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Self Care – Aching mid-back with tired triceps

Avoid things that yank your elbow from front to back like cranking the lawnmower, raking, or letting that dog jerk the leash. This also gets aggravated by letting the rowing machine jerk forward during the exercise. One client activated by compressing the armpit against a chair back while twisted to talk to the person behind …

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Self Care – Pain in the Front of Shoulder When Lifting Arm

This typically comes in one of two postures: rounded shoulders with short tight pecs and shoulder blades that lay close to the back or high and tight shoulder with overstretched pecs and shoulder blades that wing out. Working on a low desk with a laptop can also lead to the hooked shoulders and a short, …

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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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NMT Protocols – Scalenes Supine

Scalenes are a sensitive and, often, complicated treatment approach. There are a number of things that need to be done so that the treatment is effective, longer-lasting, and more comfortable for the client. Here is a proven protocol from The Workbook of Classical Neuromuscular Massage: Need to brush up on your anatomy before you look …

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Therapy Notes – Scalenes

Neuromuscular massage can be an effective approach to treating scalene muscles. Additional work and self-care retrains posture and corrects Forward-Head Posture is often needed. Palpation Structural anomalies are common in the scalenes. Developed palpation skills are needed to reach the proper belly for assessment and treatment. Be aware that the cervical transverse process’s lateral tip …

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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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Pain when pitching or reaching behind your body

Client Description People complain of pain in the front of the shoulder, back of the upper arm, forearm, and hand. The primary complaint is in the shoulder, especially when reaching behind the back to fasten a bra, tuck in a belt, etc. This, in fact, is the test for problems with this muscle and infraspinatus. Both …

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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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Aching mid-back with tired triceps

People complain of an area of aching pain at the base of the shoulder blade. They can’t reach it and may ask to trace the spot on my back or on the illustration that I have on the wall. It has a constant ache that suddenly becomes more painful on certain movements. It can be surprisingly painful …

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