Supraspinatus tendonitis is inflammation of the supraspinatus tendon which is one of the four rotator cuff tendon that surround the shoulder joint. A complete tear of the supraspinatus result in total loss of active abduction at the glenohumeral joint. Many tears of the supraspinatus may be asymptomatic; however some patients may have stiffness of the shoulder in addition to the loss of voluntary abduction .The partial tear of tendonitis results in classical ‘ painful arc syndrome’. Pain in felt around 90° degree of abduction.
1. Active test of the ROM of shoulder abduction with slight over pressure at the terminal point of movement: The ROM for all the movements will be near normal. Weakness and/or pain during the selected range of the arc of abduction are a major finding, indicating a strain.
2. Active resisted test of the ROM of shoulder abduction: The muscular resistance to the movement will be affected; it will be weaker as compared to the contralateral shoulder and may be painful.
3. Passive test of ROM of abduction: It will not reveal marked limitation or pain, if done gradually with the patient fully relaxed.
Rest and Protection- Avoid aggravating activities and use a sling or brace to reduce stress on the tendon.
Hot/Cold Pack- Use heat or cold packs to reduce pain and inflammation.
Manual Therapy
Dry Needling- Dry needling helps reduce pain and inflammation in the supraspinatus tendon and surrounding tissue. It can also improve shoulder mobility and reduce stiffness.
Kinesiology Taping- Kinesiology tape (K-tape) helps strengthen weakened muscles and stabilize unstable joints. It is effective for reducing pain during motion.
Stretching and Exercise- Implement gentle isometric exercises to maintain strength without exacerbating the condition. Gradually progress to strengthening exercises to improve muscle strength and endurance.
Increase range of motion (ROM) exercises to improve flexibility and mobility.
Functional Activities- Gradually introduce functional activities such as reaching, lifting, and overhead movements.
