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 condition 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 3rd cervical where this trigger point lives. This is one of …

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

Mobilize the upper cervical vertebrae. Multifidi trigger points are strongly governed by vertebral mobility. Even though this trigger point is in the multifidi near C3, it is difficult to get a more complete release and lasting relief without first mobilizing the atlas and axis. This post has few different techniques for mobilizing the atlas. This …

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Therapy Notes – Lower Trapezius

Mobilization of a dysfunctional atlas is key to balancing the cranium on the neck and normalizing the spinal accessory nerve. This routine has internal and external approaches to mobilizing the atlas. Start with cranial work around the jugular foramen. This includes mobilizing the atlas and releasing the suboccipital muscles. Continue with treating the lamina groove. …

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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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Pain in the upper back, index finger and thumb

People complain about pain just inside of the shoulder blade, and in the thumb, and index finger. It doesn’t always create pain in the hand; sometimes it is tingling like it is “falling asleep” or “going numb.” Sometimes, they have pain or tingling when reaching out with the hands near shoulder level as when driving, or …

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Nagging Pain Inside The Bottom of the Shoulder Blade

People complain of nagging pain in the upper or mid-back, just inside the base of the shoulder blade. They have trouble determining what causes it or what to do for relief. They may also complain of sore ribs on that side, just under the armpit or fibrocystic breasts. They usually have a straighter upper back …

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Mid-back pain that extends up and around

Client’s Description   People complain of stiffness, tightness and pain in their back as they reach around to touch their lower ribs. They often complain of how it extends up to the outside of the shoulder blade and seems to shoot through or wrap around their side into their abdomen. It bothers them when they are …

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