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Shoulder

Supraspinatus Tendinitis

Supraspinatus tendinitis is inflammation or irritation of the supraspinatus tendon, which runs through the narrow subacromial space beneath the acromion. It is the most commonly affected rotator cuff tendon and a frequent source of impingement-related shoulder pain.

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Typical Recovery Time
4–8 weeks with conservative treatment

Symptoms

  • Pain at the top or outer side of the shoulder
  • Painful arc of motion between 60–120 degrees of arm elevation
  • Pain with reaching overhead or across the body
  • Tenderness over the greater tuberosity
  • Weakness with arm abduction

Common Causes

  • Subacromial impingement from repetitive overhead use
  • Acromial bone spur narrowing the subacromial space
  • Muscle weakness or imbalance
  • Acute injury or direct fall on the shoulder
  • Poor shoulder blade mechanics

Treatment Options

1NSAIDs and relative rest
2Physical therapy for shoulder mechanics and strengthening
3Subacromial corticosteroid injection
4Ultrasound-guided PRP injection
5Acromioplasty (surgery) for refractory cases

When to See a Doctor

See a provider if the painful arc is severe, weakness is notable, or pain persists beyond 4–6 weeks of self-care.

Frequently Asked Questions

What is supraspinatus tendinitis?
Supraspinatus tendinitis is inflammation of one of the main rotator cuff tendons on the top of the shoulder. This tendon helps lift the arm and stabilize the joint. When irritated, it can cause pain and weakness.
What causes supraspinatus tendinitis?
It is commonly caused by repetitive overhead activity, overuse, or poor shoulder mechanics. Sports like swimming, tennis, and baseball increase the risk. Age-related changes can also contribute.
What are the symptoms?
Symptoms include shoulder pain, especially when lifting the arm or reaching overhead. Pain may worsen at night or when lying on the shoulder. Some people notice weakness or limited motion.
How is it treated?
Treatment includes physical therapy, activity modification, and anti-inflammatory medications. Strengthening and improving shoulder mechanics are important. Injections may be used if symptoms persist.
When can I return to activity?
Most patients improve over several weeks with proper treatment. Return to activity depends on pain-free motion and strength. Gradual progression is important to prevent recurrence.

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