{"id":195,"date":"2026-08-30T13:24:15","date_gmt":"2026-08-30T13:24:15","guid":{"rendered":"https:\/\/dryousefmuhammad.com\/shoulder-impingement\/"},"modified":"2026-09-02T18:31:21","modified_gmt":"2026-09-02T18:31:21","slug":"shoulder-impingement","status":"publish","type":"page","link":"https:\/\/dryousefmuhammad.com\/ar\/shoulder-impingement\/","title":{"rendered":"\u0645\u062a\u0644\u0627\u0632\u0645\u0629 \u0627\u0646\u062d\u0634\u0627\u0631 \u0627\u0644\u0643\u062a\u0641"},"content":{"rendered":"<section class=\"acl-hero\"><div class=\"acl-hero-grid\"><div class=\"acl-copy\"><div class=\"acl-eyebrow\">\u062d\u0627\u0644\u0629 \u0641\u064a \u0627\u0644\u0643\u062a\u0641<\/div><h1 class=\"acl-title\">\u0645\u062a\u0644\u0627\u0632\u0645\u0629 \u0627\u0646\u062d\u0634\u0627\u0631 \u0627\u0644\u0643\u062a\u0641<\/h1><div class=\"acl-subtitle\">Symptoms, Diagnosis &amp; Treatment Options<\/div><p class=\"acl-lede\">Impingement is one of the most common causes of shoulder pain \u2014 a pinching of the rotator cuff tendons in the narrow space beneath the shoulder blade. Most cases settle without surgery.<\/p><\/div><div class=\"acl-portrait\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/doctor-cutout.png\" alt=\"Dr. Yousef Muhammad\"><\/div><div class=\"acl-cred\"><div class=\"cred-name\">\u062f. \u064a\u0648\u0633\u0641 \u0645\u062d\u0645\u062f<\/div><div class=\"cred-role\">\u0627\u0633\u062a\u0634\u0627\u0631\u064a \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645 \u0628\u0627\u0644\u0628\u0648\u0631\u062f \u0627\u0644\u0623\u0644\u0645\u0627\u0646\u064a | \u0627\u0644\u0637\u0628 \u0627\u0644\u0631\u064a\u0627\u0636\u064a | \u062a\u0646\u0638\u064a\u0631 \u0627\u0644\u0645\u0641\u0627\u0635\u0644 | \u0627\u0633\u062a\u0628\u062f\u0627\u0644 \u0627\u0644\u0645\u0641\u0627\u0635\u0644<\/div><ul class=\"acl-cred-list\"><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0627\u0633\u062a\u0634\u0627\u0631\u064a \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645 \u062d\u0627\u0635\u0644 \u0639\u0644\u0649 \u0627\u0644\u0628\u0648\u0631\u062f \u0627\u0644\u0623\u0644\u0645\u0627\u0646\u064a<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u062c\u0631\u0627\u062d \u0631\u0643\u0628\u0629 \u0645\u0639\u062a\u0645\u062f \u0645\u0646 DKG<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u062c\u0631\u0627\u062d \u062a\u0646\u0638\u064a\u0631 \u0645\u0641\u0627\u0635\u0644 \u0645\u0639\u062a\u0645\u062f \u0645\u0646 AGA<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0637\u0628\u064a\u0628 \u0631\u064a\u0627\u0636\u064a \u0645\u0639\u062a\u0645\u062f \u0645\u0646 GOTS<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u062f\u0628\u0644\u0648\u0645 \u0627\u0644\u0641\u064a\u0641\u0627 \u0641\u064a \u0637\u0628 \u0643\u0631\u0629 \u0627\u0644\u0642\u062f\u0645<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>International Experience (Germany &amp; Middle East)<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0631\u0626\u064a\u0633 \u0633\u0627\u0628\u0642 \u0644\u0642\u0633\u0645 \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645 (\u0623\u0644\u0645\u0627\u0646\u064a\u0627)<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0623\u0643\u062b\u0631 \u0645\u0646 \u0661\u0664 \u0639\u0627\u0645\u064b\u0627 \u0645\u0646 \u0627\u0644\u062e\u0628\u0631\u0629<\/span><\/li><\/ul><div class=\"acl-actions\"><a class=\"btn-book\" href=\"#book\"><svg viewbox=\"0 0 24 24\"><rect x=\"3.5\" y=\"5\" width=\"17\" height=\"16\" rx=\"2\"><\/rect><path d=\"M3.5 9.5h17M8 3v4M16 3v4\"><\/path><\/svg> \u0627\u062d\u062c\u0632 \u0627\u0633\u062a\u0634\u0627\u0631\u0629<\/a>\n            <a class=\"btn-wa\" href=\"#\" aria-disabled=\"true\" tabindex=\"-1\" data-wa-off=\"\" title=\"\u0648\u0627\u062a\u0633\u0627\u0628 \u063a\u064a\u0631 \u0645\u0641\u0639\u0651\u0644 \u0628\u0639\u062f\"><svg class=\"wa-ic\" viewbox=\"0 0 32 32\"><path d=\"M16 3C9.4 3 4 8.4 4 15c0 2.1.6 4.2 1.6 6L4 29l8.2-1.6c1.7.9 3.7 1.4 5.8 1.4 6.6 0 12-5.4 12-12S22.6 3 16 3zm0 21.8c-1.8 0-3.6-.5-5.1-1.4l-.4-.2-4.9 1 1-4.7-.3-.4C5.5 18 5 16.5 5 15 5 9 10 4 16 4s11 5 11 11-5 9.8-11 9.8zm5.6-7.3c-.3-.2-1.8-.9-2.1-1-.3-.1-.5-.2-.7.2s-.8 1-1 1.2c-.2.2-.4.2-.7.1-.3-.2-1.3-.5-2.4-1.5-.9-.8-1.5-1.8-1.7-2.1-.2-.3 0-.5.1-.7l.5-.6c.2-.2.2-.3.4-.6.1-.2.1-.4 0-.6l-1-2.4c-.3-.6-.5-.5-.7-.5h-.6c-.2 0-.5.1-.8.4-.3.3-1 1-1 2.5s1.1 2.9 1.2 3.1c.2.2 2.2 3.4 5.3 4.7.7.3 1.3.5 1.8.6.7.2 1.4.2 1.9.1.6-.1 1.8-.7 2-1.5.3-.7.3-1.4.2-1.5-.1-.2-.3-.3-.6-.4z\"><\/path><\/svg> \u0631\u0627\u0633\u0644\u0646\u0627 \u0639\u0644\u0649 \u0648\u0627\u062a\u0633\u0627\u0628<\/a><\/div><\/div><\/div><\/section><section class=\"acl-intro\"><p>Impingement happens when the rotator cuff tendons are compressed in the narrow space between the top of the arm bone and the bony arch of the shoulder blade (the acromion). Every time you lift the arm, that space narrows \u2014 and if it is too tight, the tendons are pinched and become inflamed.<\/p><\/section><section class=\"acl-strip\"><figure class=\"acl-fig\"><div class=\"im\"><span>\u0631\u0633\u0645 \u062a\u0634\u0631\u064a\u062d\u064a<\/span><\/div><h4>1. Anatomy &amp; Overview<\/h4><p>Impingement happens when the rotator cuff tendons are compressed in the narrow space between the top of the arm bone and the bony arch of the shoulder blade (the acromion).<\/p><\/figure><figure class=\"acl-fig\"><div class=\"im\"><span>\u0627\u0644\u0641\u062d\u0635 \u0627\u0644\u0633\u0631\u064a\u0631\u064a<\/span><\/div><h4>2. Signs &amp; Symptoms<\/h4><p>Pain when lifting the arm \u2014 especially in the mid-range and overhead.<\/p><\/figure><figure class=\"acl-fig\"><div class=\"im\"><span>\u0627\u0644\u062a\u0635\u0648\u064a\u0631 \u0627\u0644\u062a\u0634\u062e\u064a\u0635\u064a<\/span><\/div><h4>3. Diagnosis &amp; Imaging<\/h4><p>Specific tests load the shoulder in positions that reproduce the pinch, helping to confirm impingement and distinguish it from a cuff tear.<\/p><\/figure><figure class=\"acl-fig\"><div class=\"im\"><span>\u0627\u0644\u0639\u0644\u0627\u062c<\/span><\/div><h4>\u0664. \u062e\u064a\u0627\u0631\u0627\u062a \u0627\u0644\u0639\u0644\u0627\u062c<\/h4><p>The great majority of cases improve with non-surgical care aimed at restoring movement and creating space for the tendons.<\/p><\/figure><figure class=\"acl-fig\"><div class=\"im\"><span>\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644<\/span><\/div><h4>5. Recovery &amp; Rehabilitation<\/h4><p>With consistent rehabilitation, most patients improve over several weeks to a few months and return to overhead activity.<\/p><\/figure><\/section><section class=\"clin\"><div class=\"clin-portrait\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/doctor-cutout.png\" alt=\"Dr. Yousef Muhammad\"><\/div><div class=\"clin-body\"><div class=\"clin-eyebrow\"><span class=\"qm\">\u201d<\/span> \u0645\u0644\u0627\u062d\u0638\u0629 \u0633\u0631\u064a\u0631\u064a\u0629 \u0645\u0646 \u062f. \u064a\u0648\u0633\u0641 \u0645\u062d\u0645\u062f<\/div><p>Impingement is one of the most common causes of shoulder pain \u2014 a pinching of the rotator cuff tendons in the narrow space beneath the shoulder blade. Most cases settle without surgery.<\/p><\/div><div class=\"clin-sign\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/signature.png\" alt=\"Dr. Yousef Muhammad\" class=\"sig-img\"><div class=\"nm\">\u062f. \u064a\u0648\u0633\u0641 \u0645\u062d\u0645\u062f<\/div><div class=\"rl\">\u0627\u0633\u062a\u0634\u0627\u0631\u064a \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645<\/div><\/div><\/section><section class=\"faq\"><h2 class=\"sec-h\">\u0627\u0644\u0623\u0633\u0626\u0644\u0629 \u0627\u0644\u0634\u0627\u0626\u0639\u0629<\/h2><div class=\"faq-grid\"><details><summary><span class=\"dym-lt\">What are the symptoms of Shoulder Impingement Syndrome?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">Pain when lifting the arm \u2014 especially in the mid-range and overhead. A painful arc \u2014 with discomfort easing once the arm is fully raised. Night pain \u2014 particularly when lying on the affected side. Weakness or reluctance \u2014 to reach overhead or behind the back.<\/div><\/details><details><summary><span class=\"dym-lt\">What causes Shoulder Impingement Syndrome?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">Repetitive overhead activity \u2014 sport, painting, construction. A bony spur narrowing the subacromial space. Weakness of the rotator cuff and shoulder-blade muscles. Poor posture altering the position of the shoulder blade.<\/div><\/details><details><summary><span class=\"dym-lt\">How is Shoulder Impingement Syndrome diagnosed?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">Specific tests load the shoulder in positions that reproduce the pinch, helping to confirm impingement and distinguish it from a cuff tear. Ultrasound or MRI assesses the tendons and bursa and rules out a tear, while X-rays can reveal a bony spur.<\/div><\/details><details><summary><span class=\"dym-lt\">How is Shoulder Impingement Syndrome treated?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">The great majority of cases improve with non-surgical care aimed at restoring movement and creating space for the tendons. Physiotherapy: Strengthening the cuff and shoulder-blade muscles restores balanced movement and opens the subacromial space. Anti-inflammatories: Medication and, in selected cases, a targeted injection settle inflammation so rehabilitation can progress. Subacromial decompression: When pain persists despite full rehabilitation, keyhole surgery removes the spur and creates more room for the tendons.<\/div><\/details><details><summary><span class=\"dym-lt\">\u0645\u0627\u0630\u0627 \u064a\u062a\u0636\u0645\u0646 \u0627\u0644\u062a\u0639\u0627\u0641\u064a\u061f<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">With consistent rehabilitation, most patients improve over several weeks to a few months and return to overhead activity. Where surgery is needed, a structured programme afterwards restores motion and strength, and outcomes are generally very good.<\/div><\/details><\/div><p class=\"disclaimer\">\u0645\u0644\u0627\u062d\u0638\u0629: \u0647\u0630\u0647 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0644\u0644\u062a\u062b\u0642\u064a\u0641 \u0627\u0644\u0639\u0627\u0645 \u0641\u0642\u0637 \u0648\u0644\u0627 \u062a\u063a\u0646\u064a \u0639\u0646 \u0627\u0633\u062a\u0634\u0627\u0631\u0629 \u0637\u0628\u064a\u0628\u0643.<\/p><\/section><section class=\"refs\"><h2 class=\"sec-h\">\u0645\u0631\u0627\u062c\u0639 \u0637\u0628\u064a\u0629 \u062f\u0648\u0644\u064a\u0629<\/h2><div class=\"refs-grid\"><a class=\"ref-cell\" href=\"https:\/\/www.aaos.org\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-aaos.png\" alt=\"AAOS\"><span class=\"ref-desc\">\u0627\u0644\u0623\u0643\u0627\u062f\u064a\u0645\u064a\u0629 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629 \u0644\u062c\u0631\u0627\u062d\u064a \u0627\u0644\u0639\u0638\u0627\u0645<\/span><span class=\"ref-url\" data-no-translation=\"\">aaos.org<\/span><\/a>\n        <a class=\"ref-cell\" href=\"https:\/\/www.esska.org\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-esska.png\" alt=\"ESSKA\"><span class=\"ref-desc\">European Society of Sports Traumatology, Knee Surgery &amp; Arthroscopy<\/span><span class=\"ref-url\" data-no-translation=\"\">esska.org<\/span><\/a>\n        <a class=\"ref-cell\" href=\"https:\/\/www.sportsmed.org\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-aossm.png\" alt=\"AOSSM\"><span class=\"ref-desc\">\u0627\u0644\u062c\u0645\u0639\u064a\u0629 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629 \u0644\u0637\u0628 \u0627\u0644\u0639\u0638\u0627\u0645 \u0627\u0644\u0631\u064a\u0627\u0636\u064a<\/span><span class=\"ref-url\" data-no-translation=\"\">sportsmed.org<\/span><\/a>\n        <a class=\"ref-cell\" href=\"https:\/\/www.dvse.info\" target=\"_blank\" rel=\"noopener\"><span class=\"ref-abbr\">DVSE<\/span><span class=\"ref-desc\">German Society for Shoulder &amp; Elbow Surgery<\/span><span class=\"ref-url\" data-no-translation=\"\">dvse.info<\/span><\/a>\n        <a class=\"ref-cell\" href=\"https:\/\/www.aga-online.ch\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-aga.png\" alt=\"AGA\"><span class=\"ref-desc\">\u062c\u0645\u0639\u064a\u0629 \u062a\u0646\u0638\u064a\u0631 \u0627\u0644\u0645\u0641\u0627\u0635\u0644 \u0648\u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0645\u0641\u0627\u0635\u0644<\/span><span class=\"ref-url\" data-no-translation=\"\">aga-online.ch<\/span><\/a><\/div><\/section><section class=\"rel2\"><h2 class=\"sec-h\">\u062d\u0627\u0644\u0627\u062a \u0630\u0627\u062a \u0635\u0644\u0629<\/h2><div class=\"rel2-grid\"><a class=\"rel2-card\" href=\"\/ar\/rotator-cuff-tear\/\"><div><div class=\"nm\">\u062a\u0645\u0632\u0642 \u0627\u0644\u0643\u0641\u0629 \u0627\u0644\u0645\u062f\u0648\u0631\u0629<\/div><div class=\"lm\">\u0627\u0639\u0631\u0641 \u0627\u0644\u0645\u0632\u064a\u062f <svg viewbox=\"0 0 24 24\"><path d=\"M5 12h14M13 6l6 6-6 6\"><\/path><\/svg><\/div><\/div><div class=\"th\"><\/div><\/a>\n        <a class=\"rel2-card\" href=\"\/ar\/frozen-shoulder\/\"><div><div class=\"nm\">\u0627\u0644\u0643\u062a\u0641 \u0627\u0644\u0645\u062a\u062c\u0645\u062f<\/div><div class=\"lm\">\u0627\u0639\u0631\u0641 \u0627\u0644\u0645\u0632\u064a\u062f <svg viewbox=\"0 0 24 24\"><path d=\"M5 12h14M13 6l6 6-6 6\"><\/path><\/svg><\/div><\/div><div class=\"th\"><\/div><\/a>\n        <a class=\"rel2-card\" href=\"\/ar\/shoulder-instability\/\"><div><div class=\"nm\">\u0639\u062f\u0645 \u062b\u0628\u0627\u062a \u0627\u0644\u0643\u062a\u0641<\/div><div class=\"lm\">\u0627\u0639\u0631\u0641 \u0627\u0644\u0645\u0632\u064a\u062f <svg viewbox=\"0 0 24 24\"><path d=\"M5 12h14M13 6l6 6-6 6\"><\/path><\/svg><\/div><\/div><div class=\"th\"><\/div><\/a>\n        <a class=\"rel2-card\" href=\"\/ar\/shoulder-dislocation\/\"><div><div class=\"nm\">\u062e\u0644\u0639 \u0627\u0644\u0643\u062a\u0641<\/div><div class=\"lm\">\u0627\u0639\u0631\u0641 \u0627\u0644\u0645\u0632\u064a\u062f <svg viewbox=\"0 0 24 24\"><path d=\"M5 12h14M13 6l6 6-6 6\"><\/path><\/svg><\/div><\/div><div class=\"th\"><\/div><\/a><\/div><\/section><section class=\"appt\" id=\"book\"><div class=\"appt-col\"><svg class=\"appt-ic\" viewbox=\"0 0 24 24\"><rect x=\"3.5\" y=\"5\" width=\"17\" height=\"16\" 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