Shoulder Impingement: What Every Worker Should Know

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Shoulder pain is one of the most common problems faced by people in physically demanding jobs. If you’re a tradie, factory hand, or anyone who spends long hours lifting, reaching, or working overhead, you may have heard of shoulder impingement syndrome or commonly called Bursitis.

Why It Happens

Your shoulder is a complex joint where tendons and muscles slide under a bony arch. Repetitive overhead work, heavy lifting, or awkward postures can cause these tendons to rub and swell. Over time, this “impingement” leads to pain and reduced movement.

Symptoms to Watch For

• Pain when lifting your arm overhead or behind your back
• Aching at night, especially if you sleep on the sore shoulder
• Weakness or stiffness when doing everyday tasks like reaching for tools

Do I need to have scans?

Ultrasound or MRI scans can show the severity of the condition.

Management

The good news is that most cases improve without surgery. Key steps include:

• Rest and activity modification: Avoid repetitive overhead tasks where possible. This may include performing alternate duties while recovering from the condition.
• Physiotherapy: Strengthening the rotator cuff and shoulder muscles reduces strain.
• Anti‑inflammatory strategies: Ice, gentle stretches, and sometimes medication help settle pain. Opioid-based medications have no long term benefit over medications such as Paracetamol or Ibuprofen.
• Workplace adjustments: Using mechanical aids, rotating tasks, or changing technique can make a big difference.
  
  

Recovery Time

With consistent management, many workers notice improvement within 6–12 weeks. Full recovery may take several months, but most people return to normal duties with the right rehab and pacing.

Surgery? Not Usually Helpful

Research shows that surgical procedures like “subacromial decompression” often don’t provide better outcomes than physiotherapy and exercise. For most workers, surgery adds risk without real benefit.

Conclusion

Shoulder impingement is common among workers with physically demanding jobs, but with smart management and workplace adjustments, recovery is achievable. Focus on strengthening, pacing, and modifying tasks, not surgery - for the best long‑term results.