The Subscapularis is often considered as simply a part of the four rotator cuff muscles but it is so much more! Trigger points in Subscapularis play a huge role in almost every shoulder dysfunction and the Subscapularis often contracts to stabilize the glenohumeral joint in a type of sling-like ‘holding pattern’. Along with the long head of biceps, the Supraspinatus is often seen contracted in all shoulder issues of over a month. Fortunately, even though it is quite hard to reach, Inhibition compression to the upper medial trigger point in the Infraspinatus muscle and holding it for about a minute seems to release much of the subscapularis. The mechanism for this is thought to be reciprocal inhibition between agonist and antagonist.
As observed by Simeon Niel-Asher – when the shoulder goes into dysfunction we tend to see whole limb changes. We see strong flexors, and weak extensors, similar to the decerebrated postures after a CVA or stroke; This shoulder ‘holding pattern’ is universal to all mammals
How do you treat trigger these trigger points? We’d be delighted if you want to share your own best practice..