referral patterns

Pain in the Sacrum or Crest of the Hip When Sleeping on Side

These people reach back and put their hands on the center of their hips, just below the belt line and say. “It hurts right here.” They go through explanations of wanting to sleep on that side but wake with aching pain in the middle of their hips. They often explain that they have tried sleeping …

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Trigger Points – Headache with Tender Top of Neck While Turning

People complain about this spot in their neck being tender when they touch it while turning their head. I have to admit, I find it interesting that they don’t really complain about pain there but that it is tender to touch. They usually don’t complain about the headache at first but, almost always, they tell …

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Trigger Points – Headache Spot Just Above The Temple

Client’s Description People complain of pain in their temple(s) but touch the spot just above the temple. It takes a little investigative work to nail the right trigger point. At times this occurs by itself. Often, this headache pain occurs with other pain patterns. It can be hard to single out without specific questions. It …

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Therapist Notes – Splenius Capitis

Splenius capitis originates from the lower cervicals and upper thoracics and inserts on the occipital and temporal bones so that it is in a perfect position to counter sternocleidomastoid to pull the head around. It also serves as a wrap to hold the lateral neck muscles against the neck during movement. The splenii muscle trigger point …

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Therapist Notes – Pain inside shoulder blade when slouching while seated

Pain between the shoulder blades is seldom rhomboids unless the client has trapped the rhomboid muscle against a hard surface or they have extremely imbalanced extrinsic back and extrinsic chest muscle. When the problem is postural, the shoulders and upper back are notably rounded or the upper back is very straight and shoulder blades are …

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Self Care – Pain inside the shoulder blade when slouching while seated

Change these activities: Change your seating. Get one that doesn’t make you want to slouch or has a softer back. Make sure that your computer screen is at eye level and your hips are slightly above your knees when you sit. There’s a lot written about this on the internet. Gentle persistent exercises to build …

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Therapist Notes – Infraspinatus

Anatomy Review? The infraspinatus muscle is a common problem in the shoulder and the most likely to generate pain when the client sleeps on their side. Its position in the shoulder is critical for stabilizing the head of the humerus from shifting forward. There are several other muscles that produce similar symptoms. Here are other …

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Trigger Points – Back Pain Across the Lower Ribs

Client’s Description These people complain of a band of pain across the mid back. They reach back and trace a band across their mid back. At this point, I have them stroke an ice cube over the arch of the ribs, in the front. They usually have a look of disbelief but comply. Then, I have …

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Trigger Points – Aching and Burning in the mid back

Client Description These people complain of aching or burning pain over the kidneys. Many of them have already had their kidneys checked but have not found any problems. If they have not had their kidneys checked, I refer them to a medical doctor. If this is your pain pattern, you should seek medical treatment before you consult …

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Trigger Points – 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 as when driving, or …

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