Integrating High-Intensity Laser Therapy with Exercise Regimen for Impingement Syndrome: A Case Report

“Subacromial Impingement Syndrome (SAIS)” refers to conditions disrupting the balance between structural rigidity and soft tissue inflammation, leading to irritation in the subacromial space, primarily affecting the rotator cuff and bursa. High-Intensity Laser Therapy (HILT) is a non-invasive, painless treatment that increases mobility and stimulates deeper tissues. It can be used with antiinflammatory and analgesic effects. In the present case report, a 62-year-old woman reported with right shoulder pain and limited motion for four months. Clinical metrics included a Pain Disability Index (PDI) score of 36, a Shoulder Pain and Disability Index (SPADI) score of 69%, and a Shoulder Function Index (SFInX) of 40, suggesting impingement syndrome. A high-intensity laser was applied to the site. The exercise regimen included posture improvement, pectoral and trapezius stretching, shoulder Range of Motion (ROM) exercises, gentle stretches, and finger stair exercises over four weeks. At treatment's end, significant functional improvements were noted, including reduced pain, increased ROM, and enhanced muscle strength.