Integrative Works

Primary Complaint

People complain that radiating pain under the bottom of the shoulder blade is either acute or chronic.

• Acute cases complain of sharp pain that jabs at them and radiates up and toward the spine. Consequently, It makes them stiff and aggravated because the wrong move creates pain. Once it is aggravated, it can radiate, even when they are still.
  
• Chronic cases have a low level ache and occasionally move in a way that aggravates the trigger point. In addition, sudden or extreme movements that twist and extend the spine can be very sharp. Long periods of bening forward create a dull, aching pain.

Can Feel Like Heart Problems

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.

Twist and Shout

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.

Perpetuating the Problem

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.

Musculoskeletal Anatomy

About these Illustrations…

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.

Find Related Posts

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.

Clinically Proven
Self-Care Strategies

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.

Better Bodywork
Through Shared Expertise

This post has techniques, tips, treatment routines, and anatomy illustrations to improve the bodyworker’s approach.