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Condition · Shoulders & arms

Shoulder Impingement

Why overhead motion pinches and how PT restores shoulder mechanics and strength.

5.0· 100+ Google reviews

Medically reviewed by Dr. Lee · Updated September 2026

Quick answer
Shoulder impingement is pain from irritated rotator cuff tendons - usually a movement problem, not a structural one. Physical therapy restores mechanics through cuff strengthening, shoulder-blade retraining, and manual therapy. SKYE Physiotherapy in Columbia, MD treats impingement in one-on-one 80-minute sessions.

By Dr. Skye Lee, DScPT, OCS, FAAOMPT, CMTPT — a Fellowship-trained physical therapist (fewer than 1% of PTs hold these credentials) practicing one-on-one in Columbia, MD.

Shoulder impingement — pinching pain when you raise your arm — comes from the rotator cuff or bursa being compressed during movement. Shoulder impingement treatment in Columbia, MD restores the mechanics so you can reach overhead pain-free.

Why your shoulder pinches

Impingement usually reflects how the shoulder moves — poor scapular control, rotator-cuff weakness, or posture — narrowing the space tendons pass through. It's a mechanics problem, which is good news, because mechanics are trainable.

How PT treats impingement

  1. Calm the irritated tissue and modify aggravating loads.
  2. Restore shoulder-blade and rotator-cuff control.
  3. Progressive strengthening through full range.
  4. Return to overhead work and sport.

What the evidence shows

Exercise-based rehab focused on the rotator cuff and scapular control is first-line and effective for most impingement, often avoiding injections or surgery.

Recovery timeline

Many people improve over 6–12 weeks as control and strength return.

Self-care you can start today

  • Modify, don't eliminate, overhead tasks.
  • Begin gentle rotator-cuff and shoulder-blade activation.
  • Avoid prolonged rounded-shoulder posture.
  • Support the arm in bed to reduce night pain.

What I'll assess at your first visit in Columbia

I'll assess shoulder-blade and rotator-cuff control, range and strength, and posture — then start targeted control and loading work.

Related care at SKYE: Shoulder impingement in Columbia, MD often responds well to manual physical therapy and corrective exercise. You may also find my guides on rotator cuff tears and frozen shoulder helpful.

Educational only; not a substitute for individualized care.Medically reviewed by Dr. Lee · Updated September 2026
FAQ

Common questions about Shoulder Impingement

Still unsure? A free 20-minute phone consult answers the rest.

What is shoulder impingement?

Compression of the rotator cuff or bursa during arm movement, causing pinching pain, usually driven by shoulder mechanics.

Can PT fix shoulder impingement?

Yes — restoring rotator-cuff and scapular control with progressive strengthening resolves most cases.

Should I stop exercising with impingement?

Modify rather than stop — I adjust loads while you rebuild control and strength.

How long does impingement take to heal?

Often 6–12 weeks with consistent rehab.

Do I need an MRI for shoulder impingement?

Usually not initially — a clinical exam guides treatment; imaging is reserved for specific cases.

Google reviews

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“Having been to many physical therapists through the years, I was struck by his extraordinary level of presence and gentle hands-on inquiry... He is a PT gem.”
Kim WeeterVerifiedShoulder & Arm
“After 20 years of back pain and surgery that didn't help, Doc Lee's dry needling miraculously fixed the problem. He's a genuinely kind person. Highly recommend.”
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Ready when you are

Let’s get you back to what you love.

Whether that’s a full night’s sleep, the garden or the pickleball court, recovery starts with one uninterrupted 80-minute visit: evaluation and treatment the same day, and a clear plan before you leave. Not sure yet? Start with a free 20-minute phone consult.