Shoulder Blade Pain

[violablue]

Is your PT doing posture correction with you? Is the humeral head sitting in the correct position, or is it set forward (anteriorly) from the joint? If it's out that can cause a huge amount of dysfunction that basically has your shoulder go immobile. All ranges painful. Taping for the supraspinatus is helpful for that, along with bicep and supraspinatus trigger point release (as per Simons and Travell notes) and posterior glenohumeral mobs to loosen up the posterior capsule. Your PT should know what all of these are.

When you had massage did they do trigger point release with you?

It seems like you've been cleared for muscles tears and tendinosis. Try the biomechanics of the joint approach to see if that helps.

[violablue]

Right and check out the scalene's for trigger point referral patterns and see if they coincide with your pain pattern. Have someone work on the scalene trigger points. Pressure will activate the pattern so you can see if it is similar to what you presently feel. Go to triggerpoinst.net to take a look at the pain pattern maps.

[CanadaCurt]

Thanks so much for the reply. Pretty much all we've worked on is strengthening the lower traps. I have noticed I have some posture issues I am working on. My arm on the right side definitely seems to sit more forward than it should. I've been working on stretching my pecs and trying to strengthen my posterior chain. My scalenes are wicked tight.
Thanks again for your input.

[violablue]

Hey, no prob. Hope it helps.