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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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Massage Therapy Notes – Rhomboid Major and Minor

Pain between the shoulder blades is seldom rhomboids. At times, the client has trapped and arrgraveted the rhomboid muscles against a hard surface and they need direct calming. More often, they have extreme imbalances between the extrinsic back and extrinsic chest muscles. When the problem is postural, Imbalances are usually easy to see. The shoulders …

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Self Care – Pain Between Shoulder Blades When Slouching

Change these activities: The rhomboid major and minor muscles refer pain between the shoulder blades while slouching. You can usually quick to get relief when the muscles are no longer chronically overstretched. So, changing your activities makes a big difference in getting results. Strengthening your back helps to make lasting changes that prevent the return …

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Superficial strip of shoulder pain when reaching up

Client Description   People gesture up and down the front of the shoulder and complain of “biceps tendon pain.” When I ask if there is a motion that creates the pain, they lift their arm in front of them. It bothers them more as the elbow moves above the shoulder. They may not get that rotating the …

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Vague pain in the back of the shoulder and arm

Client Description People usually complain of vague pain in the back of the shoulder and arm. This pain often occurs in passive postures where they are using the long head of the triceps o stabilize the arm. This might happen when they are holding their arms in during crowded travel. It could also happen when they are …

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Sore shoulder from strap or lifting overhead

Client’s Description People complain of a couple of different things. Active people complain of pain on the top of their shoulder when lifting their arm. When I ask them to lift their arm, it doesn’t really hurt until their elbow gets level with their shoulder and the tip of the shoulder begins to rotate upward. This is …

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Unresolveable Tennis Elbow

Client’s Description People complain about tennis elbow that bothers them even though they’ve tried many different things around the elbow to get relief.  They usually don’t talk about the shoulder problem until asked. For tennis players, when asked, they will often reveal that the elbow pain is worse when serving as this muscle helps to lift …

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Shoulder Pain and Clicking While Grooming

Client’s Description People complain of pain in their shoulder when brushing their teeth, combing their hair, putting on make-up, shaving their face, etc. The pain is usually described as being achy and deep in the shoulder. Their primary complaint may also include pain while carrying something by their side like a suitcase or bucket. This trigger point usually doesn’t disturb …

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