Shoulder Tendonitis: Causes, Treatment, and Effective Pain Relief Techniques

What is Tendonitis?
A tendon is a tough, cord-like fiber that connects muscle to bone. Tendonitis happens when a tendon becomes inflamed. This often occurs because a muscle becomes tight and irritated, causing the tendon to be pulled while the muscle is contracted or in spasm. Tendonitis is always related to muscle irritation.

How Does Tendonitis Happen?
Tendonitis can result from a long-term muscle injury or irritation. If muscle pain is ignored, it can develop into tendonitis. This is true for different types of tendonitis, such as rotator cuff, shoulder, or bicep tendonitis.

How to Treat Shoulder Tendonitis
To heal, you need to relax, balance, and loosen the muscles in the shoulder, neck, back, and even the hips. This will help reduce pain. After that, itโ€™s important to strengthen the muscles in ways that donโ€™t cause pain. Strengthening stabilizes the muscles and joints.

There are many methods for doing this. One effective technique is the Nimmo/Receptor Tonus Technique. This trigger point therapy helps loosen, balance, and calm down muscle spasms that are pulling on the tendons and causing tendonitis. The healing process can be sped up significantly when combined with deep tissue red light laser therapy.

On days when you’re not receiving therapy, stretching and icing the area can also help with healing.

Starting Treatment
I usually suggest starting with a chiropractor who specializes in soft tissue work. They can help relieve pain, reduce inflammation, and address any muscle dysfunction.

When irritated muscles become tight, they start pulling on the tendon, irritating it further. Be cautious when working with healthcare professionals. If a physical therapist tells you the injured area is weak and only focuses on strengthening it, you might end up making things worse. Itโ€™s crucial to loosen the muscles and joints first. Strengthening a joint while it’s tight and painful can drive the dysfunction deeper into your system, making recovery harder.

Donโ€™t Ignore Your Pain
The longer you ignore tendonitis, the longer it will stick around. Get your shoulder pain diagnosed and follow a treatment plan.

Best Stretch for Shoulder Tendonitis
For right shoulder tendonitis:

  • Place your right hand behind you and try to touch the bottom of your left shoulder blade with your palm facing out.
  • Donโ€™t force it; get to a comfortable position where you feel a slight stretch.
  • Keep your elbow in by your side, not sticking out.
  • Lean back against a wall with your heels and head touching the wall, looking straight ahead.

You may feel pulling in the front of your shoulder or arm. This stretch helps loosen the neck, scapula, shoulder, and arm. If itโ€™s not enough, you can do the same stretch while lying flat on your back.

Final Thoughts
Take care of your shoulder, and donโ€™t let tendonitis linger. Address it early for a quicker recovery.

Have a pain-free day!

Universal shoulder/infraspinatus/subscapularis stretch

Universal Shoulder/Infraspinatus/Subscapularis Stretch

If you could do one stretch to help with shoulder pain, what would it be? One stretch that would help to loosen up tight shoulders. Whether they are tight in the front, sides, back of the shoulder, or armpit (axilla), what would it be?

First, we want to look at how our shoulder is designed.

The arm bone is held into the shoulder socket by the wing bone/ scapula/ shoulder blade. The shoulder blade makes up part of the shoulder socket. The arm bone (humerus) attaches to the shoulder socket. Whenever the arm and hand move, the shoulder blade stabilizes them.

Whenever the hand, arm, and shoulder move, four rotator cuff muscles contract and relax to make those fine motor motions. When you are typing on the computer, your rotator cuff muscles are helping to fine-tune the movements in your hands so that the muscles in your hands can move your fingers accurately.

When we hunch over, whether it is a steering wheel, phone, or keyboard, we are contracting a major rotator cuff muscle and irritating it. It is the subscapularis.

The subscapularis is a big rotator cuff muscle that sits between the shoulder blade and the spine. The muscle raises your shoulders to your ears. It pulls the shoulder blade up and back. When you are reaching for something, it gets stretched out.

It’s like sitting in front of a computer, hunching over and leaning forward to get as close to the computer screen as possible to help you focus. This motion will irritate your entire shoulder, into your upper and lower back, and into your neck.

When the subscapularis goes into spasm, it hikes the shoulder blade up to the ears, making it hard to relax. It might feel like your shoulders are permanently shrugged. Some people will say that they feel like there is a button underneath their shoulder blades. Others will say they feel pulling in the front of their shoulder or behind their shoulder blade and into their neck. The subscapularis will be involved no matter what type of shoulder pain they feel.

The best way to avoid shoulder pain in general and to prevent it from coming back is to watch your posture. Be mindful about how you sit and move. When you sit, try to have something behind the small of your back to maintain the curvature of your lower back.

I like rolling a towel into a cylinder, wrapping rubber bands around it to keep it in place, and putting that in the small of my back. You then lean your upper back against the seat, which will keep your back in a good position and in good posture. Bonus if you can have something to rest your head back onto.

When you lean back against the seat, with the lumbar roll behind the small of your back, it pulls your shoulder blades down your back, relaxing the subscapularis. It also maintains the lumbar curve, which helps to keep your lower back, hips, and legs in good posture.

You can also try to squeeze your shoulder blades together. That will bring them down your back and get them in a good position. The best stretch for this area is a yoga stretch.

If your right shoulder is painful, place your right hand behind your back, palm out. Try to reach the bottom of the left shoulder blade. Even if you canโ€™t touch the bottom of the left shoulder blade, that is fine. Get your right hand as high up the left side of your back as possible without bouncing or pushing. Make sure to tuck your right elbow into your side.

Now, lean back against a wall. Touch your heels against the wall. Touch your head against the wall. Look straight ahead.

You might feel that stretch going into your neck, upper back, back of the shoulder, front of the shoulder, and even down into the arm.

This stretch will stretch all of those areas out. If I could recommend one universal shoulder stretch that would affect most shoulder issues, Iโ€™d recommend this one. I do it daily to manage my shoulder pain.

Iโ€™d recommend the same for you.

I hope that you have a pain-free day.

The Overlooked & Under-treated Causes of Your Shoulder Pain

You may not know that you have a subscapularis or a serratus anterior, or care. But if you have shoulder pain, you may want to tune in and pay attention.

Continue reading “The Overlooked & Under-treated Causes of Your Shoulder Pain”