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Therapy Notes – Middle trapezius

The middle trapezius is often part of a larger problem with high-tight shoulders. Integrative Neuromuscular Massage involves addressing the other elevators of the shoulder girdle, especially the serratus anterior. Many therapists don’t treat these areas because it is inconvenient, awkward, and difficult on the hands. The middle trapezius is often part of a larger problem …

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Self Care – Neck tension when wearing a heavy coat

This trigger point pain pattern creates pain in the upper neck and tension when the muscle is compressed or stretched. You can get relief with some changes in your activity. As well, you can typically get lasting relief with a few simple exercises. An underlying chronic condition like fibromyalgia or structural problems in the upper …

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Self Care – Headache At Your Temple

This headache at the temple one of the most active trigger points among clients. There are so many ways to activate the headache at the temple with a stiff neck. It is more problematic because the trapezius is hard to avoid moving during the typical day. If the stiff neck or headache is persistent, see …

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Therapy Notes – Upper Trapezius

The upper trapezius acts more like an extra head of sternocleidomastoid than other extrinsic back muscles. It is often part of a larger problem with high-tight shoulders. Integrative Neuromuscular Massage involves addressing the other elevators of the shoulder girdle, especially the serratus anterior. Many therapists don’t treat these areas because it is inconvenient, awkward, and …

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Self Care – Burning and itching along the shoulder blade

This post has quick relief and lasting relief strategies for the trigger point that creates a burning and itching pain along the inside of your shoulder blade. People tend to be more focused on this trigger point because of the urge to rub and scratch in that area. If it lingers, they oftn seek topical …

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Neuromuscular Massage Protocol – Trapezius

This neuromuscular massage protocol treats the trapezius while prone. In this position, the lower trapezius is more accessible than in the supine position. This position also leaves the hood of the upper trapezius accessible for rolling between the fingers and thumb. Neither technique is as easily applied in the more common supine treatment of upper …

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Therapy Notes – Lower Trapezius – Massage and Bodywork

This post focuses on the therapeutic release of trigger points in the lower trapezius through massage and bodywork. It includes soft joint mobilizations, treatment sequencing, and classical neuromuscular protocols. It is separated from the other sections of the trapezius as it has a very different function. Also, because of its location and the difficulty of …

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Self Care – Neck Pain with Sore Shoulder

This post has quick relief and lasting relief strategies for the trigger point that creates pain in the upper neck and top of the shoulder. This is a tough trigger point to treat and requires persistent self-care. Often, people choose professional help to make underlying structural changes, hone self-care strategies, and stay focused. Pay attention …

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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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Extrinsic Back Muscles- Functional Anatomy

Extrinsic Back Muscles Extrinsic back muscles connect the occiput, spine, and pelvis to the upper extremity. They elevate and depress the scapula but, mostly, retract the scapula. Click on the images below for more information about the anatomy and pain patterns of these muscles.        Wikipedia entry for muscle Tony Preston has a practice in Atlanta, …

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