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02.09.2014

Shoulder pain front, ab ball exercise - Review

Author: admin
The Imbue Pain Relief Patch temporarily relieves minor aches and pains of muscles and joints. The shoulder is a complicated joint, and treating it can sometimes be a complicated process – usually because the pain is so often coming from a place other than where it hurts the most.
Pain of the shoulder, whether it is felt in the back, in the front, at the side, or right in the joint, is usually due to muscular tension in the muscles surrounding and overlying the shoulder blade. Less commonly does it actually arise from the muscle that most people think of as the “shoulder muscle” (#8) – the deltoid.
Any especially tender region is a good candidate for placement of the Imbue Patch placement, but the areas most likely to yield positive results are those that produce broad, expansive pain patterns – especially when they either alleviate or reproduce the same pain you have been experiencing. In each of the following diagrams, the X’s indicate common sites of trigger points in the muscle, and the red shading shows the pain pattern these trigger points are capable of causing. Infraspinatus, despite being a very easy muscle to access, is often overlooked, maybe because the bulk of it is on top of the shoulder blade and people either don’t think to press on bone or believe it’s sore just because there’s bone beneath it.
Serratus posterior superior connects the spine of the upper back to the ribs underneath the shoulder blade.
To find this trigger point, press firmly on the area just to the outside of the lower tip of the shoulder blade (feel a few inches in all directions).
Subscapularis is a tricky muscle to find and a painful one to work on, but it’s often the key to stubborn shoulder pain. The black X on the left points to the edge of the shoulder blade where it’s possible with some digging to feel a bit of subscapularis. Massaging these spots is usually unpleasant but if subscapularis is implicated in shoulder pain, releasing tension here can provide almost immediate relief. Start by pressing just above the middle of your collar bone on the side that you have pain on. Strain or trigger points in the biceps muscle (shown in red in the diagram) can cause shoulder pain, primarily in the front. These muscles, more commonly known as the “pecs,” radiate pain into the chest, shoulder, and arm. Although the muscular causes of shoulder pain listed above are most common, there are other potential sources of pain in the shoulder, which you can investigate with your healthcare practitioner if necessary. The complexity of the shoulder joint allows it to perform many different movements and activities.
Arthritic changes can occur in the shoulder joint though not as commonly as the weight bearing joints of the spine, hips and knees. Problems in the shoulder often originate in the cervical spine as the nerves from this region innervate all of the muscles and other tissues of the shoulder, arm and hand. The rotator cuff is a confluence of tendons in the shoulder that insert into the outer aspect of the upper arm.
Regardless of the reasons for pain (see above), if the imbalances and irritation to the shoulder are not corrected, pain and limitation of normal motion will eventually develop. There are many other disorders of the shoulder such as bursitis and tendonitis although those mentioned above are more common.
In the diagrams below, the X’s show the locations of common trigger points (localized muscle strain), and the colored shading shows the pain pattern each trigger point produces. Sometimes it comes from the crest of the shoulder (7 – trapezius) or is referred upward from the muscles of the back of the arm (9 – triceps).


The first is to study the pain patterns of trigger points in each of these muscles and try to match one of these patterns to the pain you are experiencing.
It runs from the upper surface of the shoulder blade through the shoulder joint and attaches to the top of the arm bone (humerus).
When it is strained, it produces a dull ache under the shoulder blade, and can also refer pain to the back of the shoulder joint, the tip of the elbow, the outside of the wrist, the pinky side of the hand, the pinky, and even the chest directly in front of the muscle. This muscle is primarily attached to the front surface of the shoulder blade – the side that faces the back of the rib cage – and it connects to the upper arm. This is easiest when the shoulder blade is made to protrude beyond the side of the rib cage.
Then gradually work your way toward the front of the neck where you will feel a superficial band of muscle (SCM), which lies on top of the scalenes. Pain may also refer to the crease of the elbow and sometimes to the top of the shoulder blade.
Trigger points at the upper inside aspect of the triceps can cause pain that radiates up the back of the arm into the back of the shoulder, and also down to the outer aspect of the elbow, mimicking “tennis elbow.” The X’s in this diagram show common sites of irritability in the triceps where trigger points occur (feel the back of the arm thoroughly, as they may occur elsewhere) and the red shading shows the common pain pattern. It has an upside-down teardrop shape, and it consists of three portions – the front section (anterior deltoid), the side section (lateral deltoid), and the back section (posterior deltoid).
The four rotator cuff muscles (supraspinatus, infraspinatus, teres minor, and subscapularis) hold together and move the shoulder joint, and anything from minor pinching to a complete tear is possible.
You should not use the information on this web site for diagnosing or treating a health problem or disease, or prescribing any medication or other treatment. Anatomically, the shoulder involves three different bones - the scapula, the clavicle, and the humerus - many connecting ligaments, and approximately 20 different muscles. If these nerves are irritated, the shoulder muscles can become tight or weak causing dysfunction in the normal mechanics of the joint, especially in the rotator cuff. The severity can vary from a slight catching or pain to an almost complete inability to use the shoulder. This results in an extreme limitation of shoulder motion and pain that makes it difficult for some individuals to even get dressed. The aim is to  correct muscle imbalances with soft tissue massage, soft tissue release (trigger point, active release technique), joint mobilisation, ice-pack treatment, and strengthening exercises, restore proper mobility to the shoulder joints and of course correct any subluxations in the spine. This pain is often several inches (or more) away from the trigger point at which it originates.
It is somewhat hidden under other layers of muscle, so press deeply to feel all along the region just above a horizontal ridge of bone on the shoulder blade (the spine of the scapula).
The primary serratus posterior superior trigger points occur on top of the ribs, just next to or slightly underneath the shoulder blade. The one implicated in shoulder pain is located near the lower, outside edge of the shoulder blade, on top of the ribs. The red shading in the diagram shows the areas of pain this muscle is capable of producing, which includes the area over the shoulder blade, the back of the shoulder, the shoulder joint itself, the underside of the arm, and the wrist. This can be accomplished by bringing your arm across your chest and then using the thumb of the other hand to feel for the edge of the shoulder blade a bit below the armpit.
If you wish to try, another area to consider is over the back of the shoulder blade (directly behind this muscle) in the regions of the outlined X’s on the right side of this diagram. They are fairly unpleasant to have massaged, but when the scalenes are implicated in pain, getting them to relax can yield profound results.


Press methodically in this muscle, especially midway between the shoulder and the elbow, to locate any significantly tender spots. The green shading shows pec major’s pain pattern – primarily into the front of the shoulder and side of the chest. Trigger points in the deltoid are unique in that their pain is felt right at the point, and does not spread much beyond this region. This painful condition is often called Shoulder Impingement or Rotator Cuff Syndrome and can afflict individuals of all ages. Left alone frozen shoulder can take several years to resolve and therefore needs attention by a professional such as a chiropractor. If application of the Imbue Patch directly to the knee does not significantly improve your pain, applying the Imbue Pain Relief Patch at the site of strain in nearby muscles sometimes yields better results. I prefer the second approach, because even if you correctly identify a muscle with trigger points that is producing your pain, there are often other muscles that are also implicated, and you won’t know this until you discover them. Trigger points in supraspinatus can cause aching in the shoulder, sometimes extending to the outside of the upper arm, forearm, and even wrist; raising the arm may be difficult and painful. The infraspinatus joins the back of the shoulder blade to the top of the arm bone (humerus) and when it’s irritated, it usually sends pain deep into the joint and into the front of the shoulder, sometimes also inhibiting shoulder movement (“frozen shoulder”). The red shading shows pec minor’s pain pattern – more broadly in the chest, and also the shoulder, and sometimes down the inside of the arm to the palm and fingers. Also, while many other muscles refer pain into the deltoid area, the deltoid is somewhat less likely to be the primary source of pain here. Pain can be aggravated by overhead use, and daily activities such as twisting a screwdriver, opening a bottle top or pulling a cork.
This pain is typically felt at the lower portion of the shoulder blade and back of the shoulder, but it can also spread down the back and inside of the upper arm and forearm, and even into the ring finger and pinky. If you find one (or more), and especially if they produce pain that radiates upward, place the Imbue Patch here. Rather than hunting for trigger points of one muscle or the other, methodically feel this whole region, searching for tenderness and broad pain into the shoulder.
With the other hand, you can get your fingers or thumb into the tight space between the edge of your shoulder blade and the rib cage. Pay special attention to points that produce an unpleasant painful or nervy sensation that may travel to other areas. The X’s in the diagram indicate common sites of trigger points, but you should methodically press on the muscle in vertical lines, starting at the front and gradually making your way to the back. Trigger points in infraspinatus may weaken the shoulder and make it difficult to reach behind the back. If you find any spots with significant tenderness, massage them and apply the Imbue Pain Relief Patch.



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