You are in the sub-theme Physiotherapy of Impingement Syndrome. You will find the start page of this topic under Physiotherapy of impingement syndrome. You will find the medical-orthopedic part under our sub-topic Impingement Syndrome.
Which tendons are involved in impingement syndrome?
Inflammatory involvement:
- The tendon of the supraspinatus muscle (abduction muscles)
- Tendon of the Musculus infraspinatus (external rotation muscles)
- Tendon of the Musculus biceps brachii (elbow flexor)
Therapeutic technique: Cross friction
Transverse friction of the tendons The transverse massage on the affected tendon(s) (especially the so-called supraspinatus tendon) is performed briefly at right angles to the course of the tendon, alternating between pressure and relief. Since this treatment promotes local blood circulation and stimulates histamine release, inflammatory substances are removed, the thickened tendon swells and can slide better in its tendon compartment again. If chronic impingement is already present, the affected supraspinatus tendon must first be brought back to an inflammatory stage by an initial (initial) cross-friction treatment over 15-20 minutes in order to initiate renewed wound healing. At the same time, the patient should move the affected arm in all directions below the pain threshold.
