Impingement Surgery

Bone spurs, inflammation, or repetitive overhead activity can narrow the space where the rotator cuff glides. Over time, the tendons become irritated, leading to discomfort and functional limitations.

Common signs include:

• Pain with overhead movement

• Night pain, especially when lying on the shoulder

• Weakness or fatigue with lifting

• Clicking or grinding sensations

• Reduced range of motion

With more than two decades of experience caring for overhead athletes — including years as a team physician for the New York Mets — Dr. Pearle brings a deep understanding of shoulder mechanics, tendon health, and performance-driven recovery.

If conservative treatments such as physical therapy or injections do not alleviate symptoms, arthroscopic surgery is performed.
This minimally invasive procedure may include:

• Removing inflamed tissue

• Smoothing the undersurface of the acromion

• Creating more space for the rotator cuff tendons to glide comfortably

These steps help restore the shoulder’s natural motion and reduce mechanical irritation.

Many patients experience early improvement in pain and mobility. Rehabilitation focuses on:

• Restoring range of motion

• Improving strength and scapular control

• Gradual return to lifting and overhead activities

The timeline is tailored to individual goals and activity level.

Procedures are performed at HSS, where patients benefit from advanced imaging, expert anesthesia, specialized postoperative care, and experienced shoulder rehabilitation specialists.

To relieve pain, restore dependable shoulder movement, and support a confident return to daily activity or sport.