a community of practitioners
Have you tested for pectoralis major and minor injury with resisted abduction of the arms, or for intercostal muscle strain with very deep breathing?
Yea those are the hard ones... For me.....No matter what their presenting symptoms are.. I do a body search for trigger points... Head to toe...And where ever they are at...I work to eliminate them...When I do that... More often then not....All their symptoms that they came in with go away...The difficult ones for me, are the ones like your client...No trigger points...At least not yet anyway....If there is only pain on movement...I have them go through the movement, work the trigger point from there...But gosh,,,If you cant find a sore spot?? I usually just flow into an over all massage in that case.. Keep us posted as to how it goes?
I was working on a case study for my NMT class who was having chest pains that radiated down the arm and heart palpitations. He went to ER twice and to a cardiologist only to be found as one of the healthiest people they know. I found trigger points in his left pec major. Cardiologist later came back and said his electrolytes were low which may have been causing the problems - he's taking magnesium and perscription strength potassium now.