{"id":853,"date":"2023-06-02T19:14:12","date_gmt":"2023-06-02T16:14:12","guid":{"rendered":"https:\/\/drgpanagopoulos.com\/?page_id=853"},"modified":"2026-03-09T13:33:11","modified_gmt":"2026-03-09T11:33:11","slug":"syndromo-proskrousis-omou","status":"publish","type":"page","link":"https:\/\/drgpanagopoulos.com\/en\/syndromo-proskrousis-omou\/","title":{"rendered":"Impingement syndrome"},"content":{"rendered":"<p class=\"wp-block-site-tagline\">Georgios Panagopoulos MD | Orthopaedic Surgeon<\/p>\n\n\n<p><\/p>\n\n\n\n<p style=\"font-size:28px;line-height:1.7\"><strong>Impingement syndrome<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/physiotherapy-guide-to-shoulder-impingement-syndrome-1024x683-2.jpg\" alt=\"\u03a3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf \u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2 \u03ae \u03c0\u03c1\u03bf\u03c3\u03c4\u03c1\u03b9\u03b2\u03ae\u03c2 \u03c3\u03b5 \u03bd\u03b5\u03b1\u03c1\u03ae \u03b3\u03c5\u03bd\u03b1\u03af\u03ba\u03b1\" class=\"wp-image-5479\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/physiotherapy-guide-to-shoulder-impingement-syndrome-1024x683-2.jpg 1024w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/physiotherapy-guide-to-shoulder-impingement-syndrome-1024x683-2-768x512.jpg 768w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/physiotherapy-guide-to-shoulder-impingement-syndrome-1024x683-2-18x12.jpg 18w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p>\u03a4\u03bf&nbsp;<strong>impingement syndrome<\/strong>&nbsp;\u03ce\u03bc\u03bf\u03c5 \u03ae&nbsp;<strong>\u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf<\/strong>&nbsp;<strong>\u03c5\u03c0\u03b1\u03ba\u03c1\u03c9\u03bc\u03b9\u03b1\u03ba\u03ae\u03c2 \u03c0\u03c1\u03bf\u03c3\u03c4\u03c1\u03b9\u03b2\u03ae\u03c2<\/strong>&nbsp;\u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03bf\u03bb\u03cd \u03c3\u03c5\u03c7\u03bd\u03cc, \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 &gt;30 \u03b5\u03c4\u03ce\u03bd. \u03a3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03bc\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03c3\u03c5\u03bd\u03b5\u03b4\u03c1\u03af\u03b5\u03c2 \u03c6\u03c5\u03c3\u03b9\u03ba\u03bf\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\u03c2, \u03bc\u03b1\u03b6\u03af \u03bc\u03b5 \u03b1\u03c3\u03ba\u03ae\u03c3\u03b5\u03b9\u03c2 \u03c3\u03c4\u03bf \u03c3\u03c0\u03af\u03c4\u03b9 \u03ba\u03b1\u03b9 \u03b5\u03bd\u03b4\u03b5\u03c7\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2 \u03bc\u03af\u03b1 \u03ad\u03bd\u03b5\u03c3\u03b7 \u03ba\u03bf\u03c1\u03c4\u03b9\u03b6\u03cc\u03bd\u03b7\u03c2, \u03b5\u03af\u03bd\u03b1\u03b9 \u03b9\u03ba\u03b1\u03bd\u03ad\u03c2 \u03bd\u03b1 \u03b2\u03b5\u03bb\u03c4\u03b9\u03ce\u03c3\u03bf\u03c5\u03bd \u03b4\u03c1\u03b1\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac \u03c4\u03bf\u03bd \u03c0\u03cc\u03bd\u03bf \u03c3\u03c4\u03bf\u03bd \u03ce\u03bc\u03bf \u03ba\u03b1\u03b9 \u03bd\u03b1 \u03bc\u03b1\u03c2 \u03b5\u03c0\u03b9\u03c4\u03c1\u03ad\u03c8\u03bf\u03c5\u03bd \u03bc\u03b9\u03b1 \u03b1\u03c0\u03c1\u03cc\u03c3\u03ba\u03bf\u03c0\u03c4\u03b7 \u03b5\u03c0\u03b9\u03c3\u03c4\u03c1\u03bf\u03c6\u03ae \u03c3\u03c4\u03b7 \u03ba\u03b1\u03b8\u03b7\u03bc\u03b5\u03c1\u03b9\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0\" id=\"rank-math-toc\"><p><strong>Table of contents<\/strong><\/p><nav><ul><li class=\"\"><a href=\"#\u03c4\u03b9-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03bf-\u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf-\u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2-\u03ce\u03bc\u03bf\u03c5\">What is shoulder impingement syndrome?<\/a><\/li><li class=\"\"><a href=\"#\u03c4\u03b9-\u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af-\u03c4\u03bf-\u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf-\u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2-\u03ce\u03bc\u03bf\u03c5\">What causes impingement syndrome?<\/a><\/li><li class=\"\"><a href=\"#\u03c0\u03bf\u03b9\u03b1-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03b1-\u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1-\u03c4\u03bf\u03c5-\u03c3\u03c5\u03bd\u03b4\u03c1\u03cc\u03bc\u03bf\u03c5-\u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2-\u03ce\u03bc\u03bf\u03c5\">What are the symptoms of impingement syndrome?<\/a><\/li><li class=\"\"><a href=\"#\u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\">Diagnosis<\/a><\/li><li class=\"\"><a href=\"#\u03c3\u03c5\u03bd\u03c4\u03b7\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae-\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\">Conservative treatment<\/a><\/li><li class=\"\"><a href=\"#\u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf-\u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2-\u03ce\u03bc\u03bf\u03c5-\u03c6\u03c5\u03c3\u03b9\u03ba\u03bf\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1-\u03b1\u03c3\u03ba\u03ae\u03c3\u03b5\u03b9\u03c2\">\u03a3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf \u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2 \u03ce\u03bc\u03bf\u03c5: \u03a6\u03c5\u03c3\u03b9\u03ba\u03bf\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 &amp; \u03b1\u03c3\u03ba\u03ae\u03c3\u03b5\u03b9\u03c2<\/a><\/li><li class=\"\"><a href=\"#\u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae-\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\">Surgical Treatment<\/a><\/li><li class=\"\"><a href=\"#faq-\u03c3\u03c5\u03c7\u03bd\u03ad\u03c2-\u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2\">FAQs - Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c4\u03b9-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03bf-\u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf-\u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2-\u03ce\u03bc\u03bf\u03c5\">What is shoulder impingement syndrome?<\/h2>\n\n\n\n<p class=\"translation-block\"><strong>Shoulder impingement<\/strong> occurs when the top edge of your shoulder blade, called the acromion, rubs against your rotator cuff beneath it, causing pain, swelling and irritation. The rotator cuff is a group of four muscles that originate from the shoulder blade and attach to your arm bone or humerus. The rotator cuff muscles help raise the arm overhead, as well as rotate the arm towards and away from the body. The cuff muscles sit in a small space between the acromion and the humeral head and that makes them susceptible to being pinched, leading to the so-called impingement syndrome.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img decoding=\"async\" width=\"500\" height=\"330\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/shutterstock_2081500969-2.jpg\" alt=\"\u03a3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf \u03a0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2 \u038f\u03bc\u03bf\u03c5\" class=\"wp-image-3986\" style=\"border-radius:20px;width:500px;height:auto\"\/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c4\u03b9-\u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af-\u03c4\u03bf-\u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf-\u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2-\u03ce\u03bc\u03bf\u03c5\">What causes impingement syndrome?<\/h2>\n\n\n\n<p>Impingement syndrome occurs when the cuff tendons rub against the acromion.<\/p>\n\n\n\n<p>Some causes of impingement syndrome include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Some professions with repetitive overhead motion (painters, window cleaners)<\/li>\n\n\n\n<li>Sport activities with overhead repetitive rotational motion, such as swimming, baseball, volleyball and tennis&nbsp;<\/li>\n\n\n\n<li>Improper technique during sports<\/li>\n\n\n\n<li>Anatomic reasons. Bone spurs may develop in the acromion (might be age-related). The acromion might not be flat as usual, but curved (may run in the family).&nbsp; &nbsp;<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img decoding=\"async\" width=\"780\" height=\"648\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u039f\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b1-\u03b1\u03c0\u03cc-\u03c4\u03b1-\u03b1\u03af\u03c4\u03b9\u03b1-\u03c0\u03bf\u03c5-\u03b5\u03bc\u03c0\u03bb\u03ad\u03ba\u03bf\u03bd\u03c4\u03b1\u03b9-\u03c3\u03c4\u03bf-\u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf-\u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2-\u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd_-visual-selection.jpg\" alt=\"\" class=\"wp-image-6151\" style=\"border-radius:20px;width:594px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u039f\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b1-\u03b1\u03c0\u03cc-\u03c4\u03b1-\u03b1\u03af\u03c4\u03b9\u03b1-\u03c0\u03bf\u03c5-\u03b5\u03bc\u03c0\u03bb\u03ad\u03ba\u03bf\u03bd\u03c4\u03b1\u03b9-\u03c3\u03c4\u03bf-\u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf-\u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2-\u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd_-visual-selection.jpg 780w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u039f\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b1-\u03b1\u03c0\u03cc-\u03c4\u03b1-\u03b1\u03af\u03c4\u03b9\u03b1-\u03c0\u03bf\u03c5-\u03b5\u03bc\u03c0\u03bb\u03ad\u03ba\u03bf\u03bd\u03c4\u03b1\u03b9-\u03c3\u03c4\u03bf-\u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf-\u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2-\u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd_-visual-selection-768x638.jpg 768w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u039f\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b1-\u03b1\u03c0\u03cc-\u03c4\u03b1-\u03b1\u03af\u03c4\u03b9\u03b1-\u03c0\u03bf\u03c5-\u03b5\u03bc\u03c0\u03bb\u03ad\u03ba\u03bf\u03bd\u03c4\u03b1\u03b9-\u03c3\u03c4\u03bf-\u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf-\u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2-\u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd_-visual-selection-14x12.jpg 14w\" sizes=\"(max-width: 780px) 100vw, 780px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c0\u03bf\u03b9\u03b1-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03b1-\u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1-\u03c4\u03bf\u03c5-\u03c3\u03c5\u03bd\u03b4\u03c1\u03cc\u03bc\u03bf\u03c5-\u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2-\u03ce\u03bc\u03bf\u03c5\">What are the symptoms of impingement syndrome?<\/h2>\n\n\n\n<p>Symptoms usually develop gradually over weeks or months. The symptoms of impingement syndrome may include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pain in the front and side of your shoulder<\/li>\n\n\n\n<li>Pain when lying on your arm<\/li>\n\n\n\n<li>Pain that worsens at night and disturbs your sleep<\/li>\n\n\n\n<li>Pain when lifting your arm overhead to reach something (i.e., from the cupboard)<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\">Diagnosis<\/h2>\n\n\n\n<p>Dr Panagopoulos will take a complete history and perform a focused physical exam, including assessing your shoulder range of motion and shoulder functional tests. A painful arc between 60-120 degrees of abduction is characteristic of impingement syndrome, as well as a positive Hawkins or Neer's test. Difficulty reaching something overhead or combing one's hair are also common complaints. <\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"478\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u03a3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf-\u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2-visual-selection.jpg\" alt=\"\" class=\"wp-image-6153\" style=\"border-radius:20px;width:526px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u03a3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf-\u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2-visual-selection.jpg 600w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u03a3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf-\u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2-visual-selection-15x12.jpg 15w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"translation-block\">An x-ray will help rule-out arthritis of the shoulder. There may also be bone spurs or a change in the outline of bone on the rotator cuff insertion (enthesitis). An MRI scan will demonstrate inflammation of the bursa or rotator cuff tears.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c3\u03c5\u03bd\u03c4\u03b7\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae-\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\">Conservative treatment<\/h2>\n\n\n\n<p><\/p>\n\n\n\n<p>As with most shoulder pathology, a trial of conservative management is attempted first. Conservative management may include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Rest<\/strong><\/li>\n\n\n\n<li>Activity modification<\/li>\n\n\n\n<li>NSAIDS<\/li>\n\n\n\n<li>Nonsteroidal anti-inflammatory drugs (NSAIDs)<\/li>\n\n\n\n<li>Physical therapy\/home exercise program - deltoid &amp; cuff strengthening can definitely help to improve your pain<\/li>\n\n\n\n<li class=\"translation-block\">Steroid injections \u2013 you may have 1 or 2 injections in the subacromial space. Success rate is about 70%. Steroid may cause some flare-up pain for 24-48 hours before kicking in. More than 2 injections may weaken the tendon and should be avoided.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf-\u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2-\u03ce\u03bc\u03bf\u03c5-\u03c6\u03c5\u03c3\u03b9\u03ba\u03bf\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1-\u03b1\u03c3\u03ba\u03ae\u03c3\u03b5\u03b9\u03c2\">\u03a3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf \u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2 \u03ce\u03bc\u03bf\u03c5: \u03a6\u03c5\u03c3\u03b9\u03ba\u03bf\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 &amp; \u03b1\u03c3\u03ba\u03ae\u03c3\u03b5\u03b9\u03c2<\/h2>\n\n\n\n<p>Conservative treatment is the first step for impingement syndrome. Usually some deltoid strengthening and a cortisone injection are enough to provide long-lasting relief in most patients. A few simple anterior deltoid exercises are depicted below.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"400\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Anterior-deltoid-exercises.jpg\" alt=\"\u03a3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf \u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2 \u03ce\u03bc\u03bf\u03c5 \u03b1\u03c3\u03ba\u03ae\u03c3\u03b5\u03b9\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b5\u03bd\u03bf\u03bd\u03c4\u03af\u03c4\u03b9\u03b4\u03b1 \u03ce\u03bc\u03bf\u03c5 &amp; \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b1\u03c1\u03b8\u03c1\u03bf\u03c3\u03ba\u03cc\u03c0\u03b7\u03c3\u03b7\" class=\"wp-image-2848\" style=\"border-radius:20px;width:481px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Anterior-deltoid-exercises.jpg 400w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Anterior-deltoid-exercises-300x300.jpg 300w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Anterior-deltoid-exercises-150x150.jpg 150w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae-\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\">Surgical Treatment<\/h2>\n\n\n\n<p class=\"translation-block\">If conservative treatment fails, keyhole surgery can be offered. Surgery can be performed <a href=\"https:\/\/drgpanagopoulos.com\/en\/arthroskopisi-omou\/\" target=\"_blank\" data-type=\"page\" data-id=\"924\" rel=\"noreferrer noopener\">arthroscopically<\/a>. The procedure is called subacromial decompression or acromioplasty and involves shaving-contouring your acromion to increase the space available underneath for your rotator cuff.<\/p>\n\n\n\n<p class=\"translation-block\">Other shoulder problems, such as biceps tendon problems or <a href=\"https:\/\/drgpanagopoulos.com\/en\/rixi-strofikou-petalou\/\" target=\"_blank\" data-type=\"page\" data-id=\"842\" rel=\"noreferrer noopener\">cuff tears<\/a> can be diagnosed and treated at the same time. Your arm will be placed in a sling for some time, based on the amount of arthroscopic work that was undertaken. You will start physical therapy. Recovery may take 6-8 weeks.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"faq-\u03c3\u03c5\u03c7\u03bd\u03ad\u03c2-\u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2\">FAQs - Frequently Asked Questions<\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list\">\n<div id=\"faq-question-1697716539089\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">What is impingement syndrome?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p><strong>Shoulder impingement<\/strong> occurs when the top edge of your shoulder blade, called the acromion, rubs against your rotator cuff beneath it, causing pain, swelling and irritation.\u00a0<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697716683290\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">What does the diagnosis involve?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p class=\"translation-block\">\u2013 History &amp; clinical exam<br>\u2013 X-rays<br>\u2013 Ultrasound<br>\u2013 MRI<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697716796912\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">What's the treatment for impingement?<\/h3>\n<div class=\"rank-math-answer\">\n\n<p class=\"translation-block\">\u2013 Physical therapy<br>\u2013 Steroid injection<br>\u2013 Shoulder arthroscopy<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<div class=\"wp-block-uagb-container uagb-block-f0c78fbe default uagb-is-root-container\">\n<div class=\"wp-block-uagb-container uagb-block-77c46601\">\n<div class=\"wp-block-uagb-info-box uagb-block-2fdac840 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 384 512\"><path d=\"M168.3 499.2C116.1 435 0 279.4 0 192C0 85.96 85.96 0 192 0C298 0 384 85.96 384 192C384 279.4 267 435 215.7 499.2C203.4 514.5 180.6 514.5 168.3 499.2H168.3zM192 256C227.3 256 256 227.3 256 192C256 156.7 227.3 128 192 128C156.7 128 128 156.7 128 192C128 227.3 156.7 256 192 256z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Athens<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"https:\/\/maps.app.goo.gl\/BEmxqgDN1X6dZg5c8\" target=\"_blank\" rel=\"noreferrer noopener\">Solonos 31, Kolonaki 106 71<\/a><\/p><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-57cd5a88\">\n<div class=\"wp-block-uagb-info-box uagb-block-49841691 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\"><path d=\"M285.6 444.1C279.8 458.3 264.8 466.3 249.8 463.4C234.8 460.4 223.1 447.3 223.1 432V256H47.1C32.71 256 19.55 245.2 16.6 230.2C13.65 215.2 21.73 200.2 35.88 194.4L387.9 50.38C399.8 45.5 413.5 48.26 422.6 57.37C431.7 66.49 434.5 80.19 429.6 92.12L285.6 444.1z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Marousi<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"https:\/\/goo.gl\/maps\/pEhC2FhtNRm1PczT8\" target=\"_blank\" rel=\"noreferrer noopener\">Kifisias 58 Ave, 151 25<\/a><\/p><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-5aebfae2 default uagb-is-root-container\">\n<div class=\"wp-block-uagb-container uagb-block-32057e61\">\n<div class=\"wp-block-uagb-info-box uagb-block-e662ea13 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 512 512\"><path d=\"M511.2 387l-23.25 100.8c-3.266 14.25-15.79 24.22-30.46 24.22C205.2 512 0 306.8 0 54.5c0-14.66 9.969-27.2 24.22-30.45l100.8-23.25C139.7-2.602 154.7 5.018 160.8 18.92l46.52 108.5c5.438 12.78 1.77 27.67-8.98 36.45L144.5 207.1c33.98 69.22 90.26 125.5 159.5 159.5l44.08-53.8c8.688-10.78 23.69-14.51 36.47-8.975l108.5 46.51C506.1 357.2 514.6 372.4 511.2 387z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Mobile<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"tel:2103639885\" target=\"_blank\" rel=\"noreferrer noopener\">+30 210 3639885<\/a><\/p><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-953cad24\">\n<div class=\"wp-block-uagb-info-box uagb-block-30f6ae74 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 384 512\"><path d=\"M320 0H64C37.49 0 16 21.49 16 48v416C16 490.5 37.49 512 64 512h256c26.51 0 48-21.49 48-48v-416C368 21.49 346.5 0 320 0zM192 464c-17.75 0-32-14.25-32-32s14.25-32 32-32s32 14.25 32 32S209.8 464 192 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271.6 356.3 294.4 339.2zM640 336C640 415.5 575.5 480 496 480C416.5 480 352 415.5 352 336C352 256.5 416.5 192 496 192C575.5 192 640 256.5 640 336zM540.7 292.7L480 353.4L451.3 324.7C445.1 318.4 434.9 318.4 428.7 324.7C422.4 330.9 422.4 341.1 428.7 347.3L468.7 387.3C474.9 393.6 485.1 393.6 491.3 387.3L563.3 315.3C569.6 309.1 569.6 298.9 563.3 292.7C557.1 286.4 546.9 286.4 540.7 292.7H540.7z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Email<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"mailto:info@drgpanagopoulos.com\" target=\"_blank\" rel=\"noreferrer noopener\">info@drgpanagopoulos.com<\/a><\/p><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-42034de2 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-85f46192\">\n<div class=\"wp-block-uagb-advanced-heading uagb-block-9ad55f92\"><h3 class=\"uagb-heading-text\">Find 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\u03ae&nbsp;\u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf&nbsp;\u03c5\u03c0\u03b1\u03ba\u03c1\u03c9\u03bc\u03b9\u03b1\u03ba\u03ae\u03c2 \u03c0\u03c1\u03bf\u03c3\u03c4\u03c1\u03b9\u03b2\u03ae\u03c2&nbsp;\u03b5\u03af\u03bd\u03b1\u03b9 \u03c0\u03bf\u03bb\u03cd \u03c3\u03c5\u03c7\u03bd\u03cc, \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03c3\u03b5 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 &gt;30 \u03b5\u03c4\u03ce\u03bd. \u03a3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03bc\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03c3\u03c5\u03bd\u03b5\u03b4\u03c1\u03af\u03b5\u03c2 \u03c6\u03c5\u03c3\u03b9\u03ba\u03bf\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\u03c2, \u03bc\u03b1\u03b6\u03af \u03bc\u03b5 \u03b1\u03c3\u03ba\u03ae\u03c3\u03b5\u03b9\u03c2 \u03c3\u03c4\u03bf \u03c3\u03c0\u03af\u03c4\u03b9 \u03ba\u03b1\u03b9 \u03b5\u03bd\u03b4\u03b5\u03c7\u03bf\u03bc\u03ad\u03bd\u03c9\u03c2 \u03bc\u03af\u03b1 \u03ad\u03bd\u03b5\u03c3\u03b7 \u03ba\u03bf\u03c1\u03c4\u03b9\u03b6\u03cc\u03bd\u03b7\u03c2, \u03b5\u03af\u03bd\u03b1\u03b9 \u03b9\u03ba\u03b1\u03bd\u03ad\u03c2 \u03bd\u03b1 \u03b2\u03b5\u03bb\u03c4\u03b9\u03ce\u03c3\u03bf\u03c5\u03bd \u03b4\u03c1\u03b1\u03bc\u03b1\u03c4\u03b9\u03ba\u03ac \u03c4\u03bf\u03bd \u03c0\u03cc\u03bd\u03bf \u03c3\u03c4\u03bf\u03bd \u03ce\u03bc\u03bf \u03ba\u03b1\u03b9 \u03bd\u03b1 \u03bc\u03b1\u03c2 \u03b5\u03c0\u03b9\u03c4\u03c1\u03ad\u03c8\u03bf\u03c5\u03bd \u03bc\u03b9\u03b1 \u03b1\u03c0\u03c1\u03cc\u03c3\u03ba\u03bf\u03c0\u03c4\u03b7 \u03b5\u03c0\u03b9\u03c3\u03c4\u03c1\u03bf\u03c6\u03ae \u03c3\u03c4\u03b7 \u03ba\u03b1\u03b8\u03b7\u03bc\u03b5\u03c1\u03b9\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1. \u03a4\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03c4\u03bf \u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf \u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2 \u03ce\u03bc\u03bf\u03c5; \u03a4\u03bf \u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf \u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2 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