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Self Care – Aching mid-back with tired triceps

Avoid things that yank your elbow from front to back like cranking the lawnmower, raking, or letting that dog jerk the leash. This also gets aggravated by letting the rowing machine jerk forward during the exercise. One client activated by compressing the armpit against a chair back while twisted to talk to the person behind …

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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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Therapist Notes – Pain at the Base of the Head and Under Shoulder Blade

Treatment of trigger points that create starts with atlas mobilizations. Once the upper cervical area is mobilized, trigger points in the suboccipital region release more easily and comfortably. Then, follow up with direct treatment along the lamina groove. It is worth noting that this complaint is usually two other patterns. Displacements in the upper cervical …

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Pain at the Base of the Head and Under Shoulder Blade

With this trigger point, people complain about tension and a focus pain and tension at the base of their head. When I press for more detail, they may tell me about the tension in their neck and under the shoulder. It is easy to feel the tender knot on the backside about halfway down the neck. …

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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 – Stiffness at the base of the neck

Self-Care for this pain stiff pain at the base of the neck can be quick and effective when the person is active and healthy. During the stretching, this person often gets a shifts in their neck. For the older or less-active person, this requires some relief strategies with more persistent stretching. If this is wincing …

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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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Therapist Notes – Serratus Posterior Superior

Serratus posterior superior produces an ache under the shoulder blade that is easily confused with the referral patterns of other muscles. It is involved in shoulder pain more than 90% of the time. It is distinctive when it produces the associated elbow and lateral wrist pain. Serratus posterior superior acts as a 5th scalene muscle. …

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

Typically, people ignore this pain that can’t be reached under the shoulder blade until it becomes chronic. At that point, these trigger points are stubborn and require a little regular self-care for lasting changes. That almost always means some changes in activities. As well, stretching and exercises are needed to free the tight joints and …

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