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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

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 Points

Rhomboid Muscles - Trigger Point Referred Pain (i)



Rhomboid Muscles Trigger Points

Rhomboid Muscles - Trigger Point Referred Pain (ii)



Rhomboid Muscles - Trigger Point Referred Pain

Rhomboid Muscles - Trigger Point Referred Pain (iii)


Referred Pain

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.

Differential Diagnosis

Scapulocostal syndrome. Fibromyalgia.


Levator scapulae, middle trapezius, infraspinatus, scalenes, latissimus dorsi, serratus posterior inferior.

Common Treatment Techniques

Spray and Stretch YES
Dry Needling YES
Deep Stroking Massage YES
Compression YES
Taping YES



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Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.

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We are honored to have received the 2017 "Excellence in Education" Award from the National Association of Myofascial Trigger Point Therapists.

Since 1999 Niel Asher Education has won numerous awards for education and in particular for education and services provided in the field of trigger point therapy.

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Niel Asher Healthcare course instructors have won a host of prestigious awards including 2 lifetime achievement honorees - Stuart Hinds, Lifetime Achievement Honoree, AAMT, 2015, and Dr. Jonathan Kuttner, MD, Lifetime Achievement Honoree, NAMTPT, 2014.

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NAT courses are accredited for continuing education by over 30 professional associations in North America, United Kingdom, Australia, and European Union countries. These include The National Academy of Sports Medicine, Physical Therapy Board of California, AAFA, National Certification Board for Manual Therapists and Bodyworkers, Sports Therapy Institute, and Myotherapy Australia.

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Since 1999 the Niel Asher Technique for treating trigger points has been adopted by over 100,000 therapists worldwide, and has been applied to the treatment of a number of common musculoskeletal injuries.

The Niel Asher Technique for treating frozen shoulder was first introduced and published in 1997 and has been widely adopted by therapists and exercise professionals working within elite sports and athletics.

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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. 





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