Massage and Tuina Guide

    Upper back and scapula

    Rhomboids, middle and lower trapezius, erector spinae

    Related muscles

    Related acupoints

    Massage and stretching

    Massage method:Lie on a tennis or massage ball placed beside the spine (avoid the bone itself), breathing slowly and holding for 30–60 seconds.

    Relief stretches:Cat-cow stretch 10 times. Clasp the hands behind the back and open the chest to draw the shoulder blades together 10 times.

    Visceral referred-pain notes

    Between the shoulder blades: esophagus, heart, thoracic aorta. Lower right shoulder blade: gallbladder. Mid-back: stomach, duodenum, pancreas.

    When to see a doctor:Chest tightness, difficulty breathing or pressure-type pain: seek medical care immediately.

    Related meridians

    Governing Vessel (Du Mai)

    Frequently asked questions

    What about a dull ache between the shoulder blades?

    It is often linked to stretched rhomboid muscles and rounded, hunched posture. Relax with a ball against the wall, and do chest-opening exercises that draw the shoulder blades together.

    Should I massage back pain that comes with chest tightness?

    Chest tightness, breathing difficulty or pressure-type pain may relate to the heart or lungs. Seek medical care immediately and do not massage first.

    Home care handout

    More body regions