July 08, 2025
Supraspinatus Tendinopathy
The rotator cuff consists of four major muscles of the scapula including the supraspinatus, infraspinatus, subscapularis and Teres Minor. The supraspinatus lies anteriorly to the scapula and holds the humerus in place to keep the shoulder joint stable. Supraspinatus tendinopathy is the most commonly injured tendon overlying the shoulder joint and can either be brought on by a traumatic injury or degeneration of the tendon. Common risk factors for sustaining this type of injury consists of a prior history of trauma, age, overuse of the shoulder and shoulder arthritis/ Instability
Signs and symptoms include:
Non-traumatic onset
Pain in upper arm overlying shoulder joint exacerbated (worsened) by overhead activities
Pain at night lying on affected shoulder
Weakness and a sensation of heaviness
Unable to fasten seatbelt and a loss of major shoulder movements (unable to flex and abduct the arm)
Management
For complete tears of the supraspinatus tendon, surgery is the only intervention used in the healing process; However for partial and degenerative tears, conservative care with rest and rehabilitation has been found to be very effective. If the tendinopathy isn’t improving, surgical injections may be required to repair the tissue. To speed up the recovery process and bring patients back to normal functioning of the shoulder joint in the quickest amount of time, cold laser therapy (low-level laser therapy) is exactly what you’re after. As supraspinatus tendinopathy is usually brought on by a poor blood supply to the shoulder joint, cold laser therapy is a perfect treatment option for this condition.
Cold laser therapy, also referred to as low-level laser therapy is a non-invasive technique option meaning it doesn’t cause any damage to the skins surface via any needles. Its latest technology allows the device to penetrate into those deep underlying tissues to aid in the repair at a much faster rate than many other treatment options. Cold laser therapy is perfect in the treatment of many muscular conditions including supraspinatus tendinopathy, as it reduces any inflammation present and allows blood and oxygen to flow to the affected area to heal and repair the damaged tissues.
Protocol
Treatment of supraspinatus tendinopathy by cold laser therapy (low level laser therapy) utilises two protocols in the healing of the condition. The initial phase is designed to reduce pain of the shoulder joint and increase strength to the area and involves 2-3 sessions per week of 5-10 minutes duration and follows a decade rule (every 10 years of age, 1 session is required e.g. 40 years equals 4 sessions). The secondary phase, known as the tissue repair protocol consists of 1-2 treatments per week with a total of 10-15 sessions to gain the maximal effect of the cold laser therapy. This phase encourages the circulation of blood and oxygen to the working tissues and the reduction of any inflammation present for a rapid regrowth of the tendon tear.
