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Therapist Notes – Serratus Posterior Superior

Serratus posterior superior produces an ache under the shoulder blade that is easily confused with the referral patterns of other muscles. It is involved in shoulder pain more than 90% of the time. It is distinctive when it produces the associated elbow and lateral wrist pain. Serratus posterior superior acts as a 5th scalene muscle. …

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Self Care – Can’t Reach Pain Under the Shoulder Blade

Typically, people ignore this pain that can’t be reached under the shoulder blade until it becomes chronic. At that point, these trigger points are stubborn and require a little regular self-care for lasting changes. That almost always means some changes in activities. As well, stretching and exercises are needed to free the tight joints and …

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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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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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Stiff, Swollen Hands in the Morning

People complain about awakening with stiff and swollen hands. Some of them have problems with tingling and sleeping hands in the night. They often get up and move their arms around until the tingling stops, and the arms are awake again. Sometimes, they have pain or tingling when they hold their arms near shoulder level as …

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Can’t Reach Pain Under the Shoulder Blade

People complain of pain under the shoulder blade that they can’t reach. It aches fairly constantly. It is a bothersome ache that they can’t shake. They may get temporary relief from a hot shower or exercise. Sometimes, it becomes so vague, unreachable and constant that they just ignore it. When that happens, and this trigger point …

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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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