The Mystery of Shoulder Pain: When Trigger Points Demand Expert Care
- Gavin Keane
- Jul 5
- 3 min read
Shoulder pain is a common and unwelcome guest, whether from long hours at a desk, sports, or daily stress. Many hope it will disappear on its own or with quick home remedies. However, behind the discomfort often lie tiny yet problematic muscle knots called trigger points. These sensitive spots cause localized pain and can even radiate discomfort to distant areas, creating misleading symptoms.
While self-treatment might offer temporary relief, a lasting solution truly requires the expertise of a physiotherapist. They can accurately identify these problematic trigger points and provide targeted, effective therapy to free you from pain. Let's explore the most common culprits and how a physiotherapist can help.

Common Shoulder Trigger Points & How Physiotherapy Helps
* Subscapularis Muscle: Located on the inner side of the shoulder blade, part of the rotator cuff. When it has trigger points, pain often radiates to the back of the shoulder, under the shoulder blade, or down the arm. You might struggle to lift your arm or reach behind your back.
* How a physiotherapist helps: This deep muscle is hard to reach alone. A physiotherapist uses specific techniques and positioning to effectively release these points, ensuring maximum impact without injury.
* Infraspinatus Muscle: Found on the back of the shoulder blade, also part of the rotator cuff. Trigger points here are a leading cause of shoulder pain, especially when it radiates to the front of the shoulder and down the arm, even to the fingers. Actions like combing hair or putting on a jacket become difficult.
* How a physiotherapist helps: While you might try a ball at home, a physiotherapist precisely identifies active trigger points and applies the right force and direction. They can also use specialized techniques, like muscle energy techniques, for deeper, more lasting results.
* Trapezius Muscle: This large, triangular muscle spans from your neck to your mid-back. Its upper part is very prone to trigger points, causing neck, shoulder, and headaches. Often, the affected shoulder appears elevated.
* How a physiotherapist helps: The trapezius's complex structure means many trigger points can exist. A physiotherapist assesses the entire muscle, identifies key problem areas, and addresses underlying causes like poor posture, not just the symptoms.
* Levator Scapulae Muscle: Running from the side of the neck to the upper shoulder blade. Trigger points typically cause pain radiating to the side of the neck and upper shoulder, often with neck stiffness and difficulty turning your head.
* How a physiotherapist helps: The neck is a sensitive area. A physiotherapist knows how to safely manipulate this muscle without harming surrounding structures. They also teach stretches to prevent future trigger point formation.
* Deltoid Muscle: Covering the top of the shoulder, responsible for arm movements. While less common for primary trigger points, referred pain from other muscles is often felt here. If a trigger point does form, it typically causes pain on the outer shoulder, around the upper arm bone.
* How a physiotherapist helps: Since pain in the deltoid can originate elsewhere, a physiotherapist helps distinguish primary from secondary trigger points, finding the true source of pain and avoiding unnecessary treatments.
Why Choose a Physiotherapist for Trigger Point Therapy?
A physiotherapist doesn't just focus on the trigger point itself; they consider your entire body, movement patterns, and posture. They conduct a thorough assessment to:
* Accurately identify the root cause of your pain and the location of trigger points.
* Professionally apply trigger point release techniques, including manual therapy, dry needling, or specific stretching.
* Teach corrective exercises to strengthen weak muscles and lengthen tight ones, preventing recurrence.
* Provide advice on proper posture, ergonomic adjustments, and lifestyle changes.
While home remedies offer temporary relief, professional trigger point therapy from a qualified physiotherapist ensures lasting results. At Buda Physiotherapy, our specialists treat the root cause of pain by releasing trigger points, achieving significant success in alleviating shoulder pain. Don't delay seeking help if you're struggling with shoulder pain! Consult a physiotherapist and take the first step toward a pain-free, active life!
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