Nonsurgical Treatment Choices for Shoulder Impingement

Ice

Ice reduces inflammation and relieves pain. Apply an ice pack for about 15 minutes, 3 times a day. A pillow placed under your arm may help make you more comfortable. To make an ice pack, put ice cubes in a plastic bag that seals at the top. Wrap the bag in a clean, thin towel or cloth. Never put ice or an ice pack directly on the skin. This will prevent ice burns.

Heat

Thermotherapy is the application of heat to the body. The result is increased tissue temperature. Heat may soothe and relax aching muscles and increase circulation to the affected areas. This reduces pain and stiffness, but it won’t reduce inflammation. In fact, some research suggests it may make inflammation worse.

Use a heating pad or take a warm shower or bath. Do this for 15 minutes at a time.

Don't use heat when pain is constant. Heat is best when used for warming up before an activity. You can also switch between ice and heat.

Medicine

To relieve pain and inflammation, try over-the-counter pain relievers, such as acetaminophen or ibuprofen. Or your health care provider may prescribe medicines. Ask how and when to take your medicine. Be sure to follow all instructions you’re given. If you have chronic liver or kidney disease, talk with your provider before using these medicines. Also, talk with your provider if you’ve had a stomach ulcer or gastrointestinal bleeding.

Electrical stimulation

Electrical stimulation can help reduce pain and swelling. Your health care provider attaches small pads to your shoulder. A mild electric current then flows into your shoulder. You may feel tingling. But you should not feel pain.

Ultrasound

Ultrasound can help reduce pain. First, a slick gel or medicated cream is applied to your shoulder. Then your health care provider places a small device over the area. The device uses sound waves to loosen shoulder tightness. This treatment should be pain-free.

Injection therapy

Injection therapy may be used to help diagnose your problem. It may also be used to reduce pain and inflammation. The injection typically includes two medicines. One is an anesthetic to numb the shoulder. The other is a steroid, such as cortisone, to help reduce painful swelling. It can take from a few hours to a couple of days before the injection helps. Talk with your health care provider about the possible risks and benefits of this therapy.