Discover all the Natural Remedies we have found. One of them might work for you. Tendonitis is an inflammation, the connective tissue that connects the muscle to the bon DeQuervain's tenovaginitis, along the thumb-side of the wrist Friction massage scrubs the fibres of the tendon, theoretically aiding recovery, and it doesn't really have to be particularly deep (intense). If it works, the mechanism is probably just mild stimulation of natural tissue repair processes Acute Tendonitis: Tendinitis massage wrist tendonitis massage elbow tendinitis Gradual onset, tenderness local to the tendon one or two days after activity. The tenderness progresses into pain during activity as the tendonitis becomes severe. Microtearing causes a cycle of inflammation and the formation of adhesions and even crepitus in the are Press both thumbs in the center of the wrist and push into the muscle while gliding up to the elbow at the same time. Include both sides of the forearm to loosen all the constrictions. Massage the fingers, thumbs, and palm of the hand, giving them light pressure and gentle stretches Tendonitis (or tendinopathy) is a common injury that can be caused by sports, accidents, or repetitive use of a body part. It is marked by pain and soreness in the connective tissue and it is often a persistent injury that sometimes doesn't go away with the usual protocol of rest and ice. For an athlete or a computer programmer who uses their wrist on a daily basis, wrist tendonitis can be.
Ultimately, deep tissue massage may be the best massage style to combat tendonitis, according to a study published in the International Journal of Therapeutic Massage and Bodywork. Generally speaking, massage therapy stops the injury cycle by stimulating circulation and cell activity Massage for Tendonitis/Tenosynovitis. Tenosynovitis - inflammation of the gliding surface of the tendon and the surrounding sheath; Sheathed tendons are usually found in the wrist and ankles where tendons pass close to the bone. Signs/Symptoms- persistent pain, referred pain, pain decreases after warming up, pain increases after use, muscle. Massage for Arm & Wrist Pain (Forearm Extensors) Many patients are surprised to learn how their wrist pain is caused or at least signifiantly affected by their forearm muscles. Massage Therapy for Tennis Elbow and Wrist Pain Perfect Spot No. 5, in the common extensor tendon of the forear Deep tissue massage may be one of the best massage styles for treating tendonitis. It combines firm pressure and slow strokes to reach the deep layers of muscle and fascia, treating chronic pain. This technique enhances circulation and breaks up scar tissue, which can also reduce swelling. How to find the right massage therapist for tendonitis XFF massage therapy has shown to be beneficial in recovery of tendinitis or tendinosis, deep-friction treatments are beneficial for both conditions, but for very different reasons. In the case of tendinitis, deep friction serves to reduce adhesions and create functional scar tissue once inflammation has subsided
I've been trying your ice massage technique on my right wrist (I've had chronic wrist pain for over ten years). I can't find a specific painful spot on my wrist when I do the ice massage, but there is a spot that, after a minute of massaging, becomes very sensitive and sends an uncomfortable shooting sensation into my fingers If you have sore hands, for example, get an upper body massage that excludes your hands and do your own very gentle massage on your hands before letting someone else touch them. I do my own 30 minute massage on my hands and forearms when they get overworked and it's transforming. Here's how I do it Massage helps tendons by creating circulation. Circulation is VITAL to all parts of the body, for all the same reasons. The benefits of circulation to a tendon: * New oxygen to the tendon tissue. * New nutrients to the tendon tissue. * Old fluid and waste product out of and away from the tendon tissue
Famous Physical Therapists Bob Schrupp and Brad Heineck present one specific massage that can take away the pain of tendonitis including: Supraspinatus (Sh.. Massage. Most effective for de Quervain's are techniques found in sports massage, Swedish massage, shiatsu and neuromuscular therapy. Massage increases the circulation that stagnates in static injuries, increases the thumb and wrist's range of motion and can breakdown scar tissue contributing to pain and numbness. Physical Therapy Simply use the opposite hand to gently squeeze the entire forearm, wrist, and hand. If any sore areas are discovered, stop, and focus there with additional pressure and massage specifically to any tendons or muscles as needed. Complete for 1-2 minutes after your exercise program. Find more wrist strengthening exercises here Wrist tendonitis is not necessarily confined to a single tendon or part of the wrist. There are several tendons that surround the wrist joint that can become injured or inflamed
It also helps to massage the tendons near the wrist, which helps with thumb pain and range of motion limitations. As far as the product itself goes, so far so good. However, the product arrived bare in only the product box, which was slightly damaged and left me wondering if there was any damage to the product or if there would be any missing. Muscle/tendon injury as a result of doing massage is more common among massage therapists than nerve impingement injury. Carpal Tunnel Syndrome (CTS) CTS has become a catch-all term that is too often applied to any pain syndrome anywhere in the wrist area Portable electric rechargeable wrist massager, carpal tunnel syndrome / tendonitis / arthritis wrist massager with heated vibration wrist support / hand pressure carpal tunnel wrist support Hot compress and pulse massage with one machine, very convenient to use. No wire operation, you can use it at will
Wrist stretch: With one hand, help to bend the opposite wrist down by pressing the back of your hand and holding it down for 15 to 30 seconds. Next, stretch the hand back by pressing the fingers in a backward direction and holding it for 15 to 30 seconds Wrist tendonitis, or tenosynovitis, is a general term referring to any tendon in your wrist area causing wrist pain. This can be De Quervain's syndrome, a re.. Wrist Tendonitis Symptoms. The most common and consistent complaint of patients diagnosed with wrist tendonitis is a pain in the wrist. Other symptoms of wrist tendonitis include: Swelling around the wrist joint. Warmth and redness of the tendons. Grinding sensations ( crepitus ) with the movement of the tendons Apply ice to your wrist to reduce pain and swelling. Ice will decrease the inflammation in your body caused by the injury. Before you apply the ice, wrap it in a towel to protect your skin from the cold. Use your ice treatment for up to 20 minutes several times a day for a few days as your wrist recovers Ice packs, ice massage or slush baths with ice and water all can help. For an ice massage, freeze a plastic foam cup full of water so that you can hold the cup while applying the ice directly to the skin
Wrist tendonitis—sometimes spelled tendinitis—is the inflammation of one or more tendons in the wrist. 1 This inflammation typically causes symptoms such as pain, swelling, stiffness, and/or warmth in the wrist. 1 Wrist tendonitis is caused due to small (micro) tears in a tendon as a result of sudden or repetitive injury. 2, 3 See Wrist Tendonitis vs. Sprai Causes of wrist tendonitis. Wrist tendonitis is an overuse condition which occurs due to repetitive strain or friction of the tendon. It usually occurs in a tendon, which rubs over a bony prominence or where excessive repetitive strain has been placed on the tendon
Using olive oil to massage your infected area, you will reduce inflammation and pain effectively caused by tendonitis. You can massage foot, wrist, knee, shoulder, elbow, or any part of the body. Olive oil will improve blood flow, so you will get ease with the method. Now you get some warm olive oil and massage gently your painful region for 10. The most effective way to perform a deep tissue massage is by using a massage tool; such as a foam roller, massage cane or ball to help press deep enough into your tight calf muscles and the Achilles tendon. However, you can simply achieve a deep tissue calf massage by relaxing your lower leg and using your hands slowly press deep into the calf, moving your hands up and down the muscle A self massage therapy for tendonitis is friction massage therapy. It is used in injuries caused on shoulder, elbow, back of the heel or thumb-side of the wrist. In this therapy strokes (back and forth) are applied perpendicular to the injury using gentle pressures with fingers and thumb. Studies have shown that friction massage stimulates the.
And, given that tightness of the bellies of the abductor pollicis longus (APL) and extensor pollicis brevis (EPB) will continue to place a tensile force on the tendons, it is important to work their muscle bellies with manual (massage) therapy. They might be deep to the superficial wrist and finger extensors of the posterior forearm, but when tight, they are usually readily palpable and easily. Hold one arm out in front of you with the back of the hand facing the ground and the inner elbow facing up. Flex your wrist, so your palm faces away from you, and you'll begin to feel a stretch in the wrist and forearm. You can use your other hand to deepen the stretch and then switch sides, holding each stretch for 15-30 seconds Tendons are bands of fibrous tissue that connect muscles to bones. Tendons help muscles initiate and control movement in your joints. Tendinitis usually occurs when repetitive motions, stress or repeat injuries irritate a tendon over time. The result is pain and swelling in the tendons around a joint, such as your ankle, elbow or shoulder Using olive oil to massage your infected area, you will reduce inflammation and pain effectively caused by tendonitis. You can massage foot, wrist, knee, shoulder, elbow, or any part of the body. Olive oil will improve blood flow, so you will get ease with the method. Now you get some warm olive oil and massage gently your painful region for 10. Wrist tendonitis is typically a result of hand trauma. Said trauma can be a minor wrist sprain or as severe as a crush injury or a bone fracture. When this occurs, a wrist brace for tendonitis can be prescribed to stabilize the wrist. Tendons in the wrist work by sliding through tendon sheaths that are covered with synovial fluid
Two classic signs of wrist tendonitis, in addition to the pain or numbness of the wrist and hands, is the pad-like swelling on the top of the wrist area and the ropey-like sore and tender muscles of the top of the forearm near the elbow. These are the two areas that, when massaged and iced, will resolve the pain and numbness Sprained wrist injuries may be quite common, but that doesn't lessen their inconvenience. The doctor will tell you that normally, they will heal in five to six weeks. But in reality, the sprain can cause pain in the wrist joint (wrist tendonitis) for years to come. Using massage therapy with essential oils, many people have found the relief they were searching for
Most commonly, wrist tendonitis is caused by activities that require repetitive movements. Working at a keyboard, texting, writing with a pen or pencil, cleaning, gardening, or regularly playing sports that involve your hands can bring on a bout of wrist tendonitis Other treatment options available are massage, chiropractor, and acupuncture. It could be caused by tendonitis. What you can do for your wrist pain the best treatments for wrist pain are prevention, rest and support to your wrist. The warmth increases blood flow and helps with healing. Sprains cause damage to ligaments in the wrist causing pain. Hi Cindy, I used to be a massage therapist and I enjoyed it, but I sustained a severe sports injury to my right wrist that ended my career. It caused severe tendonitis. However, I would like to return to massage, but only doing a minimal amount in order not to injure myself again. Do you think this is feasible 3. Ice massage: Place water in a small paper cup, and put in freezer. When frozen, rip off top inch of cup and massage wrist/ arm for a few seconds/ until your skin is lightly red. Ice only helped me to a certain point. After 2 weeks, I recommend stopping; you don't want your body to become dependent on the Ice Mary McMahon. Construction workers may be susceptible to hand tendonitis. Hand tendinitis is an inflammation of the tendons in the hand. The tendons are used to control the movements of the fingers and wrist, using signals from muscles located in the arm. People with hand tendinitis can experience aching and burning sensations in the hand, as.
Deep-friction massage applied to the tendon serves to stimulate fibroblast activity and generate new collagen. Stasinopoulos and Johnson ( 18 ) report that applying deep-friction to the tendon for at least ten minutes after the numbing effect has been achieved results in reduced pain and increased strength and mobility Tendonitis literally means tendon inflammation. It can occur at various locations in the body - actually, anywhere you have tendons. The name of the condition refers to its location, such as wrist tendonitis, elbow tendonitis, shoulder tendonitis, Achilles tendonitis, etc. Tendons are thick cords that connect muscles to bones Treatment for wrist tendonitis. Physiotherapy is usually sufficient to take care of mild cases, but if the condition is severe other treatment modalities may be necessary. Using a splint or cast: Usually the first step of treatment, since it allows the overused tendons and sheath to rest and thus decrease inflammation
Step-5: Deviator Muscle Exercise. Doing deviator muscle exercise strengthen the wrist and relaxing the forearm muscle. Take the same dumbbell for this exercise. You need to hold the dumbbell and move up and down to do the exercise. The motion will strengthen the wrist joint and reduce the forearm tendonitis pain . My recipe, my formula for breaking this vicious cycle is to physically get in there (with advanced Massage techniques) and release the stuckness and to bring much-needed blood flow to the tendons (to break the state of stagnation.). And the good news is this is something you can learn to do yourself Wrist tendonitis and tendinopathy sufferers will commonly report: Pain in the region of the wrist tendons, occasionally radiating down to the hand or up into the elbow. Gripping or typing activities usually reproduce pain, especially those positions that combine wrist bending or twisting, e.g. keyboard typing with an unergonomic setup
Tendonitis is an overuse, repetitive stress type of injury. It is an inflammation and irritation to the tendon which is overused during activities. The tendon is the attachment from the muscle to the bone and it is through this and the muscle tissue that movement occurs. Common tendonitis areas are found in the shoulder, elbow, wrist, knee and. Step 1. Warm up the arm for 2-3 minutes by gently moving the wrist back and forth anteriorly and posteriorly (as though you are waving goodbye to someone). Figure 5: Tennis elbow exercise. Step 2. Stretch the tendon by placing the back of the hand on a table with the elbow straight Tendonitis of the wrist is one of the most common musculoskeletal disorders. If your arm or hand hurts or if you're bothered by finger, hand or wrist numbness, you might have it. But don't worry because rest and wrist bracing are the best first-line treatments for this condition.. Wrist tendonitis happens when you overwork your fingers and hand Tendonitis Wrist or Wrist Tendinitis is a comparatively common condition in which a tendon or tendons of the wrist are damages due to overuse resulting in swelling and inflammation of the affected tendons. Learn about the causes, signs, symptoms, treatment, exercises and tests
Wrist Flexion Stretch and Wrist Extension Stretch are 2 stretches for this area to help prevent it from coming back. I would do these every day each morning and evening at the least. You can apply the massage technique to your hands to keep them soft too. The Muscle Repair Sho Home Remedies For Tendonitis: 11 Science-Based Treatments In Foot, Forearm & Wrist I. Causes Of Tendonitis In Foot, Forearm, And Wrist. Sometimes, tendonitis can stem from sudden injuries, but the main cause of this disease is the overuse of tendons in feet, forearms, and wrists Essential oil recipe #1 for tendonitis. Skin tightening birch oil, cooling peppermint, and anti inflammatory lemongrass work together in this recipe to provide a cooling relief that loosens muscles and allows an increase in blood flow to the area. This not only relieves pain but provides a long lasting relief
Wrist tendonitis symptoms occur because the wrist is where the tendons attach to the bone, leaving the area prone to tendon injuries. Some common wrist tendonitis symptoms include: A dull, slowly progressing pain in the wrist and surrounding area, such as the forearm and hand. Tenderness on and around the wrist, even when immobile Tendonitis can turn into a chronic occurrence if it isn't treated, so it's important to find a treatment to relieve the swelling and pain whenever you experience it. Many people get tendonitis in the hand, wrist and forearm, and even experience numbness and tingling in the affected area
Wrist tendonitis is caused by repetitive and overuse of the hands while performing manual activities at home or at work. Home treatment can include the use of ice and massage and using wrist supports or forearm band-type bracing as in Tennis elbow . Friction massage is helpful in tendonitis as long as you reach the affected region. You should rub slowly and gently back and forth over the inflamed tendon at the region of extreme tenderness. The massage strokes should be perpendicular to the tendon fibers
This muscle is the primary flexor of the wrist, making wrist curls possible. It is a major flexor and responsible for a large part of grip. In electrical studies of the wrist, the Flexor Carpi Ulnaris is very active throughout the day. It is likely the most active wrist muscle. People develop ECU tendonitis for a variety of reasons Tendons connect muscle to bones - they are easily inflamed or injured by repetitive movements. Trigger finger, Golfers Elbow and Tennis Elbow are all tendonopathies. Carpal Tunnel Syndrome is a nerve constriction at the wrist caused by swelling in the muscles and tendon sheaths . The swelling of a wrist tendon sheath causes irritation to the tendon. This can be De Quervain's syndrome, a repetitive strain injury (RSI), or it can even be the wrist flexor or wrist extensor tendons that are irritated. These stretches and exercises shoul Bowling and Wrist Tendonitis. The wrist is a delicate hinge joint that comprises several important tissues. The wrist consists of distal bones of the forearm: ulna and radius, the bones of the wrist or carpals, proximal metacarpals, muscles, synovial fluid-filled sheath, ligaments, blood vessels, nerves, and tendons
In the hand, there are many tendons which have to glide under the skin. If these tendons are caught in scar, the tendon does not move as far a distance as it needs to move, thus the joint can't move as much as it should. By using massage as a treatment for scar tissue, you can improve the range of motion of a joint Proper conditioning exercises for your extensor muscles and wrist flexor is easy. Performing massage on the affected tendons once you develop the condition is also helpful. Movement and pressure applied consistently to your tendon can encourage fibroblast proliferation that enhances recovery
Wrist extension: With your arm outstretched and palms facing down, use your other hand to gently pull the fingers back towards your arm. It is the opposite of the extension movement covered in the elbow section. Tendon gliding: Start by folding your fingers so they touch the top of your palm. Hold a few seconds before opening your hand wide. Tendons are covered by a slippery thin soft-tissue layer, called synovium. This layer allows the tendons to slide easily through a fibrous tunnel called a sheath. Any swelling of the tendons and/or thickening of the sheath, results in increased friction and pain with certain thumb and wrist movements
When muscles are chronically short, it creates a pull (or strain) on the spot where the muscles meet tendons and attach to bones, both at the elbow and through the wrist into the hand. This constant pulling can eventually blossom from latent, under-the-radar tension into chronic pain at the elbow or wrist De Quervain's tenosynovitis is the inflammation of the sheath, or synovium, that surrounds the two tendons that run between the wrist and the thumb.. Tendons are strong bands of tissue that. Though wrist tendonitis can be caused by accident as well, nevertheless, wrist tendonitis affects the normal arrangement of tendon, bones, and muscle. Wearing a wrist brace is a great way to help protect your hand from wrist tendonitis or help you recover from already sustained one. Wrist brace gives that support and compression needed to the. The most effective treatment for tendonitis in the wrist or elbow involves reducing stress on the tendon by means of rest, immobilization, or the use of a splint. Splinting is a standard treatment for tendonitis in the wrist area. Sometimes the problem can be controlled simply by wearing a splint at night
Tendinitis of wrist. Anatomy of the Wrist. A tendon is a fibrous cord-like structure that attaches a muscle to bone. There are several tendons surrounding and crossing through the wrist joint responsible for creating the movements of the wrist, hand, and fingers we rely on every day to perform basic activities of daily living to throwing 100+ MPH fast balls in elite-level athletes 7. If there has been surgery on the medial wrist, use a deep needle into Per 7 plus seven star hammer of the entire wrist area. 8. If there is no inflammation (heat, swelling, redness, sensitivity to massage) end the treatment with massage: tuina, mild kneading and squeezing. It is my experience that it is important not to forget the healing. Tendonitis, whether it is in your shoulder, knee, elbow, wrist, foot, or wherever it is, can be one of the peskiest and annoying (not to mention painful) problems around. While tendonitis can happen in any part of the body where a tendon has been overused, most people experience this injury near joints Extensor Tendonitis There is another set of tendons, called extensor tendons, that are responsible for the extension of the fingers and hand. These tendons pass through the back of the wrist and, like the flexor tendons in the wrist, they are constantly active during hand or fingers movements The wrist is a joint that acts as a bridge between the hand and the forearm. This important joint is formed by the ends of eight carpal bones, the end of the radius (the large forearm bone), and the articular disk. There are also several tendons - which connect muscle to bone - that begin in the forearm, cross the wrist to enter the hand
Wrist. Wrist tendonitis usually appears in the form of de Quervain's disease, a condition that causes pain in the back of the wrist at the base of the thumb. friction massage, or water therapy to improve joint mobility. A physical therapist can also guide you through a rehabilitation program to help you to regain strength, motion, and function Any exercise can (and eventually will) cause tendon issues if you do it too often/for too long. But tendonitis is technically just inflammation. If you have a long-term overuse problem, it's called (or should be called) tendonOSIS, which is actual..
Physiotherapy for Wrist Tendonitis. Wrist tendonitis is when the tendons in the wrist become irritated and inflamed. This causes wrist pain that can affect all areas of your daily life, from writing to cooking, to fitness and driving. Symptoms of wrist tendonitis include: Stiffness and pain in the wrist; Soreness and tenderness when pressure is. Elevate the affected limb and wrap in cold packs for 10-20 minutes 2 - 4 times a day. Try to keep the area elevated at or above the level of your heart to help minimize swelling. A bag of frozen peas works well to ice small areas like the thumb or wrist. An ice massage directly on the painful area is also very effective Feb 25, 2015 - Explore Aimee Boehme's board TENDINITIS OF WRIST, followed by 511 people on Pinterest. See more ideas about tendinitis, hand therapy, wrist pain Tendonitis pain can also be common in the elbow, wrist, thumb, knee, Achilles and foot. PREVENTION AND TREATMENT Ice massage is the best self-care technique for preventing and treating tendonitis.
[Read: Cold and Heat Treatments for Tendonitis] 2. Wrist. Wrist tendonitis occurs when you overwork the tendons connecting the muscle to the bone around the wrist. There is a pain in the wrist and stiffness in the movement of the wrist, especially right after waking up. The exercises elaborated underneath can help relieve the pain. a Use a heating pad on your wrist to warm the area. Massage the area around your wrist and thumb to loosen the muscles. Ice your wrist and take pain medicine after activity if there is discomfort. The best way for the tendons to heal is to stick to a care plan. The more you rest and do the exercises, the quicker your wrist will heal A Wrist injury and diseases like hypothyroidism, diabetes, obesity, and tendonitis can also cause this to occur. What is Tendonitis? Tendonitis is similar to carpal tunnel. This large similarity can lead to a lot of confusion. What makes it more confusing is tendonitis can cause pain, numbness tingling in your hands and fingers Local muscle, joint or tendon injury can cause wrist pain. Neck joints or trapped nerves can also refer pain to the wrist. The best known entrapment of nerves within the wrist is carpal tunnel syndrome. Carpal tunnel syndrome is the best known nerve entrapment of the wrist Massage Therapist Self-Care: Wrist Pain Many massage therapists will indicate pain, tingling, numbness or other abnormal sensations in the hands, wrists, forearms and entire arm unit. Due to the nature of our occupation, we need to keep stretching and releasing tension held in the upper limbs to avoid nerve compressions or related injuries
DeQuervain's tendonitis is a condition that causes pain in the wrist and/or the near the base of the thumb. The tendons that attach to the thumb pass through a fleshy tunnel on the side of the wrist called a tendon sheath. Normally, this tunnel is lubricated by synovial fluid that results in painless thumb and wrist motion Elbow tendinitis and epicondylitis can occur in anyone who repetitively uses the elbow by consistently rotating the forearm muscle tendons. The tennis player risks tennis elbow, which is pain on the outside of the elbow. This pain is caused by inflammation of the forearm muscles, which extend (bend back or cock-up) the wrist and fingers A tennis elbow brace applies pressure to the elbow tendon and helps change the tendon's forces. Tennis elbow brace. Stretching Stretching the wrist into flexion or extension can help to stimulate the injured tendons and promote mobility and healing. Hold stretches for 30 seconds and repeat 3 times Golfer's Elbow Massage. Golfer's Elbow - Golfers Elbow or medial epicondylitis, is an inflammatory condition of the medial epicondyle of the elbow. It is a condition that causes pain on the inner side of the elbow, where the tendons of the forearm muscles attach to the bony bump on the inside of the elbow. The pain may spread into your.
Massage this oil carefully ensuring that the oil gets deep in the skin while still taking care not to cause more tendon tear. [source] 3. Sweet Marjoram Tendonitis affects shoulders, knees, wrist and other joints and this oil work remarkably well for the knee pains and the back pains. It is an excellent anti-inflammatory and much safer than. Sprained wrist. A sprained wrist involves the tearing or stretching of the ligaments or tissues that connect the bones and joints in the wrist. This can lead to joint pain, muscle pain, and significant wrist pain. Tendonitis. Tendonitis is a big deal when it comes to musical instruments, and especially the guitar By resting or even immobilizing your wrist joint, the muscles in your forearms and their emerging tendons in the elbow region can rest and heal. Many conventional treatment protocols for elbow tendonitis focus on using ice massage or other physical therapy modalities in the elbow region Tip 8: Get Massage Therapy or other Bodywork. Massage Therapy and other forms of Bodywork are the most direct ways of getting to the root of muscle and tendon problems. Bodywork techniques can be tremendously helpful in a preventative sense at the earliest stage - before there's an injury, or entrenched pain pattern About tendinopathy. Tendons are bands of strong connective tissue that attach muscle to bone. Tendinopathy symptoms include pain, swelling and reduced function. Tendinopathy is usually a type of overuse injury, where the tendon is repeatedly strained until tiny tears form. It commonly affects the shoulder, wrist, knee, shin and heel
Tendonitis can occur as a result of an injury or repetitive motion that causes the tendon to rub against other bodily tissues, such as bone.. A person's wrist contains many tendons.Together. Transverse friction massage should only be carried out by a trained professional such as a physical therapist as success relies on a good knowledge of anatomy and structural organisation of the tissue so that they can be applied to the exact site of the supraspinatus tendonitis lesions, in the correct direction and at the right depth for the.