Supraspinatus Trigger Points - Dr. Jonathan Kuttner MD   Treating the Rotator Cuff    Trigger points in supraspinatus typically cause deep pain in the lateral shoulder, forearm, and wrist The supraspinatus works in conjunction with the deltoid to produce abduction at the glenohumeral joint. Because of its insertion superiorly onto the greater tuberosity, the muscle pulls the humeral head into the glenohumeral joint, thereby providing the stability needed while the deltoid (pulling halfway down the humerus) abducts the arm.   Supraspinatus - Common Trigger Point Sites         How to Dry Needle the Supraspinatus  -...

  How to Stretch Supraspinatus - Dr. Johnathan Kuttner        Simple Shoulder Stretches Here are 5 other shoulder stretches that we regularly recommend ... 1. Great for trigger points in the "Pecs"! Technique Kneel on the floor in front of a chair or table and interlock your forearms above your head. Place your arms on the object and lower your upper body toward the ground. Muscles that you're stretching Primary muscles: Pectoralis major and minor. Anterior deltoid.Secondary muscles: Serratus anterior. Teres major. Injury where this may help dissipate trigger points Impingement syndrome. Rotator cuff tendonitis. Shoulder bursitis. Frozen shoulder...

John Gibbons - Techniques for treating shoulder impingement   Rotator cuff (or shoulder) impingement syndrome is a very common cause of shoulder pain and can be a precursor to tendonitis or a more serious tear in the rotator cuff A shoulder impingement occurs when the tendons of the rotator cuff become impinged as they pass through the narrow bony space called the subacromial space within the shoulder joint. The impingement, or restriction, irritates the tendons causing inflammation and pain. As the inflammation causes swelling of the tendons, the restriction increases, and so too does the rubbing and pain in the...

There are a number of manual testing techniques that can be used to indicate problems with the rotator cuff muscles. Here we deal specifically with a well used test for supraspinatus.   The muscles are tested using active resisted movement to isolate any symptoms to the contracting muscles. A positive test involves pain and often weakness on contracting the affected muscle. Weakness will be felt with partial or full-thickness tears of the rotator cuff, but may also be present with tendinitis due to pain inhibition of the affected muscle.     The examiner stands alongside the patient on the affected...