Severe under the shoulder blade pain
 

The reason this trigger point is so excruciatingly painful when activated is because it is wedged between two bones, the rib and the scapula.

thoracic facet block done with any success
 

I have had thoracic facet block done with success the first one helped a little the second one helped more it toke about two weeks.
Also some was talking about trigger points and that is so true I bought a accureach by water pic and it is great

Myofascial Trigger Points
 

Hi PPNH,

My wife & I learned about trigger points several years ago when I was referred to a trigger point therapist by a pain management doctor/clinic. The woman was amazing because of her knowledge, experience, & skill, and was able to relieve a lot of pain for me in my scalenes & under the shoulder blade in just a couple of visits. Unfortunately, I have some trigger points that keep re-activating (or are perpetually active) due to underlying spinal issues.

Rather than keep us returning, she taught us how to find & treat our trigger points ourselves. She recommended the Trigger Point Therapy Workbook and a Thera Cane, both of which we've been using and benefitting from since, for a variety of trigger point issues.

http://www.triggerpointbook.com/
http://www.theracane.com/

FWIW, can you explain the difference, if any, between a masseur/masseuse, a massage therapist, and a trigger point therapist? Licensing? Regulatory? Geographic terminology?

Thanks,

Doc