Increasing abduction range - supraspinatus tendinosis

[The Full Nelson]

My patient has been diagnosed with supraspinatus tendinosis via an ultrasound. He is about 40 years old, not overly active.

His active range of flexion, external rotation and hand-behind-back are all steadily improving with anti-inflammatories, passive mobilisation, soft tissue work, and assisted-active exercises. However, his abduction range is still poor (~45degrees, with marked shoulder hitching).

Does anyone have any tips for me to increase this range? Currently he is using a stick to assist his own abduction range, as well as sliding his hand up the wall to increase range.

Should he be pushing through pain? What mobs, specifically should I be using?

Thanks!

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