Is Subacromial Impingement Even A Thing?

A recent systematic review has come out with the title, "No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome: a systematic review and meta-analysis"✅ Often we are taught impingement is due to limited subacromial space.✅ The type of acromion has also been theorized as a contributing factor?🤔 What has science told us in regards to these issues?🤔 Are impingement theories holding up to scientific testing?🤔 Most importantly, what does all this mean when you sit in front of a patient with shoulder pain?🔥🔥 Join Jarod and Mark as they discuss this and more in this week's episode of the Modern Pain Podcast.🔥🔥Article Links:https://pubmed.ncbi.nlm.nih.gov/29490599/https://www.researchgate.net/publication/233562428_Subacromial_impingement_syndrome_a_musculoskeletal_condition_or_a_clinical_illusionhttps://pubmed.ncbi.nlm.nih.gov/19336812/ps://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)32457-1/fulltexthttps://pubmed.ncbi.nlm.nih.gov/27422460/https://www.nature.com/articles/s41598-020-76704-zhttps://pubmed.ncbi.nlm.nih.gov/29065348/