A myofascial trigger point is a hyper-irritable spot, usually within a taut band of a muscle. Trigger points are painful when you push on them and tend to refer pain to another location. They can, also, alter the motor function of a muscle and wreak havoc on biomechanics. Tim Sawyer, PT takes you on a guided tour of trigger points that cause shoulder pain which include the subscapularis, pectoralis minor, infraspinatus, teres minor, scalene, rhomboid, trapezius, supraspinatus and deltoid muscles. Grab a Theracane self massage tool and follow along. If you don't have a Theracane, we have another video using a lacrosse ball, tennis ball or massage ball. Follow those up by doing our shoulder stretching videos. (see below for links)

In our office, we use manual therapy, extracorporeal shockwave therapy, class IV laser therapy, spray and stretch and deep relaxation techniques to address the trigger points.

Biomechanics including exercise modification, ergonomics, sleep positioning, automobile seat positioning can be necessary when approaching myofascial pain syndrome. There are times when this video and the others will be enough but when the trigger points have been there for a long time, is when multiple modalities must be employed.

The best of those modalities is ESWT (extracorporeal shockwave therapy). ESWT has been proven to help myofascial trigger points, scar tissue, tissue regeneration and more..
Shockwave Therapy- https://fieldsfamilychiro.com/extraco...

Make sure you pair this video with Stretches for Shoulder Pain:
   • Trigger Points for Shoulder Pain | Us...  

Along with trigger point therapy you may want to get some ESWT (extracorporeal shockwave therapy) which has been proven to help myofacial trigger points, scar tissue, tissue regeneration and more..
Shockwave Therapy- https://fieldsfamilychiro.com/extraco...

Frozen Shoulder Exercises
https://www.youtube.com/watch?v=wTEOE...
   • Frozen Shoulder Exercises V1 - Adhesi...  

Stretches for Shoulder Pain
   • Trigger Points for Shoulder Pain | Us...  

Massage Gun for Frozen Shoulder    • Massage Gun for Frozen Shoulder | Imp...  

Massage Ball for Shoulders
   • Massage Ball Shoulder Pain Relief w/ ...  

Yin Yoga for Shoulders
   • Yin Yoga Shoulder Experience w  Instr...  

Shoulder Pain Stretches with Tim Sawyer PT
   • Shoulder Pain Stretches w/ Tim Sawyer PT  

NEXT...Begin to strengthen with this workout
https://www.youtube.com/watch?v=ldUwI...

AND..Once you have full range of motion and no pain, start to strengthen with these videos:
No equipment needed for these two:
   • No Equipment Arm Workout for Strong a...  
   • Beginner Shoulder Rehab Exercises for...  
These use light weights:
1of 4 https://www.youtube.com/watch?v=0zu8v...
2 of 4 https://www.youtube.com/watch?v=9qFvo...
3 of 4 https://www.youtube.com/watch?v=93F71...
4 of 4 https://www.youtube.com/watch?v=hYa57...

Dr Adam Fields is a practicing chiropractor in San Jose and Los Gatos, California. If you need to come into the office for further help or book a telehealth appointment with Dr Fields, go to https://fieldsfamilychiro.janeapp.com/

Tim Sawyer is a physical therapist who has been published in 7 peer reviewed scientific journal articles in regards to myofascial trigger points. Dr Fields and Tim have been practicing in the same office for years and refer clients to one another depending on the needs of the patient. Tim is an expert in the pelvic floor and intra-rectal and intra-vaginal trigger point therapy to help conditions relating to constipation, pelvic pain, hernia, pudendal neuralgia, pain during intercourse, postpartum female pelvic challenges,
pelvic organ prolapse. Tim Sawyer PT can be reached by email at
[email protected]

0:00 Start
0:22 Subscapularis Muscle
1:21 Pectoralis Minor Muscle
2:49 Infraspinatus Muscle
4:07 Teres Minor Muscle
5:04 Scalene Muscles
6:18 Romboid Muscle
7:46 Upper Trapezius Muscle
8:28 Supraspinatus Muscle
9:03 Deltoid Muscle Strumming
11:05 Apply Heat and go to Shoulder Stretching Video

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