Arthritis: Impingement Syndrome

How Is Shoulder Impingement Syndrome Treated? continued...

If you have persistent symptoms, despite the use of oral anti-inflammatory medications, your doctor may consider a cortisone-type injection. Cortisone is a potent anti-inflammatory medication, which should be used only when necessary because it can result in weakening of muscles and tendons.

If symptoms persist or if significant weakness is present, then your doctor may perform an ultrasound, MRI or arthrogram to rule out a rotator cuff tear. If the cuff is torn, surgery may be necessary to repair it.

The vast majority of people who have impingement syndrome are successfully treated with medication, stretching exercises and temporary avoidance of repetitive overhead activity until the condition settles down.

What Side Effects are Associated With Treatment?

Upset stomach, indigestion and headaches are the most common side effects of oral anti-inflammatory medications. However, taking these medications after meals or with food can help reduce stomach upset. Anti-inflammatory medicines also can cause vomiting, constipation and bleeding in the stomach (ulcers), although these side effects are not common.

Side effects of cortisone shots depend on the dose and frequency of the injections. Unlike cortisone pills, occasional cortisone injections rarely cause serious side effects. Side effects that are much more common with cortisone pills include elevated blood sugar, a decrease in the body's resistance to infection, weight gain, osteoporosis (thinning of the bones), thinning of the skin and raised blood pressure.

Reviewed by the doctors at The Cleveland Clinic Department of Rheumatic and Immunologic Diseases

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