Effect of Extracorporeal Shock Wave Therapy and Dry Needling in Treatment of Impingement Syndrome

Injuries to the shoulder joint have been very common throughout society.There are several common shoulder diseases, including rotator cuff tears, osteoarthritis, shoulder impingement, bursitis, and cervical radiculopathy, which result in shoulder girdle muscle dysfunction, and struggle with everyday tasks [1]of which osteoarthritis (OA.Impingement syndrome refers to rotator cuff abnormalities that encompass all stages of tendon degeneration.Shoulder impingement syndrome (SIS) is caused by compression of the teres minor, teres minor, supraspinatus muscle, soft tissues, biceps tendon, and subacromial bursa between the coracoacromial arch and humeral head.Shoulder discomfort may result from this disorder.Additionally, several structural and functional elements that reduce the subacromial space may potentially contribute to shoulder impingement [2].Patients with shoulder impingement syndrome have persistent pain.