Subacromial Impingement

The sub acromial space is the area under the acromion. This area becomes impinged when the rotator cuff rubs against or catches the acromion, leading to pain. Sub acromial impingement is associated with conditions like bursitis and tendonitis.


Shoulder instability can range from small micromotions to dislocations. It can be caused by a variety of factors, including trauma, chronic issues, and genetic issues like tissue laxity and hypermobility. Dr. Urband will consider all of these factories in his treatment.


The rotator cuff is a group of muscles and tendons in the shoulder that are needed for stability and strength during motions. Issues can arise anywhere from the neve connection and signal to the muscle to the insertion of the tendon to bone. So, "rotator cuff injury" is inclusive of a wide variety of issues

Bone Spurs

In a frozen shoulder, the connective tissue around the shoulder becomes thicker and inflamed, leading to pain, stiffness, and a limited range of motion. It can be caused by inactivity after surgery, so maintaining range of motion after surgery can prevent this! Frozen shoulder is primarily treated nonsurgically, but surgery can be done if other options are unsuccessful.

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Bone Bruises



The most common types of arthritis that affect the shoulder are osteoarthritis and rheumatoid arthritis. In osteoarthritis, articular cartilage breaks down, causing bones to rub together, leading to both pain and stiffness in the joint. In rheumatoid arthritis, the immune system targets joint linings, leading to similar symptoms as osteoarthritis as bones rub together. Potential treatments for these types of arthritis range from rest, medications, modified physical activity, and physical therapy to  surgery.


There are many structures in the shoulder that can become inflamed, leading to a variety of issues, including subacromial impingement, bursitis, tendonitis, bone spurs, and bone bruises.


ex: common antiinflammatories

ibuprofen, alleve, naproxen, NSAIDs, metbaolized by liver vs kidneys

contact physician if you have issues with meds