Trigger Points – Can’t Reach Pain Under the Shoulder Blade

Client’s Description

referral - serratus posterior superior - posteriorPeople complain of pain under the shoulder blade that can’t be reached. It aches fairly constantly. This pain can become so vague, unreachable and constant that people do not consider it in their pain patterns anymore. When that happens, and this trigger point continues to worsen, people begin to complain about the elbow and wrist pain.

This pattern becomes more active when the person reaches forward, and the shoulder-blade presses into the muscle as when reaching out while using the computer mouse or reaching out for the top of the steering wheel while driving.

People may primarily complain about the wrist pain as it bothers them when they use the computer mouse. They almost always admit to the shoulder pain when asked. They have concerns about carpal tunnel as this often bothers them more when they are reaching for a mouse. (there are a number of more common causes of wrist pain).

People seldom primarily complain of the elbow pain. I remember a few of these cases when I thought that it was so unusual that elbow pain was relieved by working this trigger point when they never complained of shoulder pain.


This post has stretches and exercises that you can do at home, in the office, and in the gym to rehab this shoulder and get rid of this chronic pain.

Sharpen your therapy skills with this post on working with the serratus posterior superior. For your review, there is a routine from The Workbook of Classical Neuromuscular Therapy.

and some related posts…

Tony Preston has a practice in Atlanta, Georgia where he sees clients. He has written and taught about anatomy, trigger points and cranial therapies since the mid-90s.

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