top of shoulder

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 …

Therapy Notes – Lower Trapezius – Massage and Bodywork Read More »

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 …

Self Care – Neck Pain with Sore Shoulder Read More »

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 …

Self Care – Stiffness at the base of the neck Read More »

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 …

Therapist Notes – Pain inside shoulder blade when slouching while seated Read More »

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 …

Superficial strip of shoulder pain when reaching up Read More »

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 …

Vague pain in the back of the shoulder and arm Read More »

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 …

Sore shoulder from strap or lifting overhead Read More »

Stiff, Swollen Hands in the Morning

People complain about awakening with stiff and swollen hands. Some of them have problems with tingling and sleeping hands in the night. They often get up and move their arms around until the tingling stops, and the arms are awake again. Sometimes, they have pain or tingling when they hold their arms near shoulder level as …

Stiff, Swollen Hands in the Morning Read More »

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 …

Unresolveable Tennis Elbow Read More »

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 …

Shoulder Pain and Clicking While Grooming Read More »