People complain that radiating pain under the bottom of the shoulder blade is either acute or chronic.
The more irritated trigger point creates a fuller pattern. It radiates up between the shoulders and through to the front. Naturally, this pain pattern can be concerning, especially for clients with heart conditions.
Pain through the chest is indicative of a heart condition. See your doctor before seeking relief from bodywork.
I see many of these cases and always have a frank conversation about cardiac care. I always refer them to a doctor for examination.
This trigger point activates with persistent or sudden twisting. Usually, this combines with extending the trunk and head up and back. Activities like painting and soffit work are perfect for creating this problem. Furthermore, jerking activities like roller coasters, car accidents, and slipping on the ice also stress the spinal erectors.
Once the trigger point is activated, bending forward for a while makes it worse. Activities might include washing dishes, kneading dough, working on cars, or planting flowers. Of course, slumping over the laptop is a problem. Also, sudden jerks that take the head up or twist the torso irritate this muscle. Clients have complained about long car rides with their heads pulled forward, “sleeping wrong,” or new exercise routines.
This post on anatomy contains standard information about the origin, insertion, function, and innervation of muscles. Additionally, it 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.
This post has strategies for getting relief on your own. Explore how to change your activities, stretch, ice, and more to relieve the pain associated with this trigger point.
This post has techniques, tips, treatment routines, and anatomy illustrations to improve the bodyworker’s approach.
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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.
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