Chiropractor Chandler AZ

Teres Minor Trigger Point


teres minor trigger point

The teres minor muscle has its origin in the lateral border of the scapula, and it has its insertion in the inferior facet of greater tubercle of the humerus. The axillary nerve innervates the teres minor muscle.

The teres minor laterally rotates the arm and stabilizes the humerus, and therefore trigger points in the teres minor can not only make it ache right at the location of these spots, but cause pain at the side of the shoulder. Trigger points, as shown in the diagram below, can also cause pain to radiate slightly into the back of the arm. The movements that will cause pain or that may be impaired are the ones when the shoulder is rotated outwards and the reach goes backwards - like the movements in putting on a jacket.


Conservative Treatments


Therapeutic treatments for addressing soft tissue injuries involve massage therapy, manual therapy, trigger point therapy, Graston Technique, or Active Release Technique. These treatments increase blood flow, decrease muscle spasms, enhance flexibility, speed healing, and promote proper tissue repair.

When these treatments are incorporated into a treatment plan patients heal faster and are less likely to have long-term pain or soft tissue fibrosis or scar tissue in the injured muscle. These soft tissue treatments are incorporated with therapeutic exercise and flexibility shoulder treatments and exercise programs.

Dysfunction in shoulder movements leads to shoulder injuries. Then people modify their shoulder movements to limit the stress and strain, which usually overworks the elbow and wrist. People begin damaging the muscles and tendons around the elbow, commonly producing tennis elbow or golfer's elbow. Don’t wait for your elbow to start hurting too before seeking treatment on the elbow or shoulder.


Medical Treatments


NSAIDs are often prescribed for the initial acute injury stages. In severe cases that involve multiple joint regions, muscle relaxers or oral steroids can be given. Trigger point injections, botox, or steroid injections can be treatment options. Pain management is not usually required unless stronger medications or joint injections are required for treatment.

MRI and X-rays will not usually be ordered to evaluate mild to moderate muscle, tendon, and ligament injuries. Severe cases may utilize advanced imaging to rule out bone fractures, edema, nerve entrapments, tendon or muscle ruptures. NCV testing may be utilized in cases that also involve muscle, sensory, or reflex loss.

Cervical spinal disc bulges and herniations onto the spinal cord or nerve root produce different symptoms and location of symptoms. Your chiropractor, physical therapist, occupational therapist, or physician will evaluate your condition and make a proper diagnosis and treatment recommendations. Ask them any questions you might have about your injury.


In Conclusion


The upper extremity works as a comprehensive unit performing many of the repetitive tasks at home, work, and recreational sports. Injuries to one area of the musculature often indicate that additional damage has been incurred by other muscles.

Many therapeutic exercises can help restore proper strength and endurance to the elbow flexor muscles. Isometric exercises are often the initial treatment exercises. Followed by single plane rubber band exercises for elbow flexion, extension, pronation, and supination movements. Dynamic exercises involving stability ball push-ups can be performed on the wall or floor. The more unstable of the surface the more effort and stabilization is required of all the upper extremity muscles.

Push-ups on a stability ball enhances neuromuscular learning throughout the neck, scapula, shoulder, upper arm, and lower our muscles. Additional strength exercises can be found on the arm and shoulder strengthening pages.

Our Chandler Chiropractic & Physical Therapy clinic treats patients with a variety of muscle, tendon, joint, and ligament injuries. The clinic provides treatment for runners, tri-athletes, and weekend warriors in addition to common headache, neck, and back patients traditionally seen in Chiropractic, Physical Therapy, Massage Therapy clinics. We work with all ages and abilities of the residents in Phoenix, Tempe, Gilbert, Mesa, and Chandler AZ.