9x

Race/Ethnicity

Black
0.5x
Hispanic
0.7x
White
1.2x
Other
1.0x
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