Symptoms
Subacromial impingement-like pain
Painful arc with overhead motion often improves substantially when rotator cuff trigger points are deactivated.
Overview
Painful arc with overhead motion often improves substantially when rotator cuff trigger points are deactivated. Identifying which muscle reproduces the patient's familiar pain on palpation guides treatment and often produces meaningful change alongside standard care.
Clinical notes
Combine cuff strengthening with myofascial release of infraspinatus, supraspinatus and deltoids.
Red flags — when to refer
High-energy trauma, gross weakness — refer.
Muscles often involved
References
- • Travell & Simons — Myofascial Pain and Dysfunction