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
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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