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| Cause: All muscles around the shoulder can become tense and tender, and develop tender or sore muscle knots (muscle infiltration). The cause is not known for certain, but it is known that incorrect working position can trigger muscle infiltration, and that can arise secondary to pain conditions other places in the neck-shoulder-girdle. The most frequent place for muscle infiltrations is the shoulder blade muscles (M supraspinatus and M infraspinatus, from which the pain can radiate down into the arm) and the large neck-back muscles (M Trapezius, M levator scapulae, M rhomboideus).
Symptoms: Tenderness in the muscles exaggerated when applying pressure on the muscle. There are often radiations to the arm (from muscle infiltrations around the shoulder blade) and to the head (tension head-ache with pressure behind the eyes) in cases of muscle infiltrations on the muscle fastenings in the back of the head. Examination: Muscle infiltrations do not usually require closer examination, but in case of long-term discomfort the triggering cause should be ruled out. Treatment: If possible the provoking cause must be removed or treated. The treatment of muscle infiltrations is furthermore stretching and increasing fitness training (article-1) (article-2) (article-3), (article-4). Complications: If progress is not smooth, it should be considered whether the diagnosis is correct or whether complications have arisen. Amongst others the following should be considered:
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