Shoulder Medial Rotation Syndrome

Shoulder Medial Rotation Syndrome

Description:

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.

Treatment:

  • 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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