04/06/2024
Relief for one of my clients, more relief for you...
Trigger Points - Subscapularis Muscle 🏋️♂️
The Subscapularis muscle, integral to the rotator cuff, is crucial for shoulder rotation and stability. Trigger points within this muscle can cause shoulder pain and restrict mobility, often presenting symptoms similar to rotator cuff injuries and bursitis. This condition primarily affects those involved in repetitive overhead tasks or recovering from shoulder injuries.
Characteristics of Subscapularis Trigger Point Pain:
- Causes shoulder pain, restricts movement.
- Pain extends down arm to wrist.
- Impedes reaching behind or throwing.
Anatomy of the Subscapularis:
- Originates in subscapular fossa, inserts on lesser tubercle of humerus.
- Stabilizes glenohumeral joint, medially rotates humerus.
- Innervated by upper, lower subscapular nerves (C5, C6, C7).
Functionality:
- Prevents humerus displacement.
- Crucial for back pocket reach actions.
Common Indications:
- Rotator cuff tendinopathy, adhesive capsulitis.
- Back-of-shoulder pain, clicking/popping.
- Reduced external rotation, limited shoulder movement.
Causes:
- Sports like swimming, baseball; overhead lifting.
- Shoulder injuries, sudden loading, immobility.
- Post-fracture/dislocation, frozen shoulder syndrome.
Differential Diagnosis:
- Distinguishes from impingement, rotator cuff, thoracic outlet syndromes.
- Rules out cervical radiculopathy (C7), cardiopulmonary issues.
Advice for Patients:
- Apply self-massage in, around armpit for exposed muscle parts.
- Avoid activities worsening symptoms, stretch shoulders.
- Seek professional advice for specific therapies.
Trigger Point Therapy Techniques:
- Ischemic Compression
- Cross-Fiber Massage
- Laser Therapy
- Myofascial Release Techniques
- Ultrasound Therapy
- Targeted Stretching, Strengthening Exercises
Image credit: Lotus Publishing
For more detailed insights on managing Subscapularis muscle trigger points and enhancing shoulder health, visit our blog. 👇
https://nielasher.com/blogs/video-blog/how-to-treat-a-trigger-point-subscapularis