Shoulder Impingement Canberra.

What the evidence says.

The old story, a bone spur pinching a tendon that needs shaving off, has not survived the evidence. Decompression surgery performs no better than placebo surgery in high quality trials, and the modern understanding treats subacromial pain as a load tolerance problem of the cuff and biceps tendon complex. The reliable treatment is graded exercise that restores the shoulder's capacity, with success rates that match surgery without the scar.

How I treat it.

We find your provocative directions and your current tolerance, then rebuild capacity progressively: cuff loading, scapular control that comes from strength rather than posture cues alone, thoracic mobility where it is genuinely limiting, and a graded return to the overhead life, gym, swimming, trades work, that flared it in the first place.

Massage has a supporting role for the overworked upper trap and pec tissue that guards a sore shoulder, treated in the same session, one plan.

What we aim for.

• Reaching, lifting and sleeping without the catch
• Cuff strength measurably restored
• Overhead work and training resumed on a plan, not on hope
• The surgical question answered properly: rarely needed