People complain of pain in the front of the shoulder when reaching to the side while their arm is at shoulder level. It is easy to adapt movement to avoid this unless there is a specific activity like holding the passenger seat while driving.
This problem can be aggravated by carrying a backpack. The straps create pressure on the trigger point eliciting the pain pattern while carrying the pack. This also aggravates the muscle so that it may become chronic. The shoulder may also ache from the pressure of a seat belt.
This muscle can become chronically short when the middle trapezius creates high and tight shoulders and the humerus hangs closer to the collar bone.
This produces “that good stretch feeling” in the front of the shoulder during the Warrior-2 pose. If it is chronic, it will restrict the arm from lifting to shoulder height, when unwatched. If it is happening regularly, the stretch lengthens the clavicular pec but the muscle will still have weakness during contraction. In this case, the shoulder joints need work.
The trigger point is activated by strenuously reaching forward as when putting things on a shelf, reaching over something to paint or reaching out to grab a falling object. One client complained of this after spending some time trying to reach over a deep dresser to hang pictures.
This site is undergoing changes. Starting in early 2020, we began improving the format. We are also adding more extensive self-care, illustrations, therapist notes, anatomy, and protocols. We appreciate your input and feedback. You will see us adding posts and updating older posts as time permits.
Weekly Featured Post
This post shows you how to press out the trigger points and stretch the infraspinatus muscle. It’s a small muscle on the back of the shoulder but creates a number of problems, including:
- shoulder pain when sleeping
- loss of grip strength
- upper neck pain
- pain along the inside edge of the shoulder blade
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.
*This site is undergoing major changes. We are reformatting and expanding the posts to make it easier to read. The result will also be more accessible and
will include more patterns with better self-care. In the meanwhile, there may be inconsistency in formatting, content presentation, and readability. Until we get older posts updated, please excuse our mess.