Pectoralis Minor Insertion Tendinopathy AKA Bench Presser's Shoulder

Dr Ozello's Sports Medicine Report: Pectoralis Minor Insertion Tendinopathy AKA Pectoralis Minor Overuse Insertion Tendinopathy and Bench Presser's Shoulder

***Disclaimer: Viewing this video does not take the place of seeing a medical professional or working with a certified fitness professional. Please visit a medical professional for evaluation, diagnosis and treatment. Please work with a fitness professional to learn proper exercise technique and to develop a proper training program. Never perform an exercise that elicits or intensifies symptoms. If an exercise elicits or intensifies symptoms, stop immediately and use a viable substitute. Always perform all exercises through a symptom free range of motion. Begin your training at your current health, fitness and strength levels. Increase intensity in small gradual calculated increments.

Pectoralis Minor (Pec Minor) Anatomy
Triangular shaped. Deep to pectoralis major.
Origin: Third, fourth and fifth ribs close to respective costal cartilages.
Insertion: Medial border and upper surface of coracoid process of scapula.
Concentric Actions: Scapular protraction and shoulder depression.
Accessory breathing muscle: Elevation of ribs.
Innervation: Medial Pectoral Nerve (C8, T1).

Symptoms
Pain with active contraction of pectoralis minor.
Pain described as dull, sore achy and tight.
Tenderness upon palpation of medial coracoid process of scapula.
Tightness in pectoralis minor with scapular retraction.
Positive Bench Press Maneuver.

Individuals with shorter resting pectoralis minor muscle length have incorrect scapular movement patterns similar to those reported in individuals with shoulder pain secondary to subacromial impingement syndrome, rotator cuff disease and glenohumeral instability.

Tight pectoralis minor muscle creates a position of scapular protraction at rest and does not allow scapular posterior tilt or external rotation upon arm motion, predisposing patients to subacromial impingement symptoms.

Manual Length Test: Pectoralis Minor
Supine. Hands resting on stomach or by sides.
Relax shoulders and let posterior shoulders drop toward table.
Positive: Scapulae stays protracted and shoulder is lifted of table.
Indicates: Hypertonicity or shortening of pectoralis minor.

Bench Press Maneuver
Supine. Simulate bench press against resistance.
Positive: Pain in Pectoralis Minor
Indicates: Pec Minor Overuse Insertional Tendinopathy AKA Bench‐Presser's Shoulder

Professional Care
Seek professional care immediately to get proper evaluation, diagnosis and treatment plan.

Chiropractic care is a catalyst for improving a person’s health, fitness, function and recuperation. Chiropractic care is drug-free, surgery-free functional medicine. The primary objectives of chiropractic treatment are the optimization of nerve flow and the re-establishment of correct skeletal biomechanics. Chiropractic treatment works for preventive and maintenance care. Chiropractic care is effective for a large number of sports-related injuries. Chiropractic care restores correct skeletal joint motion, optimizes nerve flow, decreases muscle tension, increases range of motion and decreases symptoms.

Stretch Pectoralis Minor, Pectoralis Major, Serratus Anterior, Latissimus Dorsi and anterior ribcage muscles with chest muscles stretches in a supine position on the floor, fitball and foam roller.

References
Narrative review of injuries in powerlifting with special reference to their association to the squat, bench press and deadlift
https://bmjopensem.bmj.com/content/4/...

The “bench‐presser's shoulder”: an overuse insertional tendinopathy of the pectoralis minor muscle
https://www.ncbi.nlm.nih.gov/pmc/arti...

Evaluation and Management of Scapular Dyskinesis in Overhead Athletes
https://www.ncbi.nlm.nih.gov/pmc/arti...

Strength Training and Shoulder Proprioception
https://www.ncbi.nlm.nih.gov/pmc/arti...

Anatomy, Shoulder and Upper Limb, Muscles
https://www.ncbi.nlm.nih.gov/books/NB...

Stretching Exercises for Subacromial Impingement Syndrome: Effects of 6-Week Program on Shoulder Tightness, Pain, and Disability Status.
https://www.ncbi.nlm.nih.gov/pubmed/2...

Shoulder horizontal abduction stretching effectively increases shear elastic modulus of pectoralis minor muscle.
https://www.ncbi.nlm.nih.gov/pubmed/2...

Dr Donald A Ozello DC of Championship Chiropractic in Las Vegas, NV
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