
The rhomboid muscle is located in the mid-back, connecting the spinal vertebrae to the shoulder blade. Poor posture can cause rhomboid pain, which can be felt under the neck and between the shoulder blades and spine. This can be treated with soft tissue massage to release trigger points, knots, and tension. Massage balls, placed on the floor or against a wall, can be used to apply pressure to the affected area. This can be supplemented with exercises such as the mid-back twist, chest opener, and floor angels.
| Characteristics | Values |
|---|---|
| Location | Mid-back |
| Origin | Spinous processes of the T2-T5 vertebrae |
| Insertion | Medial border of the scapula |
| Function | Shoulder retraction |
| Pain Location | Under the neck, between the shoulder blades and spine |
| Symptoms | Shooting pain, spasms, pain with breathing |
| Risk Factors | Poor posture, sleeping on the side, carrying heavy bags/backpacks/kids |
| Massage Technique | Self-massage with a ball on a wall or floor |
| Stretches | Mid-back twist, chest opener, floor angels, rhomboid stretch |
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What You'll Learn

Self-massage techniques for the rhomboid muscle
The rhomboid muscle is located in the mid-back and is responsible for shoulder retraction or the movement you make when you pinch your shoulder blades together. Rhomboid pain is usually felt under the neck, between the shoulder blades and spine, and can be caused by poor posture, especially when sitting at a computer for long periods, sleeping on the side, or carrying heavy bags or children.
To perform a self-massage, you can use a massage ball, such as a tennis ball or lacrosse ball, or a foam roller. Place the ball on a tender spot between the shoulder blades and spine, either against a wall for less pressure or on the floor for deeper pressure. Lie down on the ball to lightly compress the muscle and reach your arm directly out to the side. Slowly cross your arm across your chest to actively stretch the muscle. You can also roll with the ball over the tender spots, working them with slow and precise strokes.
For a foam roller massage, place the roller or a rolled-up yoga mat (or even a rolled-up bath towel) along the length of your spine and lie down on it with your palms facing up. Glide your arms up over your head while keeping your wrists and elbows as flat as possible, and then return to the starting position. You can also try a chest opener stretch by clasping your hands together in front of you, tucking your chin to your chest, rounding your spine, and pressing your arms forward. Hold this for 30 seconds.
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The location of the rhomboid major muscle
The rhomboid major is a broad, quadrangular muscle located in the mid-back, just below the rhomboid minor. It is thin and flat and twice as wide as the rhomboid minor. The rhomboid major originates from the spinous processes of the T2-T5 vertebrae, or the little bony parts of the vertebrae of the mid-back area. It inserts onto the medial border of the scapula, or shoulder blade, just below the rhomboid minor. The rhomboid major and minor are a group of deep intrinsic shoulder muscles that form the shoulder girdle. These muscles are important for upper limb movement and stability of the shoulder girdle and scapula. The rhomboid major helps to elevate and retract the scapula, and it can be strengthened to improve upper body posture and relieve pain.
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How to relieve rhomboid muscle pain
The rhomboid muscle is located in the upper back and is responsible for pulling the shoulder blades together. A strain in this muscle can result in severe pain and discomfort, making simple movements difficult.
Rhomboid pain can be caused by various factors, including poor posture, excessive use of the muscles during sports or physical activities, or sudden trauma to the upper back and shoulder area. Prolonged poor posture, such as slouching or maintaining rounded shoulders, can gradually strain the rhomboid muscles, leading to potential injury.
If you are experiencing rhomboid muscle pain, there are several ways to relieve it:
Self-Massage
You can perform a self-massage using a foam roller, racquetball, tennis ball, or massage ball. Place the ball between your shoulder blade and your spine, and then push it against a wall. Start rolling the ball over the affected area, focusing on any tight knots. When you encounter a tender spot, work it slowly and precisely until the muscle loosens. You can also use a cane or a foam roller for self-massage.
OTC Medications
Over-the-counter medications such as aspirin, ibuprofen, naproxen, and Tylenol can help reduce inflammation and provide pain relief. However, it is essential to consult a healthcare professional before consuming any medication.
Stretch and Exercise
Stretching and exercising can help relieve rhomboid muscle pain. You can try the mid-back twist, also known as "thread the needle," to mobilize the rhomboid and surrounding muscles. Another exercise is the cat camel, which mobilizes the spine in a different plane. Additionally, you can try stretching the pectorals for 2 minutes on each side at different angles to lengthen the pec muscles and provide relief to the rhomboid muscle.
Seek Professional Help
If self-treatment methods are ineffective or if your pain persists, it is important to seek professional help. Consult a chiropractor, physiotherapist, or healthcare physician who can evaluate your condition and provide appropriate treatment options, such as surgery or specific therapies.
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The causes of rhomboid muscle pain
The rhomboid muscles are a group of muscles in a person's upper back. They are located on either side of the back, between the shoulder blades, and attach the edges of the shoulder blades to the spine. These muscles control the movement of pulling back, lifting, and rotating the shoulder blade, and they also contribute to arm movement.
Rhomboid muscle pain may be caused by a ligament sprain, muscle or tendon strain, or muscle spasms. This pain will be centred in the upper back, between the shoulder blades, and may increase when moving or breathing. A person may experience a sharp pain and tightness in the muscles of their upper back, and a lump may be visible under their skin.
Rhomboid muscle pain can be caused by repetitive motions, overstretching, or sitting for an extended period. Poor posture, particularly when sitting at a computer for long periods, can also cause pain in these muscles. Additionally, sleeping on one's side, and carrying heavy bags or backpacks can contribute to rhomboid muscle pain.
Some medical conditions can also cause rhomboid muscle pain. Rheumatoid arthritis, an autoimmune disease that causes the immune system to attack the joints, can affect the shoulders and, in turn, the rhomboid muscles. Osteoarthritis, a degenerative bone disease that causes cartilage loss, can also lead to pain and stiffness in the joints and surrounding muscles.
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Exercises to relieve rhomboid muscle pain
The rhomboid major is a muscle located in the mid-back, running along both shoulder blades. Poor posture, sleeping on one's side, and carrying heavy bags or backpacks are common causes of rhomboid pain. To relieve this pain, one can try self-massage techniques and various exercises.
Self-Massage Techniques:
- Place a massage or lacrosse ball on a tender spot between the shoulder blades and spine. Lie down on the ball to lightly compress the muscle, and slowly stretch out the scapular retractors by reaching your arm directly out to your side and then across your chest. Repeat this process up to 3-5 times.
- Place the ball on the wall (for less pressure) or on the floor (for more pressure) between your shoulder blades. Allow the ball to sink into the muscle tissue, or create slow movements with your arm.
Exercises:
- Sit comfortably, clasp your hands together in front of you, tuck your chin to your chest, round your spine, and press your arms forward. Hold this position for 30 seconds.
- Lie down with a foam roller or rolled-up yoga mat (or towel) along the length of your spine. Rest with your palms facing up for 1-5 minutes.
- While still lying down, glide your arms up over your head, keeping your wrists and elbows as flat as possible, and return to the starting position. Do this for 30 seconds.
- Stretch your arms out in front of you and clasp your hands together. Gently reach out and stretch your shoulder blades away from each other, bending your head forward. Hold for 15-30 seconds and repeat 2-4 times.
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Frequently asked questions
The rhomboid muscle is located in the mid-back, connecting the spinal vertebrae to the shoulder blade. Rhomboid pain is usually caused by constant tension in the muscle, which can be triggered by poor posture, especially when sitting at a computer for long periods of time.
One way to massage the rhomboid muscle is to use a self-massage ball, such as a tennis ball or a lacrosse ball. Place the ball on a tender spot between the shoulder blades, lie down on it, and lightly compress the muscle. You can also place the ball on a wall for less pressure or on the floor for deeper pressure. Perform this for 2-4 minutes or until you feel the muscle loosen.
Yes, there are several stretches that can help with rhomboid pain. One example is the mid-back twist, also known as "thread the needle". Reach as high as you can with one elbow, then reach down and under your tripod arm. Another stretch is to clasp your hands together in front of you, tuck your chin to your chest, round your spine, and press your arms forward. Hold this for 30 seconds.











































