thanks for the help so far. much appreciated.

More questions:

what happens when you cough?
no pain at all

what happens when you laugh?
no pain at all

when you take a deep breath
no pain - if I really go for it and suck it in so my shoulders blades go backwards then some discomfort

what happens when you clap your shoulders together?
by this u mean squeeze the shoulder blades tgther? if so then this hurts. it's one of the exercises I have been trying this week. Shoulder up then back then down then forward then up.

what happens when you bow your back?
with my head up - then nothing

what happens when you bend backwards like you wanna look up to th ceiling?
discomfort rather than pain between the shoulder blades

what happens when you bend forward like you wanna touch your toes

this hurts the most of all - middle back - between shoulder blades

which side do you turn to that makes it painful? one side or both?
after this morning both sides but this week it has been sore turning to the left - in the shoulders

one more that I may add - if I put my chin on my chest then it hurts my back in the usual place. If with my chin still on my chest i turn to the left or right then it hurts more - but higher up towards the neck