Symptoms
Interscapular pain
Burning pain between the shoulder blades, commonly from rhomboids, middle trapezius, scalenes and infraspinatus.
Overview
Burning pain between the shoulder blades, commonly from rhomboids, middle trapezius, scalenes and infraspinatus. Identifying which muscle reproduces the patient's familiar pain on palpation guides treatment and often produces meaningful change alongside standard care.
Clinical notes
Address forward head and rounded shoulder posture; treat the upstream cervical contributors.
Red flags — when to refer
Chest pain with dyspnea — emergency referral.
Muscles often involved
References
- • Travell & Simons — Myofascial Pain and Dysfunction