Shoulder Medial Rotation Syndrome

Shoulder Medial Rotation Syndrome


Lateral or anterior shoulder pain near the acromion.  This occurs because there is excessive shoulder medial rotation during overhead reaching.

Common Medical Diagnoses:

  • impingement
  • supraspinatus tendinopathy
  • subacromial or subdeltoid bursitis
  • bicipital tendinopathy
  • calcific tendonitis
  • rotator cuff tear
  • early frozen shoulder / adhesive capsulitis

Diagnostic Tests:

  • Shoulder medial rotation at rest that does not correct with overhead movements.
  • Decreased pain when the shoulder is rotated laterally prior to or during overhead movements.


  • Reduce dominance of medial rotators (pectoralis major, teres major, latissimus dorsi)
  • Improve the strength and activation of the lateral rotators.
  • Improve scapular stability to allow the lateral rotators to work more efficiently.

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