How is the impingement syndrome treated?
The mainstays of management are physical therapy and antiinflammatory medications. Regaining full shoulder motion and rotator cuff strength are the therapy goals. Inflammation in the tendons is treated with oral NSAIDs or a local injection of corticosteroid. Nonoperative management should be pursued for at least 6 months before consideration of surgical decompression, unless a full-thickness rotator cuff tear is present.