Upper Extremity Pain

Therapy Notes – Serratus Anterior

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Pain in the upper back, index finger and thumb

People complain about pain just inside of the shoulder blade, and in the thumb, and index finger. It doesn’t always create pain in the hand; sometimes it is tingling like it is “falling asleep” or “going numb.” Sometimes, they have pain or tingling when reaching out with the hands near shoulder level, like when you’re driving …

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Nagging Pain Inside The Bottom of the Shoulder Blade

Want to skip ahead?Here’s a link to my post about getting relief on your own. People complain of nagging pain in the upper or mid-back, just inside the bottom of the shoulder blade. They have trouble determining what causes it or what to do for relief. They may also complain of sore ribs on that …

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Superficial strip of shoulder pain when reaching up

People complain of a strip of pain in the front of the shoulder when reaching up. They often say this is “biceps tendon pain” because it feels more superficial. 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 …

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Pain when pitching or reaching behind your body

People complain of pain in the front of the shoulder, back of the upper arm, forearm, and hand. The primary complaint is often in the shoulder, especially when reaching behind the back to fasten a bra, tuck in a belt, etc. The other common complaint is focused on forearm pain. Patients usually complain about the shoulder …

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Shoulder Pain Reaching Up and Around

Want to skip ahead?Here’s a link to my post about getting relief on your own. People usually complain of vague pain in the back of the arm that is sharper at the shoulder. This pain often occurs in passive postures where they are using the long head of the triceps to stabilize the arm. This trigger …

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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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More than surviving.

Annie (her alias) is a Texan grandmother in her late 60s. She started working with me years ago. She has some real problems with degenerative discs in her neck. We’ve been through a lot. I’ve worked on her, literally, from head to toe. Last winter, she came to me with troubling news. They had found …

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Spot of pain behind shoulder

People complain of a spot of pain deep in the back of the shoulder. It often occurs after other shoulder pain, particularly after this trigger point, has been treated and released. It is a lingering pain that is hard to connect to an activity but often bothers them when I ask them to stretch the shoulder as …

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Sore Shoulder from Strap or Lifting Overhead

Active people complain of pain on the top of their shoulder when lifting their arm. When I ask them to lift their arm, it doesn’t really hurt until their elbow gets level with their shoulder and the tip of the shoulder begins to rotate upward. This is the point that the middle trapezius strongly engages. Sometimes …

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