Want to skip ahead?
Here’s link to my post about
getting relief on your own.
People complain of aching along the inside of the shoulder blade while slouching. Also, it is annoyingly tender along the edge of the shoulder blade. The pain in the upper back usually begins when they are slumped forward at a desk for a while. This position lets the shoulder blades spread and the chest close.
The onset of this problem is slow, usually over a long period. For example, it may have suddenly gotten worse after an extended period of reaching up and forward the put things on a shelf. This muscle usually hangs freely but develops this problem when chronically overstretched.
Some people have a chronic problem with this pattern. When you look at the back of these people, they tend to have very straight or hunched upper backs. For these people, either their shoulder blades are close together and wing out, or their shoulder blades are spread far apart and lay close to the ribs. As a result, there is a substantial imbalance between the chest and back muscles. Usually, the chest is short and tight. Conversely, the back stretches open with rounded shoulders.
This pattern typically bothers them when they are in this position for long periods. However, when they stand and move, this goes away quickly.
The classic pain occurs when you slump forward for long periods. For me, this happens when I slump over my desk. I get a little tired. Usually, I sit a little too far from the keyboard, and my shoulders pull forward. Sometimes, I’m just not maintaining the curve in my low back because the seat is too low. Or, I’m leaning in to look at the fine print. It is worse when I twist to one side, like the picture. And, it radiates from that green point on my shoulder blade.
It also happens when you lean back and pull your head forward. As the edge of your shoulder blade presses into the hard surface of the chair, this will start to ache. This pain tends to be sharper and more painful at the point of contact. Those tender trigger points along the inside edge of the shoulder blade will activate, and the pattern flares up.
Pain between the shoulder blades while slouching is a common problem in industrialized cultures. Indeed, there is a transition to sedentary work that promotes seated tasks. As a result, the rhomboid muscles, which produce this pattern, are over-stretched as the shoulders drift forward.
Overstretching also might occur when the shoulder extends too far or too much. For example, this posture happens while painting overhead with a short brush so that the shoulder blade stretches up and forward. The same extension may happen when spending a long time stocking a high shelf.
This post on anatomy contains standard information about the origin, insertion, function, and innervation of muscles. It also includes information on functional considerations and anomalies.
Anatomy posts have a grid of all related posts. This includes posts on pain patterns, self-care, therapy notes, NMT protocols, cranial techniques, and cases.
Pain between the shoulder blades is usually some other trigger point that refers to the rhomboid muscles.
Rhomboids get over-treated because the pain is there. The pain here is usually referred from another muscle. Take a serious look at these other posts for the right pattern and associated self-care to get lasting relief.
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.
This post has techniques, tips, treatment routines, and anatomy illustrations to improve the bodyworker’s approach.
You can subscribe to our community on Patreon. You will get links to free content and access to exclusive content not seen on this site. In addition, we will be posting anatomy illustrations, treatment notes, and sections from our manuals not found on this site. Thank you so much for being so supportive.
This video is a brief overview of the Integrative Bodywork Model. It explores the difference between integrated and integrated approaches. Additionally., it walks through an example.
We want your feedback! We are in the process of creating a format for individual muscles.
Please drop us a note at
Tony Preston has a practice in Atlanta, Georgia, where he sees clients. He has written materials and instructed classes since the mid-90s. This includes anatomy, trigger points, cranial, and neuromuscular.
Question? Comment? Typo?
Follow us on Instagram
*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 include more patterns with better self-care. Meanwhile, there may be formatting, content presentation, and readability inconsistencies. Until we get older posts updated, please excuse our mess.
Overview This technique releases restrictions between the parietal bones along the sagittal suture. This staple…
Here, you will find strategies for relief from a band of pain across your mid-back…
Zygomatic Decompression is a fairly standard intra-oral technique in osteopathic cranial. Soft Tissue Focus Soft…
"Strain, Right Shift, and Shear" is a complex but essential technique. This SBS technique governs…
Frontal-Maxilla Twist and Distraction specifically targets restrictions related to Common Structural Asymmetries. Soft Tissue Focus…
This technique may be used to evaluate or release structural restrictions in the articulations of…