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    • Injury Research Team
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  • Blog
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    • Injury Research Team
    • Tennis Elbow
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    • Rotator Cuff Sprain
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Supraspinatus Tendinopathy

Healing Rotator Cuff Pain with Acupuncture and Dry Needling

  1. Supraspinatus tendinopathy affects one of the four key rotator cuff tendons that helps lift your arm and stabilize the shoulder. The supraspinatus tendon spans from the supraspinatus muscle on top of the shoulder blade to the upper arm (humerus), making it essential for everyday reaching, lifting, and overhead work; when irritated or degenerative, even simple motions can hurt.  
  2. Functionally, the supraspinatus initiates the first degrees of arm abduction and helps center the humeral head in the shallow glenoid socket—critical to smooth, pain‑free shoulder mechanics and overall rotator cuff stability.  
  3. In supraspinatus tendinopathy, the tendon shows wear: microtears, collagen disorganization, thickening, and progressive tissue breakdown rather than short‑term inflammation. As the tissue weakens, pain and reduced shoulder function follow, particularly with overhead activity.  
  4. Common contributors include aging‑related tendon changes, poor posture and shoulder mechanics, prior shoulder injury, and repetitive overhead motions in work or sport. 
  5. Athletes in volleyball, tennis/racquet sports, swimming, baseball/softball, basketball, weightlifting/CrossFit, and golf show high rates of supraspinatus overload.  A 2024 case report of a 21‑year‑old volleyball athlete highlighted pain and limited overhead range tied to confirmed supraspinatus tendinopathy—illustrating how sport mechanics stress this tendon. 
  6. Where Acupuncture & Dry Needling Fit
    Comprehensive care still includes rest/activity modification, physical therapy, and appropriate self‑care, but acupuncture can be added to reduce pain, support tendon health, and speed functional recovery. 
  7. Mechanistically, acupuncture stimulates the body’s own pain‑relieving neurochemicals (endorphins, enkephalins), potentially easing symptoms without relying solely on medications. 
  8. Needle stimulation may boost local microcirculation around the injured tendon, enhancing oxygen and nutrient delivery important for tissue repair phases. 
  9. Emerging data suggest acupuncture can help regulate inflammatory signaling, an effect that may calm reactive tissue around a degenerating tendon. 
  10. Trigger point acupuncture and dry needling release protective muscle guarding in the deltoid, trapezius, and broader rotator cuff—muscles that frequently tighten to compensate for a weak supraspinatus and, in doing so, perpetuate pain and movement restriction. 
  11. By influencing the autonomic nervous system, acupuncture may also improve neuromuscular coordination, helping the shoulder move more efficiently during rehab loading. 
  12. Early Action Matters
    Activity modification, icing after aggravating use, short‑term NSAID support (when medically appropriate), and guided mobility drills (pendulums, wand flexion, cross‑body stretch, early isometrics) form a smart self‑care base that pairs well with clinic‑based needling care. 

Ready to get your shoulder moving again? Sports acupuncture and dry needling at Anjuna Sports Acupuncture can be integrated into a full rehab plan for supraspinatus tendinopathy—serving athletes and active adults in Eugene, Oregon.

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