Your Pain Pattern,
What Aggravates It,
The Underlying Anatomy
How to Get Relief,
How People Describe This Pain Pattern
People complain about the tension between the shoulder blades. There are a lot of things that create tension here, so I press on for more specific information. It is not likely that they came in for a massage because their tags are bothering them, So I ask about the tags when they complain of shoulder tension. They will admit that tags in their shirts bother them. If it is really aggravated, they will complain about the burning.
This trigger point was an interesting part of my work with special needs children in the mid-90s. I was writing a book on trigger points and working with children with a sensory processing disorder. This was the first trigger point that I associated with sensory processing disorder. After this, I found trigger points associated with their common issues like sensitivity to seams in their socks, pervasive fight-or-flight, low muscle tone, hypertonicity, etc. Learning to create lasting relief from these trigger points through cranial work allowed me to make big differences in their ability to regulate.
How You Activate and Intensify This Pain Pattern
Lifting the shoulders up and back in a shrugging motion tightens this muscle. I work near Emory University. Every day, I see students in coffee shops who sit for hours in this posture. As they lean on their elbows while working on their laptops, they create chronic tightness in the shoulder girdle. Held for hours, it tightens the muscle fibers of the middle trapezius and serratus anterior. As they walk away, their shoulders are high and tight, like they are still sitting there.
A lot of things shift to support these high, tight shoulders. In many cases, people don’t have irritating tags and burning shoulders, except when the shoulder is dropped or pulled. For me, it gets activated when I’ve jerk dumbells or haul blocks to build something in the yard. Clients are more likely to complain about dogs or suitcases that pull on their arms.
This trigger point also feeds irritation to the sympathetic ganglion. Ok, in layman’s terms, that means it makes you feel anxious and irritable. They may unconsciously lean to take the tension off this irritating trigger point. It is a common problem among special needs kids who have sensory processing disorder.
The Musculoskeletal Anatomy Behind Your Pain
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.
Treatment Notes for Massage and Bodywork
Through Shared Expertise.
This post has techniques, tips, treatment routines, and anatomy illustrations to improve the bodyworker’s approach.
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.