pain

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 – Semispinalis Capitis

  The trigger point is in the semispinalis capitis, which originates from the vertebrae of the upper back and lower neck and attaches to the back of the head, trapping the upper cervical vertebrae in between. This creates a tingling in the back of the head. That trigger point is located somewhere C5 and is …

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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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Self Care – Stiffness up the side of the neck

This usually involves tensing the shoulders while holding them unevenly. Avoid unevenly leaning the handrails while using a treadmill. Have your PT help you with changing how you use your cane. Get reading glasses with the proper focal length. Adjust your desk so that your shoulders are not hiked while you are working. Don’t hold …

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Therapist Notes – Stiffness at the base of the neck

This trigger point comes from the splenius cervicis muscle. The trigger point is actually near C7 at the base of the neck but does not release easily or completely when the costovertebral joint of T3 is displaced. The lower cervicals should be mobilized before attempting to release the tendons in the pocket between the upper …

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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 – Serratus Posterior Superior

Anatomy Review? The neuromuscular considerations in the Structural Overview are particularly interesting for the structural therapist. 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 …

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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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