What are the symptoms of shoulder impingement?

Pain may be felt at the front or side of the shoulder and can spread down the upper arm. Reaching into a cupboard, putting on a shirt, swimming or lifting may bring it on. Some people notice a painful arc as the arm rises, weakness from pain, or discomfort when lying on the affected side. A clicking sensation can occur, but clicking alone does not identify the cause.

Temporarily modify movements that repeatedly provoke pain while keeping the shoulder gently mobile. Avoid forcing painful overhead stretches or heavy lifting. Physiotherapy can address shoulder movement, posture and rotator-cuff strength. A clinician may discuss an injection for selected cases; surgery is considered only after assessment and appropriate non-surgical care.

Book an assessment when pain persists, disrupts sleep, limits work or sport, or is accompanied by clear weakness. Seek urgent help after a major injury if the arm looks deformed, cannot be moved, or the shoulder is suddenly swollen, numb or unusually cold. Chest discomfort or breathlessness with shoulder pain needs emergency attention.

Which movements are irritating the shoulder? Do I need imaging or a strength assessment? What exercises can I do without worsening symptoms? When would an injection or subacromial decompression be considered?