Supraspinatus Tendonitis And Shoulder Examination

Supraspinatus Tendonitis is often associated with Shoulder impingement syndrome impingement and inflammation of Supraspinatus Tendon is called Supraspinatus Tendonitis

EPIDEMIOLOGY AND CAUSES

Mostly affects sports athlete often result from overuse injury with sporting activities like throwing and overhead motion apart from this it also affects age group of 50-60 years with prevalence more in patients with diabetes

Factors affecting listed below

 

CLINICAL FEATURES

Subdeltoid pain is the most highlighting feature which aggravates with abduction movement Pain also felt while reaching,overhead activity, sleeping on affected shoulder It become worse during night and often disturbs sleep

Painful and limited range of motion and painful arc 70°-120°

Their is anterior instability along with posterior tightness

PHYSICAL EXAMINATION AND DIAGNOSIS

Following physical examination used to evaluate Supraspinatus Tendonitis

Testings:

Neer test

Hawkins Kennedy Test

Empty Can Test

Drop Arm Test

Impingement test

Complete description on how to perform following tests along with other important physical examination of shoulder injury is given below

Shoulder Examination

X-ray Radiography shows calcified lesion around Supraspinatus tendon later cases shows degenerative and sclerotic changes Ultrasound reveals thickening of subacromial bursa

DIFFERENTIAL DIAGNOSIS

AC Joint Injury

Clavicle injury

Rotator Cuff tear

Swimmer’s Shoulder

Impingement Syndrome

Osteoarthritis

Biceps Tendinitis or Tendinopathy

MEASURES AND SCALE

Simple shoulder test questionnaire

Oxford Shoulder Score

PHYSIOTHERAPY MANAGEMENT

Medical management includes Corticosteroid injection, NSAIDS that alleviates pain and surgical procedures include subacromial decompression, sometimes acromioplasty, bursal resection. Physiotherapy management includes Rest, Ice, pain relieving modalities like ultrasound, cryotherapy, Electrical Modalities Stimulation. Their are three phases of Supraspinatus Tendonitis management which includes (a) Immobilisation (b) Assitive range of motion (c) Progressive resistance exercise

ROM exercise, Strengthening exercise, Stretching techniques, Isometric exercises, Codmans classic pendullar exercise and Kinesiotaping, soft tissue manipulation like MFR, IASTM are also prescribed and found to be very effective in pain relief and regaining range of motion. Along with these Home exercise programs, self exercise regimes are also advised

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