Pain Back Shoulder Teres And Infraspinatus Muscle Sioux City
Pain in the back of the shoulder is often the result of muscle and tendon injuries. Several major muscles control how the shoulder moves, including the deltoid, teres minor, teres major, and infraspinatus muscles. These muscles are located on the back of the shoulder, and injuries produce pain that radiates down the shoulder to the elbow. The pain is often worse with reaching or pushing movements. It can be painful to reach above your head or lift a gallon of milk out of the fridge.
Many people have heard of the supraspinatus muscle; of all the rotator cuff muscles, it is most often injured. The rotator cuff is actually made up of four muscles which include the subscapularis, supraspinatus, infraspinatus, and teres minor muscles. The muscles become very narrow tendons that attach to the shoulder. The most common places to develop shoulder injuries are where the tendon attaches onto the bone.
Injury to the teres minor and infraspinatus muscle often occur with overuse, lifting, pulling, or carrying movements. People often experience infraspinatus tendinitis or teres minor tendinitis when they increase their exercise activity or start intense workouts. We often see injuries causing pain in the back of the shoulder with CrossFit or explosion workouts. Shoulder injuries are more frequent with strength imbalances between muscles in the front and back of the shoulder. Many times, rotator cuff injuries are the result of weak stabilizers that contribute to tendon damage. Over time tendon tears can result in severe pain, limitation or surgery. Safe shoulder movements require strength and endurance to be balanced between the shoulder muscles; otherwise, the fatigued muscles cannot protect the shoulder and the tendons absorb excessive stress, leading to tendonitis. Lack of strength and endurance in the shoulder stabilizers causes many shoulder injuries.
Shoulder muscles and tendons respond to a variety of treatments to decrease pain and inflammation. Ice, heat, electric, stretching, exercise, and cold laser therapy are all common modalities and treatments for decreasing pain and inflammation. Massage therapy can be used to decrease muscle spasms and tenderness in all the muscles that affect scapula and shoulder movements. Graston technique and Active Release Technique (ART) are very effective at decreasing pain, muscle spasms, and scar tissue in these muscles. Often, scar tissue develops with chronic shoulder overuse and contributes to future pain and injury. In combination, these are very effective treatments for all muscle and tendon injuries.
After decreasing muscle spasms and pain, shoulder stabilization exercises can be performed. Twelve major muscles control how the shoulder rotates and moves. Muscle weakness or lack of endurance in any of these muscles can result in shoulder injuries, and treatment involves strengthening these weak muscles. Strength exercises are progressive, starting with a simple rubber band and growing to include complex stabilization movements on an exercise ball or vibration plate. Goals of treatment are to improve shoulder stabilization, strength, and endurance to limit future injuries and excessive wear on the rotator cuff tendons.
Stabilization exercises performed early in care or with the first shoulder injury can prevent future shoulder injuries.