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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31320
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I feel a movement in my mid back under my left shoulder blade,

Customer Question

I feel a movement in my mid back under my left shoulder blade, little pain & little tingle if I press or rub the area. What could this be? Been going on for several weeks.
Submitted: 4 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 4 years ago.

Is there any pain when you bend the back?
Was there any injury?
Are you diabetic?

Dr. Arun
Customer: replied 4 years ago.
No pain unless I put pressure in the area.No injury, Not diabetic.
Expert:  Dr. Arun Phophalia replied 4 years ago.

This is very likelihood to be myofascial trigger point. This can be associated with degenerative disc disease in neck causing pinched nerves. Trigger points may develop after an initial injury to muscle fibers. This injury may be a noticeable traumatic event or repetitive microtrauma to the muscles. The trigger point causes pain and stress in the muscle or muscle fiber. When predisposing factors combine with a triggering stress event, activation of a trigger point occurs. Myofascial trigger point is a hyperirritable spot, usually within a taut band of skeletal muscle or in the muscle fascia which is painful on compression. The treatment is following;


1) passive stretching of the affected muscle after application of sprayed vapocoolant

2) physical therapy

3) deep electrotherapy; iontophoresis, phonophoresis, short wave diathermy, electrical stimulation

4) local analgesic patch / ointment / spray

5) anti-inflammatory analgesics; Ibuprofen (Motrin / Advil)

6) ischemic compression therapy; pressure on the points

7) massage

8) steroid shots

9) acupuncture.


The specialist to consult would be MD in physical medicine and rehabilitation. Physical therapy and deep electrotherapy are the mainstay of the treatment.

Please feel free for your follow up questions.


I would be happy to assist you further, if you need any more information.


Dr. Arun