Want to skip ahead?
Here’s link to my post about
getting relief on your own.
A shot to the shoulder can lead people to complain of sharp pain when lifting their arm. This specific pain often hurts less at the outset of lifting the arm but increases along the outside of their shoulder. The intensity then seems to decrease again as the elbow becomes level with the shoulder.
This movement-related pain may be broad across the center of the shoulder. Or, it may focus on the lower attachment alongside the biceps and triceps.
This pattern typically appears on the side of the shoulder, even if the shot/trauma is on the front of the deltoid. This pain is created by a trigger point pattern, not nerve patterns. That means the area of pain or referral doesn’t follow the nerve patterns that you would expect. Because of that, you can release the trigger point and get relief, even though the area may continue to be a bit swollen from the vaccine. Read about how to do that in the self-care post.
These patterns are not common. Most people don’t experience them except after a vaccination in the shoulder. Not that they cannot occur in other instances; see those listed below.
Even more unusual would be that the shot or trauma is to the back of the shoulder. Specifically, this happens when the trauma occurs to the fleshy part of the back of the shoulder.
There are many patterns in the back of the shoulder, and this one is the least likely. If you have pain there, it is not likely that this is your pattern. Unless you recently had a vaccination shot or sharp blow to the back of the shoulder. Take look at this list of shoulder pain patterns.
The trigger point for this pain pattern is almost always activated by trauma. Of these, the most common are:
Unusual though it is, I am seeing a lot more of this in my practice at the moment as patients and friends scramble for Covid-19 vaccinations.
This post on anatomy contains standard information about the origin, insertion, function, and innervation of muscles. It also includes information on functional considerations and anomalies.
Anatomy posts have a grid of all related posts. This includes posts on pain patterns, self-care, therapy notes, NMT protocols, cranial techniques, and cases.
This post has strategies for getting relief on your own. Explore how to change your activities, stretch, and other strategies that relieve the pain associated with this trigger point.
You can subscribe to our community on Patreon. You will get links to free content and access to exclusive content not seen on this site. In addition, we will be posting anatomy illustrations, treatment notes, and sections from our manuals not found on this site. Thank you so much for being so supportive.
This video is a brief overview of the Integrative Bodywork Model. It explores the difference between integrated and integrated approaches. Additionally., it walks through an example.
We want your feedback! We are in the process of creating a format for individual muscles.
Please drop us a note at
Tony Preston has a practice in Atlanta, Georgia, where he sees clients. He has written materials and instructed classes since the mid-90s. This includes anatomy, trigger points, cranial, and neuromuscular.
Question? Comment? Typo?
Follow us on Instagram
*This site is undergoing significant changes. We are reformatting and expanding the posts to make them easier to read. The result will also be more accessible and include more patterns with better self-care. Meanwhile, there may be formatting, content presentation, and readability inconsistencies. Until we get older posts updated, please excuse our mess.
Overview This technique releases restrictions between the parietal bones along the sagittal suture. This staple…
Here, you will find strategies for relief from a band of pain across your mid-back…
Zygomatic Decompression is a fairly standard intra-oral technique in osteopathic cranial. Soft Tissue Focus Soft…
"Strain, Right Shift, and Shear" is a complex but essential technique. This SBS technique governs…
Frontal-Maxilla Twist and Distraction specifically targets restrictions related to Common Structural Asymmetries. Soft Tissue Focus…
This technique may be used to evaluate or release structural restrictions in the articulations of…