Dry Needling for Trigger Points - Rhomboids
Treating Rhomboid Trigger Points - Dry Needling
Do not attempt to reproduce any of the techniques shown on this website unless they fall within your professional scope of practice.
Rhomboid Muscles Trigger Points
A hypertonic rhomboid will have a marked effect on the positioning of the scapula by lifting and retracting it.
This will consequently inhibit the neural status of the serratus anterior, in turn affecting the external oblique, and so on along the chain.
Force couple actions will be out of sequence, setting up the ideal environment for strain and overuse injury.
When the serratus anterior is hypertonic, the rhomboids become inhibited and the scapula will sit wide and drop.
Pain is typically experienced around the vertebral border of the scapula, especially at night when at rest. The scalenes are also known to be primary sponsors of referred pain in this area and are worth treating when patients present with this pain pattern.
Rhomboid Muscles - Trigger Point Referred Pain (i)
Rhomboid Muscles - Trigger Point Referred Pain (ii)
Rhomboid Muscles - Trigger Point Referred Pain (iii)
Medial border of scapula, wrapping around superior aspect of spine of scapula toward acromion process.
Localized pain/chronic aching (C7–T5) region—medial or periscapular, scapulothoracic joint grinding/grating/crunching, shoulder snapping/grating/clicking, aching across spinal border of shoulder blade, round shoulders, postural.
Trigger Points - Common Causes
Chronic poor posture (round shouldered), shortened pectoralis minor, sports and overhead throwing, posture and habits.
Scapulocostal syndrome. Fibromyalgia.
Levator scapulae, middle trapezius, infraspinatus, scalenes, latissimus dorsi, serratus posterior inferior.
Common Treatment Techniques
|Spray and Stretch||YES|
|Deep Stroking Massage||YES|
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This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.