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Physio Energy

Muscles

Teres Minor Trigger Points

Symptom Area: Upper Back, Shoulder and Arm

Teres Minor Trigger Points are explored here through their location and referred pain pattern. Muscle knots is an everyday term used for tender muscular spots; myofascial pain describes pain involving muscle and its surrounding connective tissue. External rotator of the shoulder; member of the rotator cuff.

Where you feel it

When the Teres Minor holds active trigger points, you usually notice it as back of arm pain and back of shoulder pain. Where the pain spreads: Posterior deltoid in a focal spot, sometimes mimicking 'C5 radiculopathy'. What often sets it off: Throwing sports, overhead lifting, sleeping on the shoulder.

Overview

External rotator of the shoulder; member of the rotator cuff. Trigger points here are common in everyday and athletic populations and frequently contribute to the referred pain patterns described below.

Trigger point locations

Lateral border of the scapula below infraspinatus.

Referred pain pattern

Posterior deltoid in a focal spot, sometimes mimicking 'C5 radiculopathy'.

Palpation & testing

Palpate the muscle belly along its accessible course. Reproduction of the patient's familiar pain on palpation supports involvement.

Common causes

Throwing sports, overhead lifting, sleeping on the shoulder.

Self-care & clinical treatment

Sleeper stretch with care, sidelying ER. Clinically: needling is often immediately effective.

Treatment protocol

For Teres Minor, the general protocol applies: sustained pressure release on the taut band, then stretch and active movement in the newly gained range.

Position and palpation: Palpate the muscle belly along its accessible course.

Regional precaution for clinicians: Over the upper back and shoulder girdle the pleura lies immediately deep to thin muscle, so pneumothorax is the key risk; needling is performed tangentially or against a bony backstop (rib, scapula), never perpendicular to an intercostal space.

Read the full trigger point treatment protocol →

Secondary Symptoms

Related muscles in this region

Related articles

References

  • • Travell & Simons — Myofascial Pain and Dysfunction

Medically reviewed by: Marco Aruffo — physiotherapist since 2006, specialised in myofascial pain · Last reviewed:

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