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Therapy Notes – Pectoralis Minor

A chronically shortened pectoralis minor produces the distinctive protracted shoulder that does not lay down like the other shoulder when the client is on their back. It is easy to release with a little posterior static pressure on the greater tubercle while lifting displaced ribs off the upper thoracic vertebrae. Even in chronic cases, this …

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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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Therapy Notes – Pectoralis Major

The pectoralis major is a broad, fan-shaped muscle made of flat overlapping strips that covers the anterior ribs. Pecs are often the victim of cervical problems. They are innervated by the brachial plexus and are intertwined with THORACIC OUTLET SYNDROME. They also perpetuate THORACIC OUTLET SYNDROME by holding pectoralis minor short, which entraps the brachial …

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Self Care – Neck tension when wearing a heavy coat

Once the trigger point is activated, there are a number of known activities that keep it aggravated. A backpack, ill-fitted bra straps, a tight coat or shoulder bag will press into this area and are known irritants and create additional microtrauma. Using a cane that is badly fit is cited as a problem. I find …

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Self Care – Pain in the Upper Back, Index Finger and Thumb

Feeling some sensation into your torso and arm? Getting some sensation into the scalene referral areas while doing Stretches for Scalenes is a good sign. It doesn’t always happen but it indicates that the trigger points are activated by the stretch. It doesn’t happen as much when you use the ice, as ice inhibits that …

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Therapist Notes – Serratus Posterior Superior

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 posterior superior is involved in shoulder pain over 90% of the time and should be checked …

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

In today’s culture, this is almost always a problem with being chronically bent forward while working on paperwork or with a screen. One of my clients also got this from knitting while her family watched TV at night. This post offers a couple of different approaches to being seated without pain, one for the more …

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Self Care – Breathing Exercises to Reduce Shoulder Tension

One of my clients describes this as the best exercise for shoulder and upper back tension. He thinks that it should be the first exercise that I give people. Regardless of their problem. It really does reduce shoulder and upper back tension in a magical way. I noticed big differences over the 1st month that …

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Self Care – Doorway stretches for Chest Muscles

These doorway stretches are classic because they’re quick, effective and can be done almost anywhere. It is easy to stop at most doorways on your way back from the kitchen, office or bathroom. Even with minimal effort, a few stretches a day can offer notable relief and postural change. These stretches target more than pec …

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Therapy Notes – Serratus Anterior

This muscle is often overlooked and not treated until other muscles, which produce similar pain patterns, have been treated. These patterns include scalenes, rhomboids, erectors, pectorals, and multifidi. Serratus anterior can be hard to resolve when the shoulder girdle is chronically protracted by a weight problem. The chronically protracted shoulders act as a counter-balance to …

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