There are certain clinical signs that a physician does to confirm or deny the possible presence of impingement or narrowing of the space above the head of the humerus in the shoulder joint. These signs when positive are suggestive of impingement syndrome. Such patients needs management according to their symptoms in the form of medications, cortisone injection or further investigation using x-rays and MRI to confirm the finding. They may need surgery if the symptoms are severe and are not relieved by conservative means.