@performancetherapy: That “knot” on top of your shoulder blade that never goes away? 👉 It might not be a knot at all. This patient had been struggling with a painful, nagging spot on top of his scapula for a long time. He tried everything: ⚪ Dry needling ⚪ Deep tissue massage/Cupping ⚪ Stretching ⚪ Chiropractic ⚪ Rest Nothing worked. Here’s why: We found his spinal accessory nerve was adhered to the levator scapula, and the subtrapezial complex was stuck deep in the muscle belly on top of the scapula. This meant: The muscle was in protective guarding to shield the nerve. The “knot” sensation was actually a nerve adhesion, not a tight muscle. The more he stretched or tried to “loosen” it, the worse it got. 💡 When the real cause isn’t addressed, trying to relax a protectively guarding muscle never works. The only solution is to release the adhesion, so the nerve can glide and the muscle can finally let go. After treatment, the protective tension dropped immediately. From there, proper movement patterns and strengtheningare key to creating a long-term solution. 👉 If you’ve had a knot in your neck/shoulder that never goes away, this could be why. 💬 Drop a ❌ below if you’ve got a “knot” that never budges to see if you are a candidate..#neckknot #shoulderpain #shoulderpain #chronicpain #adhesionrelease

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Tuesday 04 August 2026 10:15:22 GMT