Elbow

Therapist Notes – Serratus Posterior Superior

Anatomy Review? The neuromuscular considerations in the Structural Overview are particularly interesting for the structural therapist. Serratus posterior superior is strongly governed by the costovertebral joints of the upper thoracic spine. These fixations are almost always associated with locally displaced vertebrae, especially the shearing of C7 and the upper thoracics in Forward Head posture. Serratus …

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Trigger Points – Superficial strip of shoulder pain when reaching up

Client Description   People gesture up and down the front of the shoulder and complain of “biceps tendon pain.” When I ask if there is a motion that creates the pain, they lift their arm in front of them. It bothers them more as the elbow moves above the shoulder. They may not get that rotating the …

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Trigger Points – Vague pain in the back of the shoulder and arm

Client Description People usually complain of vague pain in the back of the shoulder and arm. This pain often occurs in passive postures where they are using the long head of the triceps o stabilize the arm. This might happen when they are holding their arms in during crowded travel. It could also happen when they are …

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Trigger Points – Pain in front of shoulder when reaching out to the side

Client’s Description People complain of pain in the front of the shoulder when reaching to the side while their arm is at shoulder level. It is easy to adapt movement to avoid this unless there is a specific activity like holding the passenger seat while driving. This problem can be aggravated by carrying a backpack. The straps create …

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Trigger Points – Pain in the Front of Shoulder When Lifting Arm

People complain of pain in the front of the shoulder when lifting the elbow above the shoulder or back at shoulder level. This pain is less distinct and focused unless the person has a specific activity that they need to do and cannot adapt to their movement. For instance, one case was a weightlifting enthusiast who …

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Trigger Points – Can’t Reach Pain Under the Shoulder Blade

Client’s Description People complain of pain under the shoulder blade that can’t be reached. It aches fairly constantly. This pain can become so vague, unreachable and constant that people do not consider it in their pain patterns anymore. When that happens, and this trigger point continues to worsen, people begin to complain about the elbow and wrist …

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Trigger Points – Unresolveable Tennis Elbow

Client’s Description People complain about tennis elbow that bothers them even though they’ve tried many different things around the elbow to get relief.  They usually don’t talk about the shoulder problem until asked. For tennis players, when asked, they will often reveal that the elbow pain is worse when serving as this muscle helps to lift …

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