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referral patterns

Pain Along the Biceps, Maybe Collar Bone & Forearm

People seldom have any part of this pattern as their primary complaint, but when they do, it is usually biceps pain. When this is a problem, the entire pattern can usually be elicited by pressing up under the collar-bone near the sternum. This response is surprising and intense for a pattern that is seldom a […]

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Pain in the Front of Shoulder When Lifting Arm

People complain of pain in the front of the shoulder when lifting the elbow above the shoulder or back at shoulder level. This pain is less distinct and focused unless the person has a specific activity that they need to do and cannot adapt to their movement. For instance, one case was a weightlifting enthusiast who

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Shoulder or Forearm Pain While Steering

A patient will hold their arm up as if they have it on top of the steering wheel. They trace along the outside of their shoulder and say, “It hurts right here, and sometimes in my forearm.” As well, the pain can shift and bother them worse in the forearm. When I ask them if

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Pain Behind the Shoulder When Lifting Arm

When the trigger point is less advanced, people hold their arm out with the elbow away from their side,  reach around to touch the back of the shoulder behind the arm pit and say that it hurts there. If I ask if they can reproduce the pain, they cautiously rotate their hand back to a throwing

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Can’t Reach Pain Under the Shoulder Blade

Want to skip ahead?Here’s a link to my post about getting relief on your own. 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,

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Unresolvable Tennis Elbow

Elbow! …and…shoulder People complain about persistent tennis elbow even though they’ve tried many different things around the elbow to get relief. However, it seems unresolvable.  They usually don’t talk about the shoulder problem until I ask them if it has troubled them. When asked, tennis players often reveal that the elbow pain flares up when serving

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Shoulder Pain and Clicking While Grooming

Patients complain of pain in the shoulder when brushing their teeth, combing their hair, putting on make-up, shaving their face, etc. Typically, patients describe this pain as achy and deep in the shoulder. Their primary complaint may also include pain while carrying something by their sides like suitcases or buckets. This trigger point usually doesn’t disturb sleep but is often

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Shoulder pain when sleeping on your side

Sleeping on Your Side People complain of pain that disturbs their sleep when lying on the painful shoulder. Surprisingly, it creates pain as it is stretched when sleeping on the opposite shoulder too. It is a deeper pain than the illustration suggests. They have spent most of their time sleeping on that shoulder with that hand

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Pain, Burning & Tingling on Back of Head

When the trigger point severely restricts the muscle, people complain of pain, burning, tingling, and “that numb feeling” on the back of the head. They are often concerned because the pain is tingling and can feel prickly along the back of their head. They may say that it bothers them less now but will bother

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Sciatica, Degenerative Discs and Trigger Points

Many clients come to me with pain that their doctor has called “sciatica.” Sciatica originally referred to painful inflammation of the sciatic nerve. The sciatic nerve emerges from the lower lumbar vertebrae and upper sacral segments (L4-S3) and innervates the majority of the gluteal region, posterior thigh, and the lower leg. “Sciatica” is now commonly used

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