upper back

Pain Between Shoulder Blades: Pain Patterns, Causes, Self-Care

This is a collection of posts about trigger points that refer pain between the shoulder blades. This is a subset of some other regions but it is so common that we have created its own category. Remember that people usually feel only a portion of the pattern. Also, people usually feel the portion in darkest …

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Self Care – Sharp Pain Between the Shoulder Blades

Once you have this, it tends to be difficult to avoid the tender pain as most of the things that bother it are sudden or involuntary. That being said, this is aggravated by sudden movements like sneezing, losing your balance, or looking over your shoulder to change lanes. It is also aggravated by odd sleeping …

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Self Care – Pain at the Base of the Head and Under Shoulder Blade

Avoid sleeping in awkward positions or, especially under a draft. Chill aggravates this pain at the base of the head and under the shoulder blade more than the awkward position. This muscle is often over-powered by short, strong muscles on the front of the neck. Specifically, the anterior scalene attaches to the front of the …

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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 – 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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Therapy Notes – Serratus Anterior

This muscle is often overlooked and not treated until other muscles, which produce similar pain patterns, have been treated. These patterns include scalenes, rhomboids, erectors, pectorals, and multifidi. Serratus anterior can be hard to resolve when the shoulder girdle is chronically protracted by a weight problem. The chronically protracted shoulders act as a counter-balance to …

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