I have always had most of my pain around the shoulder blades and collarbone. I think most of mine are trigger points, and massaging them (hard enough to release them), on those really tender areas helps me. The trick with me is not too long and not too hard or it will just make the symptoms worse. With your surgical history, I don't know if this is even applicable to your situation.

Allison made a good point, and one that has taken me a long time to figure out. I'm not sure if most of my problems are in my c spine, or in the brachial plexus. I know I have impingement in my c-spine. I'm curious, but not curious or uncomfortable enough to find out right now.

Posture is my most consistent problem. Usually if I'm hurting, I've either done something physical with my upper ext. (driving, folding clothes, etc.) or my posture has become absymal again. Hope this helps a little. phoebe