intrasubstance supraspinatus tendon tear

[MrPhysio+]

Re: intrasubstance supraspintatus tendon tear

Hello M.C. 1968
You have a number of problems that inter relate. The first and most important area to address is the subacromial bursitis. This is a collection of fluid in a small sac that glides underneath the over hang of your shoulder, designed to protect the supraspinatus tendon when your arm is moved sideways away from the body. Reaching movements eg reaching into the back seat of a car when in the front will aggravate the shoulder.
Self treatment to the sub deltoid bursa is difficult. I tend to disperse some of the fluid via mobilisation, although parts of the bursa cannot be reached due to bone coverage. It is also possible to mobilise the AC joint - where the clavicle (collar bone) and scapula (shoulder blade) join. The aim is to decompress the supraspinatus tendon as it moves through its tunnel.
If not already ruled out, an x-Ray view to confirm no bony spurs under the acromion (top of shoulder bony overhang) should be undertaken. The spur, if present, will aggravate the tendon and the bursa causing ongoing mechanical problems / inflammation due to movement.

Various other techniques include a specific shoulder exercise to control the shoulder movement and trigger point dry needling. Initial shoulder taping can improve range of movement and reduce night pain.

I am probably too far away from your area as I am in Healesville, Yarra Valley (60 minutes from Melbourne through Ringwood, Lilydale on the Maroondah Highway). Let me know more details and I will try to assist further.
Regards,
MrPhysio+ Healesville