NMM/OMTCLINICAL PRACTICE

Supine counterstrain technique for rhomboid tender point

Olivia C. Matz, MSA; Hannah C. Gustafson, MSA, MSBS; Lauren E. Hartwell, BS; Laura J. Rudberg-Post, BA; and Adrian L. Woolley, DO
Notes and Affiliations
Notes and Affiliations

Received: March 6, 2023

Accepted: August 14, 2023

Published: September 13, 2023

  • Olivia C. Matz, MSA, 

    Des Moines University College of Osteopathic Medicine, Des Moines, IA, USA

  • Hannah C. Gustafson, MSA, MSBS, 

    Des Moines University College of Osteopathic Medicine, Des Moines, IA, USA

  • Lauren E. Hartwell, BS, 

    Des Moines University College of Osteopathic Medicine, Des Moines, IA, USA

  • Laura J. Rudberg-Post, BA, 

    Des Moines University College of Osteopathic Medicine, Des Moines, IA, USA

  • Adrian L. Woolley, DO, 

    Des Moines University College of Osteopathic Medicine, Des Moines, IA, USA

; (): 35-38
Abstract

Because poor posture is a common instigating factor in back, shoulder, and neck pain, the rhomboid muscles should be considered in a complete physical evaluation. Previous techniques for treating a rhomboid tender point have addressed only one of the two main actions of the muscle, specifically retraction of the scapula utilizing shoulder abduction. This modified supine counterstrain technique for the rhomboid tender point incorporates both scapular retraction as well as superior, medial rotation of the inferior border of the scapula without abduction, providing a comprehensive treatment to accommodate patients with shoulder movement restrictions. This article discusses indications, contraindications, treatment, and a list of problem-solving strategies for the rhomboid tender point.

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