Pinched rotator cuff tendons in the shoulder
Shoulder impingement is irritation of the rotator cuff tendons as they pass under the bony acromion, often producing pain with overhead activity. Same-day or next-week evaluations across eight LA-area offices.
Board-certified surgeons and podiatrists across eight Los Angeles area neighborhoods.
Key takeaways
Shoulder impingement is irritation of the rotator cuff tendons as they pass under the bony acromion, often producing pain with overhead activity. Symptoms can develop gradually or after a specific injury, so early evaluation matters when function starts to decline.
Most patients with shoulder impingement improve with conservative care: rest from overhead activity, anti-inflammatory medication, physical therapy to strengthen the rotator cuff and shoulder blade muscles, and a steroid injection when pain is limiting progress. Surgery is considered only when symptoms persist after several months of this care.
Below, we walk through the anatomy involved, the symptoms and causes we most often see, how we diagnose shoulder impingement, and the full range of treatment options, from the simplest to the most involved.
This is a painful pinching of soft tissues in your shoulder. It happens when these tissues rub and press against a part of your shoulder blade called the "acromion." This can irritate your rotator cuff tendons, and also a soft sac called the "subacromial bursa."
The shoulder is the most mobile joint in the body, which makes it vulnerable to instability and impingement. The elbow is a hinge that lets you reach, lift, and rotate the forearm. Both rely on tendons and ligaments that can tear or fray over time.
You want answers, fast, and we're built to give them. Most patients leave their first LAOSS visit with a clear diagnosis and a written plan, not another referral chain.
Here's what your initial visit for shoulder impingement typically looks like:
Schedule your evaluation at the LAOSS office nearest you.
Once we've confirmed the diagnosis, the next step is matching the right treatment to your situation. We start with the least-invasive option that fits, and escalate only when it doesn't.
Non-surgical options designed to relieve pain, restore movement, and avoid the OR when possible.
Surgery is considered only when several months of therapy and injections have not relieved the pain.
Shoulder & elbow care is highly technique-dependent. Volume, training, and judgment together determine the outcome you actually feel six months later.
Our shoulder & elbow specialists move stepwise: start with the least-invasive option that fits your situation, escalate only when it doesn't.
If most of these match your situation, an evaluation with a shoulder & elbow specialist is the next step.
These signs typically point toward an in-person evaluation with a shoulder & elbow specialist.
Your first visit is built to give you an answer the same day, not just another referral.
ImportantSeek urgent evaluation for sudden severe pain, numbness, progressive weakness, or any sign of infection (fever, increasing redness or swelling).
Recovery is rarely a straight line, but a clear plan with measurable milestones makes the path predictable.
In the first two weeks we focus on protecting the shoulder & elbow, calming inflammation, and restoring basic motion.
Targeted physical therapy rebuilds strength, mobility, and confidence in the shoulder & elbow.
Once function is restored, the focus shifts to keeping you there, and catching any recurrence early.
We talk through the risks and benefits with every patient. Informed consent is a conversation, not a form.
Every orthopedic intervention carries a small set of standard risks. We screen, prepare, and monitor for these on every patient.
Some risks are tied to the structures we're treating in the shoulder & elbow. We discuss these in detail at your visit so you can weigh them against the benefits.
At LAOSS, our shoulder & elbow specialists are board-certified and treat these problems every day. From minimally invasive arthroscopic techniques to joint replacement and arthritis management, our physicians bring decades of experience to every case. We have cared for Los Angeles patients since 2007, with one goal for each: less pain, better movement, and a return to the activities you love.
Accepting new patients
Shoulder & Elbow Surgeon
Speaks English and Spanish
Habla español
Accepting new patients
Total Joint & Sports Medicine
Don't let shoulder impingement be something you just power through. With same- or next-day appointments at multiple Los Angeles locations, you'll never wait weeks or months for answers. The same team handles your diagnosis, treatment, and recovery. Whether you need physical therapy, injections, or surgery, we plan it with you and coordinate each step.
Call or schedule online today to see a shoulder & elbow specialist in Los Angeles.
Book a visit with a shoulder & elbow specialist at any of our eight Los Angeles-area offices.
