Your Pain Pattern,
What Aggravates It,
The Underlying Anatomy
How to Get Relief,
Want to skip ahead?
Here’s a link to my post about
getting relief on your own.
How People Describe This Pain Pattern
People complain of pain in the front of the shoulder when lifting the elbow above the shoulder or back at shoulder level. This pain is less distinct and focused unless the person has a specific activity that they need to do and cannot adapt to their movement. For instance, one case was a weightlifting enthusiast who could not incline bench or do front dumbbell raises above shoulder level. Another case was a woman who could not reach up to get plates off of a high shelf that she could reach before.
People may complain primarily of pain in the upper forearm. There are only a few trigger points that have a focus of pain in this area. So, when it occurs, it is often pectoralis minor or the sternal division of pectoralis major.
Occasionally, athletes get this pain during labored breathing. This muscle helps expand the rib cage to increase capacity. usually, this pain lasts for only a short time until the breathing calms.
How You Activate and Intensify This Pain Pattern
These days, this problem is most common among students that carry a backpack. It can create some blunt trauma to the pectoralis minor while flexing it to keep the backpack on.
Also, this problem can be created by slumping at a low desk or pushing down. One client who had this problem performed ultra-sounds all day while seated and pressing down.
Leaning on Elbows
Another more recent problem is that this muscle is overstretched instead of being short and strong. Leaning forward on your elbows is common and creates a complex problem of high and tight shoulders supported by changes in musculoskeletal patterns. There is a simple, effective solution for this in the self-care section for this trigger point.
This muscle compresses the neurovascular bundle that feeds the arm contributing to thoracic outlet syndrome in severe cases. In this case, weakness or swelling occurs in the arm and hand, along with the restriction in raising the arm up or back.
The Musculoskeletal Anatomy Behind Your Pain
This small fan-shaped muscle is an important part of the thoracic outlet and the ability to swing by the arms.
You can read more in this post about the anatomy of pectoralis minor.
Very Similar Pain Pattern, Different Muscle
This trigger point also creates sharp pain when reaching up or forward. It is a different muscle with very different self-care for relief.
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.
Therapy Notes for Massage and Bodywork
Through Shared Expertise
This post has techniques, tips, treatment routines, and anatomy illustrations to improve the bodyworker’s approach.
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Does Your Shoulder Hurt From the Covid-19 Vaccine?
This post offers quick, lasting relief from the pain in your shoulder that came from the vaccine. You will need an ice cube and about 2 minutes.
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 significant changes. We are reformatting and expanding the posts to make them 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 inconsistencies in formatting, content presentation, and readability. Until we get older posts updated, please excuse our mess.