Your pain pattern,
What aggravates it,
How to get relief,
How People Describe This Pain Pattern
People 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.
People may primarily complain about wrist pain as it bothers them when they use a 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 several more common causes of wrist pain).
People seldom primarily complain of 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.
How You Activate and Intensify This Pain Pattern
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.
This muscle, like scalene muscles, is overused in our culture of leaning forward for long periods while using our neck and shoulder to breathe. This retrains the breathing process, binds joints in the upper spine, and creates chronic patterns. This makes other activities, like exercising or sitting at dinner, achy and painful because of the shift in posture-related breathing patterns.
The Musculoskeletal Anatomy Behind Your Pain
Getting Relief on Your Own
This post has strategies for getting relief on your own. Explore how to change your activities, stretch, and other strategies that relieve the pain associated with this trigger point.
Treatment Notes for Therapists
Through Shared Expertise.
This post has techniques, tips, treatment routines, and anatomy illustrations to improve the bodyworker’s approach.
This site is undergoing changes. Starting in early 2020, we began changing the format of the posts to include more extensive self-care, illustrations, therapist notes, anatomy, and protocols. We’d love your feedback. We are adding posts and converting the old posts as quickly as time permits.
Weekly Featured Post
This pain and tension under the shoulder blade may be the most common pain pattern that I see. It isn’t always the primary complaint as people have gotten used to the constant ache.
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