Supraspinatus tendinopathy is a common and disabling condition that becomes more prevalent after middle age and is a common cause of pain in the shoulder. A predisposing factor is resistive overuse.

The supraspinatus tendon of the rotator cuff is involved and affected tendons of the musculoskeletal system and becomes degenerated, most often as a result of repetitive stresses and overloading during sports or occupational activities.

The mean age of onset of this complication is in the sixth decade (age 50 to 59), and it is more frequent in diabetic patients. It is also a common cause of shoulder pain in athletes whose sports involve throwing and overhead motions.

The causes of supraspinatus tendinitis can be primary impingement, which is a result of increased subacromial loading, and secondary impingement, which is a result of rotator cuff overload and muscle imbalance.

Patient has difficulty sleeping at night due to pain, especially when lying on the affected shoulder, and with an inability to sleep.
Patient has difficulties with simple movements, such as brushing hair, putting on a shirt or jacket, or reaching the arm above shoulder height.
Patient has a limited range of motion in the shoulder.
Patient had a former shoulder trauma.
The shoulder may be warm and there may be fullness anterolaterally. Further, there is a painful arc between 70° and 120° of abduction.

In this condition in addition to Ayurveda medications as per patient prakriti(constitution) Panchakarma modalities like Shashtikshali pindaswed (fomentation with rice cooked in herbal decoctions and milk), lepanam (herbal paste) followed with Tiktakshir basti helps to reduce pain of shoulder joint fast.