Everything you need to know about pain and how we can help you

Most arm pain, including carpal tunnel and rotator cuff problems is very easily resolved using the DMR therapy®. Surgery is almost always unnecessary.

Pain in the arms when lifting, reaching or turning over in bed can be quite debilitating. Often times it is one specific type of movement that triggers the pain such as reaching behind one’s back, combing one’s hair or opening a jar–or it can be so generalized that it makes it impossible to raise one’s arm above one’s head or lift even light objects.

Of course sudden arm pain might be an indication of a serious condition such as a heart attack, but in this article I’d like to cover the common, chronic pain that many people live with which can be quite limiting and often not resolved by traditional medicine.

Arm pain may be the result of an injury, sports activities such as swimming or throwing a ball, overexerting any of the muscles or just general stress, which can cause a chain reaction leading to arm pain.

Fortunately most arm pain of this sort is very easily resolved using the correct therapy. Most arm pain originates in two areas: the scalene muscles of the neck and the muscles of the shoulder blade. Trigger points* in these muscles and in the arm and shoulder muscles and the fascia surrounding them are responsible for most arm pain.

Additionally the scalene muscles of the neck can pinch the first rib against the collarbone, squeezing the nerves and veins causing puffiness in the back of the hand or tingling in the hands and fingers. One of the trigger points in the neck activates a trigger point in the extensor muscles of the forearm shortening them and making it impossible to close one’s fist. These neck muscles most commonly send pain into the upper chest, arm, shoulder, wrists, hands and fingers, sometimes causing one to drop objects unexpectedly.

A trigger point in the subscapularis (on the underside of the scapula) can feel like you have a tight band around your wrist. Another trigger point can cause what can be mistaken for adhesive capsulitis (frozen shoulder) or a rotator cuff tear.

Problems diagnosed as carpal tunnel syndrome and “rotator cuff tears” are almost always resolved by releasing trigger points in certain muscles and stretching the fascia or the connective tissue which envelopes them.

The specifics of the pattern of trigger points and pain might seem complicated but the resolution of that pain is normally simple and straightforward with an understanding of the problem and using the right techniques.

Treatment of these conditions using the manual techniques of Deep Myofascial Therapy (DMR) that I use is completely non-invasive, giving rapid and effective results.


The term “trigger point” was coined by Dr. Janet Travell, President John F. Kennedy’s personal physician to describe a special type of hyperirritable knot in tense muscle fiber that causes intense pain often far from the trigger point itself (referred pain).

President Kennedy appointed Dr. Travell as his personal physician thanks to her treatment of the debilitating myofascial pain that in 1955 had threatened to prematurely end his political career.

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