Tendon injury in Supraspinatus (Supraspinatus tendinosis)

A tendon injury in the supraspinatus is among the most common rotator cuff injuries. Supraspinatus tendinosis is the same as a tendon injury in the supraspinatus. The supraspinatus muscle works together with the deltoid to raise the arm from the side (abduction) - they share the task and the supraspinatus has been given special responsibility for the first 30 degrees of movement. After 15 degrees, the deltoid becomes more and more involved in the movement.

We note that tendinosis is not the same as partial or complete tearing (partial or total rupture). It's also not the same as tendinitis (tendonitis).

Fortunately, there is effective treatment - without surgery - and good help to get. Feel free to contact us on Facebook if you have any questions or input.

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Anatomy: What is a Late? And where is the supraspinatus?

A tendon is often also called a muscle attachment because it is where the muscle attaches to bone tissue. This will - for anatomical reasons - thus be a more exposed area for damage and tearing. The supraspinatus muscle is part of the rotator cuff stabilizers (those that provide stability in the shoulders) - and we find it at the top of the shoulder blade and then further out towards the attachment on the shoulder.

Cause: Why do you get tendon damage in supraspinatus?

The two most common causes are sudden incorrect loading (eg a lift that requires large forces in a short reaction time) or gradual overload over time (eg auxiliary nurse or other physical profession with many exposed lifts there - due to lack of support muscles - the tendon becomes gradual damaged and wear changes occur in its structure and structure.

This means, among other things, that tissue damage occurs in the muscle which is now not as functional or strong as the normal tissue that lay there previously.

Pain Relief: How to Relieve Supraspinate Tendinosis?

There are a number of measures that can provide pain relief and pain relief in tendon injury in the supraspinatus - both active and passive treatment. For natural reasons, a supraspinatus injury could limit both movement and function. It is therefore important that you get treatment for this problem at clinics that are experts in muscles and joints in combination with exercise and self-treatment.

Tendon injuries (tendinosis) often respond very well to pressure wave therapy - which is performed by publicly authorized healthcare professionals such as manual therapists, physiotherapists and chiropractors.

For self-measures, regular stretching and specific exercises that strengthen the shoulders (including knitting exercises with exercise bands), neck and back. A clinician will provide you with customized exercises specific to you and your presentation. Self-measures such as self-massage (eg with trigger point balls) towards tense muscles in the shoulder, shoulder blade and upper back can contribute to increased blood circulation and loosen up in tense and pain-sensitive muscle fibers.

Pain presentation: Symptoms of tendon injury in the supraspinatus

The characteristic pain of tendon injury in the supraspinatus will be reproduction of pain by abduction (lateral elevation) of the arms - as well as positive results on orthopedic tests (eg Neers and Hawkins test). The pain is usually strongest during activity with the arms above shoulder height.

Other common symptoms of tendon injury is:

Reduced shoulder joint movement on the same side
Pressure relief over the shoulder and associated musculature
Occasional pain and discomfort towards the upper arm on the same side may occur
Abnormal movement in the affected area due to pain and irritation

It will often overlap with other diagnoses such as neck pain and reduced movement - for natural reasons due to incorrect loading and compensation. Supraspinatus tendinosis and its symptoms can vary in both intensity and duration. Some cases are very mild and go away on their own - while others, more serious cases, need treatment by professional clinicians who work with muscles and joints on a daily basis.

Epidemiology: Who gets supraspinatustendinosis? Who is most affected?

Tendon injuries in the shoulders affect both women and men. It is often linked to repetitive work, so often physical occupations such as auxiliaries, carpenters and mechanics are more vulnerable than others.

Exercises and stretching: What exercises can help against tendon injury in supraspinatus (supraspinatus tendinosis)?

When it comes to exercises and training against tendon injury in supraspinatus, we must focus on two main goals:

Strengthen the other rotator cuff muscles so they can relieve supraspinatus
Increase the mobility of the muscle fibers by regular stretching and self-treatment - and in this way break down damaged tissue and scar tissue

Strengthening the rotator cuff muscles - as shown in these exercises - is very important. Often, reduced strength in the shoulders is a contributing factor to the development of tendon injuries in the rotator cuff muscles - so naturally, strengthening the shoulder and other stability muscles will be very important. For best results, exercise and stretching should be combined with professional treatment by clinicians who are officially authorized muscle and joint experts (eg chiropractor).

Try these: - How To Get Stronger Shoulders

And these: Exercises for Stiff Neck

Treatment of tendon injury in supraspinatus (supraspinatus tendinosis)

aches in muscles and joints

A treatment for supraspinatine tendinosis will be divided into two overlapping categories:

Treatment of damage tissue and dysfunction in muscles and joints in anatomical proximity
Training and rehabilitation training of nearby rotator cuff muscles - and the injured tendon

Category 1: Active and passive treatment of the damage itself and surrounding areas

By passive treatment is meant external help from clinicians (eg chiropractor or physiotherapist). The clinician will treat the damage tissue in the muscle locally with manual techniques such as massage, muscular work, Graston technique (instrument-assisted damage tissue treatment), needle / dry needle and pressure wave treatment.

In supraspinatus tendinosis, there will also be errors in the person's movement pattern in the shoulder, shoulder blade, neck and thoracic spine. Mobilization and joint treatment towards these areas can restore a more normalized movement and consistently more correct use of the area - which in turn will promote increased blood circulation and healing in the area.

Category 2: Exercises, training and rehabilitation training of the shoulder muscle and rotator cuff

Injuries to a tendon occur because the tissue in question does not have the capacity or strength to withstand the loads to which it is subjected. These loads can be sudden and strong or they can be long lasting and of a weaker variety. The point is that if the load-bearing capacity of the support beams is not strong enough, damage to the foundation will occur over time - for example supraspinatus tendinosis.

To avoid such overload, it is important to strengthen the surrounding support muscles and especially the other three rotator cuff muscles (teres minor, infraspinatus and subscapularis). This is also recommended for existing tendon injury in the supraspinatus - according to ability.

Such training will also help provide faster healing via increased blood circulation and replacement of damaged tissue with more functional tissue (over time). A combination of active, passive treatment and exercise will achieve the best and fastest results.

Some treatment methods may be:

Acupuncture and needle treatment: Treatment with needles can help with muscle pain and provoke increased healing in nearby tissues. We are talking about intramuscular acupuncture - not "Chinese acupuncture".
Physical treatment: This includes treatment measures such as TENS, massage, heat treatment, cold treatment and stretching techniques.
Drug treatment and injection: Painkillers can provide pain relief, but do not change the root cause of the problem. Overuse of NSAIDS in tendon injuries has also shown that it can lead to a reduction in the body's own healing process. We do not recommend cortisone injections, as it may cause worsening of tendon problems in the long term.
Muscle Knut Treatment: Muscular treatment can reduce muscle tension and muscle pain in the back, shoulder and neck.
Joint Treatment: An expert in muscles and joints (eg chiropractor or manual therapist) will work with both muscles and joints to give you functional improvement and symptom relief. This treatment will be adapted to each individual patient based on a thorough examination, which also takes into account the patient's overall health situation. The treatment will most likely consist of joint corrections, muscle work, ergonomic / posture counseling and other forms of treatment that are appropriate for the individual patient. In the case of supraspinatus injury, special emphasis is placed on treatment of the shoulder, thoracic spine and neck - as this has a direct effect on tendon injuries and vice versa.
Trigger point massage / muscle knot therapy: Work to work on tension and tension in muscle and tendon joints can provide pain relief and functional improvement. Here you can also achieve a lot even with a set of trigger point balls of different sizes.
Yoga and meditationYoga, mindfulness, breathing techniques and meditation can help lower the level of mental stress in the body. A good measure for those who stress too much in everyday life.

Self-help: What can I do even for muscle and joint pain?

Tendon injuries result in decreased blood circulation and increased muscle tension in the shoulder, back and neck. We always recommend that self-treatment is one of the main measures in the fight against pain - with regular self-massage (eg with trigger point ball) and stretching can help prevent pain in the muscles and joints.

1. General exercise, specific exercise, stretching and activity are recommended, but stay within the pain limit. Two walks a day of 20-40 minutes make good for the whole body and sore muscles.

2. Trigger point / massage balls we strongly recommend - they come in different sizes so you can hit well even on all parts of the body. There is no better self help than this! We recommend the following (click the image below) - which is a complete set of 5 trigger point / massage balls in different sizes:

3. Training: Specific training with training tricks of various opponents (such as this complete set of 6 knits of different resistance) can help you train strength and function. Knit training often involves more specific training, which in turn can lead to more effective injury prevention and pain reduction.

4. Pain Relief - Cooling: Biofreeze is a natural product that can relieve pain by cooling the area gently. Cooling is especially recommended when the pain is very severe. When they have calmed down then heat treatment is recommended - it is therefore advisable to have both cooling and heating available.

5. Pain Relief - Heating: Warming up tight muscles can increase blood circulation and reduce pain. We recommend the following reusable hot / cold gasket (click here to read more about it) - which can be used both for cooling (can be frozen) and for heating (can be heated in the microwave).

6. Prevention and healing: Compression noise like that like this can increase blood circulation to the affected area, thereby speeding up the natural healing of injured or worn muscles and tendons.

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