Categories: Neck Pain

Upper Neck Pain with Sore Top of Shoulder

Trigger point pain post includes

  • how people describe this problem
  • activities that create or aggravate the trigger point
  • links to relief through self-care, anatomy, and massage notes

Want to skip ahead?
Here’s a link to my post about
getting relief on your own.

How People Describe This Pain Pattern

People often complain of pain in the upper neck with soreness on the top of the shoulder. Often, they are focused on the pain in the upper neck than the top of their shoulder. Many patterns create pain and tension at the top of the neck. This referral pattern is not among the most common patterns that refer to the upper neck. However, when it becomes chronic when the whole shoulder becomes achy.

Sensitive to Strap

The soreness on top of the shoulder is usually less bothersome than the neck pain. They will often rub it and say that it is tender when they press on it. It is mentioned more often when they carry a handbag or backpack that presses onto the sore spot.

Chronic Combination

People often describe the upper back referral as tension. Conversely, they refer to the spot at the top of the shoulder soreness. This pattern can have a focus of deep, achy soreness near the base of the neck. This combination of pain in the upper neck, aching near the base of the neck, and soreness at the tip of the shoulder can lead to chronic aching. Commonly, this leaves the person irritated and exhausted. Moreover, it creates an underlying tension that diminishes their quality of life. The background pain shortens their tolerance for tedium.

Irritability

People may start out describing this as stiffness in the neck. When asked for more details, they actually talk about the constant ache. When asked for more details, the “stiffness” seems to be more of the inability to find a comfortable position.

How You Activate and Intensify This Pain Pattern

Bob Barr in the classic negotiating lawyer posture from cdn.vox-cdn.com

Seated Problems

This problem can feed on itself and become quite chronic when people change their posture to avoid aggravating it on the back of the chair. This muscle is more active in stabilizing the shoulder blade against tension rather than pull it back. Leaning forward activates the trigger point to create a good stretch feeling.

One client suffered chronically from this trigger point. Daily, he was a negotiator who would tighten his chest and lean onto his elbows at the conference table. Releasing this trigger point directly only offered temporary relief. We had to balance the muscle tension between his chest and back. With regular stretching and bodywork and to open his chest, we were able to get lasting relief.

People find that this tight band of muscle is very tender when a seat digs into the mid-back. When a cold stadium seat chills the muscle, the neck and shoulder pain is worse.

The combination of these alternating postures can aggravate this trigger point. Leaning forward feels like a good stretch but weakens the muscle. Leaning into the chair activates the pattern with pressure.

Pulling the Shoulder

Often, this trigger point activates when the arm is jerked forward, as when you’re holding the leash of a dog that sees a squirrel. However, several muscles can get aggravated by a jerk forward. When the muscles around the shoulder joint are strong, this trigger point gets irritated as the muscle tries to stabilize the shoulder blade.

The Musculoskeletal Anatomy Behind Your Pain

The trapezius has three sections that perform different functions. As a whole, it provides movement and stability to float and retract the shoulder blade.

You can read more detail about this in this post about trapezius anatomy.

Getting Relief on Your Own

Clinically Proven
Self-Care Strategies

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

Better Bodywork,
Through Shared Expertise.

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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*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.


Tony Preston

Tony Preston, LMT has been treating adults and children since the early 90s. He has authored a number of texts on neuromuscular and craniosacral techniques. He has taught Neuromuscular Therapy for ASHA School of Massage and craniosacral the National Institute of Craniosacral Studies. He currently teaches seminars in Integrative Craniosacral techniques at The Body Guild.

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