Learn more for less - join today!

Courses for Healthcare and Fitness Professionals




Treating Supraspinatus Trigger Points - Dr. Jonathan Kuttner


 Ischemic Compression Technique


About Supraspinatus

Latin supra, above; spina, spine

A member of the rotator cuff, which comprises the supraspinatus, infraspinatus, teres minor, and subscapularis. The rotator cuff helps hold the head of the humerus in contact with the glenoid cavity (fossa, socket) of the scapula during movements of the shoulder, thus helping to prevent dislocation of the joint.


Supraspinatus Trigger Points

Supraspinatus - Common Trigger Point Sites



Supraspinous fossa of scapula.


Upper aspect of greater tubercle of humerus. Capsule of shoulder joint.


Initiates process of abduction
at shoulder joint, so that deltoid can take over at later stages of abduction.
Antagonists: infraspinatus, teres minor, pectoralis major, latissimus dorsi.


Suprascapular nerve, C4, 5, 6, from upper trunk of brachial plexus.

Basic Functional Movement

Example: holding a shopping bag away from side of body.

Referred Pain Patterns

Belly: deep ache in regimental badge area (4–6 cm). Ellipse
leads to zone of pain in lateral epicondyle/radial head. Diffuse pain into lateral forearm.

Insertion: localized zone of pain 5–8 cm over deltoid.


Loss of power in abduction, painful arc syndrome, night pain/ ache, subacromial bursitis, rotator cuff tendinopathy, deep achingin shoulder which can extend to elbow (i.e. tennis elbow) and occasionally to thumb side of wrist, can be confused with De Quervain’s tenosynovitis, pain on initiation of lifting shoulder sideways, inability to reach behind back, moderately restricted range of shoulder motion, clicking/snapping sounds in shoulder joint.


Carrying heavy objects (e.g. bags, laptops, suitcases) over long distances, heavy lifting from floor to trunk of car, carrying with arms above head, sleeping positions with arms above head, dogs pulling on leash, falls on outstretched arm (e.g. skiing), washing/combing hair, moving heavy furniture, repetitive strain injury (RSI), prolonged computer keyboard use.

Differential Diagnosis

Phase 1 capsulitis. C5–C6 radiculopathy. Subacromial bursitis (adhesive). Calcific tendonitis. Calcium boils. Rotator cuff tendinopathy.











This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell. 





Mubashar.mohsin said:

Very nice

Leave a comment

Please note: comments must be approved before they are published.

feel good learning
NAT global campus

Learn More for Less

Unlimited access to all courses for just $19.95/mo

Save on Top Rehab Tech

Scraping, a manual, ancient practice where pain points are worked with a gua sha (smooth-edged tool), reportedly increases blood flow by up to 400 per cent more than foam rolling and massage guns. By breaking up old, damaged blood vessels to promote new growth and healing, these tools are useful for getting into the nooks and crannies of a pain point, especially in delicate areas like along the shin muscles and under the foot.

Tim Tian has taken the scraper idea and supercharged it, creating a manual, triangular tool that blends heat and vibration therapy. “Cold blades stiffen muscles, blocking a deep release,” he says.

The heated scraper device takes just three seconds to reach 50ºC. This helps muscles soften, making it easier to massage away tension, increase blood flow and promote healing. The scraper is specially great for alleviating delayed onset muscle soreness (DOMS) in the quads, and provides a relaxing switch-up from the foam roller slog.