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3 Shoulder External Rotator Exercises (Infraspinatus and Teres Minor)

Today’s video covers three exercises that will help heal and strengthen your shoulder external rotator muscles, especially the infraspinatus and teres minor muscles. These two external rotator muscles are part of the rotator cuff and act to stabilize and rotate the shoulder joint and can be susceptible to tendinopathy and tears. In a relatively new study (citation at bottom) an MRI was performed on both shoulders in people with unilateral (one-sided) shoulder pain. The MRI results in this study showed that issues like tendinopathy and partial rotator cuff tears occurred in almost equal numbers when comparing the painful side to the non-painful one. This study matches up with others on the topic, which show that ‘dysfunctional’ findings are often seen in body regions where no pain is present. Studies like this remind us that clinical decision making must not revolve around imaging alone. If more sinister conditions are not a concern and the clinical exam does not warrant further testing, then it may be best to wait on pursuing imaging studies and proceed with rehabilitation. If you have been diagnosed with rotator cuff tendinopathy or a tear, it is recommended that you start with conservative management (physical therapy) and see how your symptoms respond. Many people are able to avoid surgery with these simple strengthening exercises. Reference: Barreto RPG, et al. Bilateral magnetic resonance imaging findings in individuals with unilateral shoulder pain. J Shoulder Elbow Surg. 2019.