What is "Infraspinatus Tendinosis"? (shoulder pain)
HTML-код
- Опубликовано: 9 июл 2024
- If you've had an MRI for your shoulder pain, you might be familiar with the term "infraspinatus tendinosis", which is a common finding.
The infraspinatus muscle is one of your 4 "rotator cuff" muscles and is a common cause of shoulder pain.
In this video, I explain what "infraspinatus tendinosis" means and I explain the anatomical location of this muscle.
If you have any questions, please leave them below the video. Thank you for watching!
And don't forget to subscribe to my channel :-)
- Luke Gordon, DPT
Doctor of Physical Therapy/Owner of Gordon Physical Therapy
www.gordonphysicaltherapy.com/
Great info. The colored model was extremely helpful. Thank you for posting your videos.
Thanks, Kathi!
Thanks for the video. I was just diagnosed with mild supraspinatus tendinosis and infraspinatus and subscapularis tendinosis after a rear-end collision. I've never had shoulder pain before and this is excruciating and constant. Any suggestions for relief? I don't start physical therapy until next week.
Hello! I just want to say I wish there was a therapist like you around here! You explain everything in such detail in your videos. You give reasons for the exercises and make it easy to understand why we're doing them.
I just had an MRI and it seems my 73 year old shoulder is in bad shape.
I was having upper arm pain that was interfering with my sleep, but I still had full range of motion. My dr took x-rays & sent me for PT. It was fine for awhile, the nighttime pain was greatly improved, but after a few weeks of therapy, I was having trouble doing some of the exercises. Then it progressed to my not being able to raise my arm!
That's when my dr ordered the MRI. She wants me to go for more PT, but I've lost confidence and have decided to do it myself. With that in mind, where should I start with your videos and through what progression?
These are the notes from the MRI:
1. Moderate infraspinatus tendinosis with full-thickness tears of the anterior
to mid footprint supraspinous fibers. Mild fatty infiltration and atrophy.
Associated mild to moderate subacromial/subdeltoid bursitis.
2. Moderate infraspinatus tendinosis with interstitial tears within the mid
fibers extending posteriorly towards the myotendinous junction. Mild fatty
infiltration and atrophy.
3. Moderate subscapularis tendinosis with remodeled partial tears of the
superior fibers. Mild fatty infiltration and atrophy.
4. Moderate acromioclavicular osteoarthritis with inferiorly directed
osteophyte formation, laterally downsloping acromion and thickened
coracoacromial ligament which can result in impingement of the supraspinatus.
5. Chronic labral degeneration with nondisplaced tears of the anterosuperior
labrum extending into direct superior labrum where the tear extends from
anterior to posterior direction.
6. Findings suggestive of adhesive capsulitis in the appropriate clinical
setting.
Hi, Nancy. That's quite an MRI you have! It sounds like your PT visits were helping there for a while, so you were probably onto something. I would suggest gentle rotator cuff strengthening, progressing towards eccentric strengthening if possible. I would also use some heat for improved blood flow, particularly since you have so much tendinosis throughout your muscles. You might check out this video as well if you're still having trouble lifting your arm: ruclips.net/video/XqW4KpqTuQA/видео.html
It works really well! I hope this helps :-)
You should make a video about the subscapularis, which is probably a very under reported shoulder injuries many professionals miss.
That's a good idea! Thank you!
I tore my Subscapularis and my infraspinatus tendons. Been about 2 months and found them in a MRI. I have a high grade sided tear in my subscapularis tendon and a mild 1.5 cm tear on the Infraspinatus tendon. Doctor says I'm not a candidate for surgery. I'm hoping to feel better soon
Hi Gordon,
I have tendinosis and infraspinatus supraspinatus and Teres minor on my left shoulder and also have and inflamed bursa that comes and goes depending on the activity. How would you treat that?
Also I have something going on around C5,6,7 doctors aren’t sure exactly what that is nothing came up on the MRI? I also have narrowing of the foraminal on the left side of my neck on C3 for that shows severe narrowing causing some nerve pain which has not helped the rest of my arm. Also with that being said I have been diagnosed with a mild case of carpal tunnel with a smal tear that’s healed common extensor tendon… And has left me really weak all over? Any suggestions on a treatment plan would be extremely helpful. Although I realize it’s important to bring blood flow into the area. In my experience with the physiotherapist that I worked with he was focussed on tending machines and I am S in very very little hands-on work that actually made things worse. If you can help I’d love your feed back
I got hurt at work and hurt my shoulder.They did a MRI and said it was infraspinatus tendinosis. The doctors said because I was a diabetic. But I am not a diabetic now .She trying to tell me my infraspinatus tendinosis is from being a diabetic. Even i have bruising on my shoulder and back. Can infraspinatus tendinosis leave bruising?
Pinning your tendinosis on diabetes alone isn't accurate. Diabetes (and reduced blood flow) is one possible factor contributing to your shoulder issue, but I would never consider it the sole cause. Tendinosis is not usually associated with bruising, as it's more of a slow, chronic onset. But if you have an injury to that area, that could certainly cause bruising. The important thing at this point is figuring out how to heal your tendinosis and get rid of your pain. I have quite a few videos on that topic that should help :-)
Comment any time if you have more questions!
I did usg and doctor said subacramial bursitis.Bursitis is healed by 75 percent as i can feel it but what i finally noticed is that my bursitis was the result of weakening of muscle that pulls my shoulder back.I am still feeling pain maybe my infraspinatus is tired of overuse.Do i need to do surgery or something?How much time does it take to heal naturally?
Ongoing weakness can definitely be a factor, so I'd continue with pain-free rotator cuff exercises. More than likely, you do NOT need surgery. If you haven't worked with a PT yet (especially one who's good with hands-on techniques), I'd highly recommend that if it's an option for you.
They should be able to get you over the hump!
Can you tell me what a interstitial strain of the distal infraspinatus is? I can’t seem to find information on what this is from my MRI report.
A strain is basically what we think of as "pulling" a muscle. You don't hear that term used very often on MRIs though...it's usually tendonitis or tendinosis.
I had a ultrasound done as I been having problems with my bursa in my shoulder
Iv had another altrasound done recently and the report says
There is suggestion off a mild tendinosis involving the Infraspinatus
Plus still inflamed bursa was wondering if the inflamed bursa could be playing a role in my Infraspinatus hurting every now and then as I can still do full movements with my arm with no pain every now and then it will hurt
I’m a 28 year old guy and pree fit and wondering if this will be permanent or will it heal
I miss the gym a lot :(
Any feed back would be great thank you!🙏
Yes, there's a good chance your inflamed bursa is also causing irritation and pain in your infraspinatus muscle. The trick is to get your inflammation under control and then proceed with pain-free strengthening. I know that's pretty general advice, but I hope it helps!
Gordon, does the treatment differ from infra to supraspinatus?
Not really no. Both muscles are external rotators, so you can essentially follow the same advice.
How long is recovery period after infraspinatus surgery ?
It depends on how bad the tear was and how extensive the repair was. Do you have a post-surgery rehab protocol from your surgeon? That should give you some idea of how long a full recovery will take.
@@GordonPhysicalTherapy i May have mild tear . I m on rest . Can u tell how much is avg recovery period for mild Bisep and infraspinatus tear ?
What is Tendinopathy?
Tendinopathy is a general term for basically any tendon issue, such as tendonitis or tendinosis. It's not a specific term.