T Nation

Diagnosed with Supraspinatus Impingement


#1

I was recently diagnosed with impingement of the supraspinatus. Here is the MRI results verbatim:

No fracture or destructiveness are seen. No effusions are identified. There are osteoarthritic changes of the acromio-clavicular joint with impingement on the supraspinatus tendon. There is irregular mixed increased signal in the distal supraspinatus. The findings appear more prominent than typical tendonitis. There is slight lack of continuity in the subdeltoid fat line. The glenoid labra are intact. The capsular insertion is normal. Muscle groups are unremarkable. Impression: 1. osteoarthritic changes of the acromio-clavicular joint with grade 1 impingement on the supraspinatus tendon. 2. irregular increased signal in the distal supraspintas tendon with lack of continuity in the subdeltoid fat line. The findings are suspicious for at least a partial rotator cuff tear. Furthur clinical correlation is recommended.

After discussing the above report which was from the radiologist, my Doctor (shoulder and knee specialist) concluded from both the report and actual MRI films, that I did not tear anything.

He suggested that I rest the area for a few weeks. Then start a stretching program for my shoulders and also a strengthening program for my external rotators. He said this protocol would be necessary for at least 6-8 weeks (he said after this period it would be wise to follow indefinitely).

He further stated to do more pulling than pushing exercises and to explore face pulls.

Here is the links he suggested for stretching:

As far as strengthening:

Does this appear as good information and does anyone have any further suggestions?

Thx


#2

You should also look into trigger point therapy. Soft tissue quality of your supraspinatus and surrounding tissue is also important.


#3

Thanks for the reply Varnish.

I checked into it and have located some Hot spots that need attention.


#4

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#5

Thanks for your reply.