Subscapularis Tear Symptoms, Diagnosis & Treatment

A torn subscapularis muscle can significantly impact your daily activities and quality of life. This guide will help you understand what a subscapularis tear is, its symptoms, and available treatment options.

What is the Subscapularis Muscle?

The subscapularis is a crucial muscle in your shoulder that forms part of the rotator cuff. Located underneath your shoulder blade, it helps you rotate your arm inward and maintain shoulder stability. Think of it as an essential stabilizer that keeps your shoulder joint working smoothly.

Understanding Subscapularis Tear

When the subscapularis muscle or its tendon becomes torn, it can result in pain and limited shoulder function. These tears can range from minor partial tears to complete ruptures. Athletes, particularly those involved in throwing sports, and individuals who perform repetitive overhead movements are at higher risk of developing a torn subscapularis muscle.

Common Symptoms

If you have a subscapularis tear, you might experience:

• Pain in the front of your shoulder, particularly when reaching behind your back
• Weakness when rotating your arm inward
• Difficulty with daily activities like washing your hair or reaching into back pockets
• A feeling of shoulder instability or weakness
• Night pain, especially when lying on the affected shoulder

Diagnosis Process

Your healthcare provider will typically:

• Perform a physical examination to test your shoulder’s range of motion
• Conduct specific tests to assess subscapularis function
• Order imaging tests such as MRI or ultrasound to confirm the diagnosis and determine the tear’s severity

Treatment Options

Treatment for a torn subscapularis muscle varies depending on the tear’s severity and your individual circumstances:

Conservative Treatment

• Physical therapy to strengthen surrounding muscles
• Anti-inflammatory medications to manage pain
• Activity modification to prevent further injury
• Ice therapy to reduce inflammation
• Therapeutic exercises to improve range of motion

Surgical Treatment

Surgery might be recommended if:

• Conservative treatment hasn’t improved your symptoms
• You have a complete tear
• You’re young and active
• Your job or activities require full shoulder strength

Recovery and Rehabilitation

Recovery from a subscapularis tear requires patience and dedication:

• Physical therapy typically lasts several months
• Full recovery may take 4-6 months for conservative treatment
• Surgical recovery can take 6-12 months
• Following your rehabilitation protocol is crucial for optimal outcomes

For more information: Subscapularis Tear: Exercises for Shoulder Rehabilitation

Prevention Tips

To help prevent subscapularis tears:

• Maintain good posture and shoulder blade positioning
• Practice proper form during exercise and sports activities
• Avoid overtraining and allow adequate rest between activities
• Perform rotator cuff strengthening exercises regularly
• Listen to your body and avoid pushing through shoulder pain

When to Seek Medical Care

Contact your healthcare provider if you experience:

• Persistent shoulder pain lasting more than a few days
• Sudden weakness in your shoulder
• Difficulty performing daily activities
• A popping or tearing sensation in your shoulder

Conclusion

Understanding a torn subscapularis muscle is the first step toward proper treatment and recovery. While this injury can be challenging, with appropriate care and rehabilitation, most patients can return to their normal activities. Always consult with your healthcare provider for personalized advice and treatment options.

This article is for educational purposes only and should not replace professional medical advice. Consult your healthcare provider for diagnosis and treatment of any medical condition.