Swimmer’s shoulder results from repetitive use of the joint, which leads to irritation, inflammation, tears and scarring. Symptoms include pain and limited range of motion. Conservative treatments include steroid injections and physical therapy.
Swimmer’s shoulder involves tendons, tissues that connect muscles to bones. The tendons in the shoulder become inflamed and swollen, pressing on nearby bones, muscles or other tendons. Swimmer’s shoulder is sometimes called shoulder impingement, subacromial impingement or painful arc.
Inflammation usually affects the tendons of the rotator cuff (group of tendons and muscles around the shoulder joint). These tendons can pressure the acromion, the top part of the shoulder blade bone. Friction on the shoulder blade can cause bone spurs (bony growths) to develop. Swimmer’s shoulder is a type of shoulder tendinitis.
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Repeated strain in the shoulder joint irritates tendon and muscle tissue. Tiny tears develop, leading to inflammation and scar tissue. This damage prevents the joint from moving smoothly. Left untreated, swimmer’s shoulder can cause a labral tear or rotator cuff tear.
High-performance swimmers may swim up to nine miles a day, putting them at risk for overuse injuries such as shoulder impingement. But anyone who uses their shoulders to repeatedly lift or reach overhead can develop the condition. Baseball players, tennis players, construction workers and electricians are prone to shoulder tendon pain.
Swimmer’s shoulder symptoms include:
A healthcare provider will review your symptoms and perform a physical exam. The provider may press on different areas of the shoulder to check for pain, swelling or tenderness. Your provider will also check your shoulder’s mobility and range of motion.
Imaging exams detect more serious bone or soft tissue injuries. An X-ray checks for broken bones or dislocated bones (bones knocked out of place). A CT scan or MRI reveals tendon tears.
Conservative treatments — treatments without surgery — usually relieve shoulder pain and help inflamed tendons heal. Your healthcare provider may recommend rest, ice, heat or pain medication. Other treatments include:
Most people with swimmer’s shoulder don’t need surgery. But surgery may be an option if shoulder pain doesn’t improve with conservative treatments. A surgeon can perform a procedure called subacromial decompression. It removes inflamed tissue and bone spurs in the shoulder.
In some cases, surgeons can take a minimally invasively approach for the treatment. During arthroscopic shoulder decompression, a surgeon makes several tiny incisions (cuts) around the shoulder. The surgeon accesses the shoulder joint using a thin, lighted tube called an arthroscope. This technique allows the surgeon to operate without a large incision.
You can reduce your risk of developing swimmer’s shoulder by:
You can reduce your risk of developing swimmer’s shoulder by:
Contact a healthcare provider right away if you:
A note from Cleveland Clinic
Most shoulder injuries aren’t cause for alarm. You use your shoulders for a lot of activities, so occasional stiffness and soreness are natural. But if shoulder pain is affecting your quality of life or your ability to stay active, it’s time to get help. There are a range of treatments available for conditions like swimmer’s shoulder. Talk to your healthcare provider about a care plan that fits your needs.
Last reviewed by a Cleveland Clinic medical professional on 12/16/2020.
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Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy