Thanks dsheri2...my question would be "why are the trigger points there in the first
- maybe the muscles are in a protective spasm for something like a stress fracture or labral tear?
- maybe he has a poor stabilisation strategyand the muscles are being used as stabilisers instead of movers
- maybe he has a motor pattern that overuses these muscles instead of other muscles
- maybe he has a neck problem causing scalenes, upper traps, levator scap, etc to overwork
- maybe the neck problem has a neural component
- maybe he really does have a Wikipedia reference-linkrotator cuff tear - rare in a 21y.o.

All these questions can be answered with a good assessment mhewiit

Cheers!