Case Study – Shoulder (Supraspinatus Muscle) Inpingement

November 5, 2018 | By | Reply READ MORE...

– Dr. Ketki Bhosle

Ritish Rangwala, 40 year old male, right hand dominance. He has a sedentary work life but his hobby is playing golf.

SITE OF PAIN AND MECHANISH OF INJURY:
He came in complaining of right shoulder pain, post Yoga-related injury, which involved rotational movement of the shoulder.

TYPE OF PAIN:
Localized at the right front shoulder and also radiating till the wrist.

AGGRAVATING FACTORS:

  • Overhead activities
  • Lifting heavy weights
  • Playing golf

RELIEVING FACTORS:

  • Rest

He was referred to us by one of his friends, a former patient of Physio Rehab.

 

ON PHYSICAL EXAMINATION:

  • Rounded and drooped shoulders.
  • Loss of synchrony between the shoulder blade and shoulder joint making his shoulder movements look awkward.
  • Flat muscle appearance on right arm as compared to left.
  • Tenderness at inner border of shoulder blades and shoulder joint.
  • Shoulder movements were restricted and painful due to which he could not play golf.
  • Test for supraspinatus impingement was positive.

WHAT IS SUPRASPINATUS MUSCLE IMPINGEMENT (Pinching of muscle due to reduced space) ?

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Supraspinatus is one of the rotator cuff muscle that becomes pinched against the bony projection called acromion process of the scapula (shoulder blade) bone, especially during outward movement of the arm. If not treated, the condition can worsen as the inflamed tendon often increases in size, creating more and more friction against the bone, causing the shoulder pain.

CAUSES OF SUPRASPINATUS IMPINGEMENT INCLUDE:

  • Overhead activity of the shoulder
  • Repeated activity, eg. Painting, lifting, swimming, tennis, golf and other overhead sports.
  • Weight training exercises where the arms are elevated above shoulder height.
  • Other risk factors include bone and joint related conditions.

TREATMENT:

We at Physio Rehab designed a specific programme and exercise regime of 12 weeks for the client.

  • Trigger point release, electrotherapy and kinesio taping for correction of the scapula, which helped in relief of pain.
  • Creating postural awareness.
  • Upper back strengthening and flexibility work.
  • Graded rotator cuff strengthening.
  • Gentle shoulder stretches.
  • Core and oblique muscle training in the last phase of rehabilitation which involved golf-specific training.

SHOULDER STRENGTHENING USING RESISTANCE BANDS AND TUBES

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ADVANCED CORE AND OBLIQUE MUSCLE TRAINING

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SPORTS(GOLF) SPECIFIC TRAINING

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After the completion of our rehab programme of 3 months, he was back to his passion of playing golf pain-free. With the perfect recipe of balanced strengthening, stretching and sports specific training, we at Physio Rehab helped him successfully continue his passion.

 

PATIENT SPEAK:

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Category: Case Studies

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