Trigger Point Infraspinatus

The infraspinatus muscle plays a crucial role in shoulder stability and movement, but when trigger points develop, they can cause significant discomfort, stiffness, and referred pain. These tight, knotted areas within the muscle fibers can lead to restricted mobility, chronic shoulder pain, and even misdiagnosed nerve pain.

If youโ€™re experiencing deep, aching pain in your shoulder or discomfort that radiates down your arm, you may be dealing with infraspinatus trigger points. This guide will walk you through everything you need to know about causes, symptoms, and the most effective treatment options, including NimmoCareSM, Cold Laser Therapy, Chiropractic Manipulation, and other advanced treatments offered at Cohen Trigger Point Therapy.

What Are Infraspinatus Trigger Points?

Trigger points are tight, hyperirritable knots in a muscle that cause pain, both locally and in referred areas. The infraspinatus muscle, which sits on the back of the shoulder blade, is particularly prone to these painful trigger points.

How Do They Develop?

  • Overuse and repetitive motion (e.g., weightlifting, throwing sports, swimming)
  • Poor posture and rounded shoulders, which place extra strain on the rotator cuff
  • Lack of movement and muscle imbalances, leading to stiffness and dysfunction
  • Trauma or sudden strain, such as lifting a heavy object improperly
  • Chronic stress and muscle tension, which can create and sustain trigger points

Recognizing Infraspinatus Trigger Point Symptoms

Key Signs of Infraspinatus Trigger Points:

  • Deep, aching pain in the back of the shoulder
  • Pain that radiates to the front of the shoulder, upper arm, or even the hand
  • Weakness in the shoulder, particularly with overhead or external rotation movements
  • Stiffness and limited range of motion in the affected shoulder
  • Pain that mimics rotator cuff tears or nerve impingement

If left untreated, these trigger points can lead to chronic shoulder dysfunction and increased risk of rotator cuff injuries.

Understanding Infraspinatus Referral Patterns

One of the most confusing aspects of infraspinatus trigger points is their pain referral pattern. The infraspinatus doesnโ€™t just hurt where the trigger point isโ€”it also sends pain to seemingly unrelated areas.

Where Can Infraspinatus Pain Refer?

  • Front of the shoulder
  • Outer part of the arm, extending toward the wrist
  • Upper back and shoulder blade region
  • Hand and fingers (in some cases, mimicking nerve pain)

This infraspinatus pain referral pattern is why misdiagnosis is common, as the symptoms can resemble rotator cuff tears, cervical nerve impingement, or bursitis.

What Causes Infraspinatus Trigger Points?

Understanding the root cause of infraspinatus trigger points is key to both treating and preventing them. Common culprits include:

1. Repetitive Strain & Overuse

  • Frequent overhead movements (e.g., tennis, baseball, swimming)
  • Repeated external rotation motions (e.g., weightlifting, rowing)

2. Poor Posture & Muscle Imbalances

  • Rounded shoulders and forward head posture increase strain on the infraspinatus
  • Weak opposing muscles, such as the lower traps and serratus anterior, contribute to imbalance

3. Trauma or Sudden Injury

  • A fall or impact to the shoulder can create trigger points
  • Sudden excessive force, like lifting something too heavy, can cause microtears in the muscle

4. Emotional Stress & Chronic Tension

  • High stress levels lead to muscle guarding, sustaining trigger points over time

Advanced Treatments for Infraspinatus Trigger Points at Cohen Trigger Point Therapy

1. NimmoCareSM โ€“ Targeted Trigger Point Therapy

Cohen Trigger Point Therapy specializes in NimmoCareSM, also known as the Receptor-Tonus Technique, which applies precise manual pressure to infraspinatus trigger points. This technique works by blocking nerve impulses that keep the muscle in spasm, allowing it to relax and function properly. This method is highly effective for chronic musculoskeletal conditions, including infraspinatus pain.

2. Cold Laser Therapy โ€“ Healing from the Inside Out

Our NimmoCareSM Laser Protocol combines cold laser therapy with trigger point release techniques. Cold laser therapy:

  • Reduces inflammation at the cellular level
  • Promotes muscle healing and tissue repair
  • Stimulates cellular growth to enhance recovery

This advanced therapy provides a non-invasive approach to healing chronic infraspinatus trigger points and relieving pain.

3. Chiropractic Manipulation & Traction

For patients experiencing restricted joint movement due to infraspinatus pain, we incorporate chiropractic adjustments and traction techniques:

  • Flexion Distraction Traction โ€“ A specialized chiropractic table gently stretches the lower back, reducing disc compression and muscle tension.
  • Diversified Chiropractic Manipulation โ€“ Helps restore proper joint motion, reducing compensatory strain on the infraspinatus.

4. Acupuncture for Chronic Shoulder Pain

At Cohen Trigger Point Therapy, our licensed acupuncturist, Dr. Zhiseng Yu, provides targeted acupuncture treatments for:

  • Muscle tension relief
  • Stress reduction
  • Enhanced circulation for faster healing

5. Nutritional Counseling & Rehabilitation

Dr. Cohen offers nutrition counseling and customized rehabilitation exercises to support infraspinatus healing. This holistic approach includes:

  • Anti-inflammatory diet recommendations to reduce muscle irritation
  • Corrective exercises to strengthen weakened areas and prevent reinjury

When to Seek Professional Help

If your shoulder pain persists for more than two weeks, worsens with movement, or causes significant weakness, itโ€™s time to seek professional care.

Signs You Need Expert Treatment:

  • Pain that disrupts sleep or daily activities
  • Weakness or difficulty with overhead movements
  • Sharp, stabbing pain that doesnโ€™t improve with rest
  • A popping or grinding sensation in the shoulder

At Cohen Trigger Point Therapy, we create personalized treatment plans to ensure lasting relief from infraspinatus trigger points.

Trigger points in the infraspinatus muscle can be painful and limiting, but effective treatment is available. By understanding the causes, symptoms, and best treatment options, you can take control of your shoulder health and prevent future pain.

If youโ€™re struggling with persistent shoulder discomfort, Cohen Trigger Point Therapy can help you eliminate trigger points, restore movement, and get back to pain-free living. Book an appointment today to start your recovery!

Pittsburgh Chiropractor Trusted by Athletes and Locals

Introduction to Chiropractic Care

Chiropractic care is a holistic approach to healthcare that focuses on diagnosing, treating, and preventing mechanical disorders of the musculoskeletal and nervous systems, particularly the spine. The goal is to restore optimal health and function to the body, allowing individuals to live a pain-free life. Chiropractors use spinal manipulation and other techniques to help the body heal naturally, without the need for surgery or medication. By addressing the root causes of pain and dysfunction, chiropractic care promotes overall health and well-being, helping you get back to the activities you love.

Why You Need a Pittsburgh Chiropractor Trusted by Pros and Locals Alike

In Pittsburgh, toughness isnโ€™t just a personality traitโ€”itโ€™s a lifestyle. From the roar of Acrisure Stadium on Sundays to the gritty determination seen in local gyms, this city has always been about heart, hustle, and resilience. Pittsburghers donโ€™t complain, they push through. But even the toughest bodies break down over time, and if youโ€™re constantly grinding without proper recovery, youโ€™re bound to hit a wall.

Thatโ€™s where I come in.

Iโ€™m Dr. Josh Cohen, founder of Cohen Trigger Point Therapy. As a dedicated Pittsburgh chiropractor, Iโ€™ve helped everyone from professional athletes like Calvin Austin III of the Pittsburgh Steelers to busy professionals and weekend warriors find lasting relief from pain and dysfunction. My practice focuses on trigger point therapy, a proven hands-on method that eliminates deep muscular tension and restores true mobilityโ€”often when other treatments fail. As a licensed chiropractor in Pittsburgh, PA, I am dedicated to providing comprehensive care to my patients.

This isnโ€™t cookie-cutter chiropractic care. Itโ€™s precision work rooted in sports science, holistic healing, and a deep understanding of how the body compensates under stress. Whether youโ€™re catching touchdowns or carrying toddlers, you deserve the kind of care that keeps you moving at your best.

Pittsburgh’s Sports Legacy and the Need for Chronic Pain Recovery

Pittsburgh is a sports town through and through. The city lives and breathes black and gold. From the dynasty years of the Steelers to the die-hard loyalty of Penguins fans, the physical intensity that defines our sports culture carries over into the everyday lives of our residents. Weโ€™re a blue-collar city with a work ethic that doesnโ€™t stop. That same spirit fuels our commitment to fitness, athletic performance, and personal growth.

But what often gets overlooked is the toll that kind of physical and mental intensity takes on the body. Whether youโ€™re training for your next half-marathon, coaching youth sports, or sitting through back-to-back meetings at work, your body absorbs stressโ€”and it stores that stress in your muscles, fascia, and nervous system. Whether youโ€™re recovering from an auto accident or dealing with knee pain, chiropractic care can help alleviate your symptoms and improve your overall function.

Elite athletes understand this, which is why they prioritize recovery as much as they do training. Calvin Austin III, for example, is a high-performance athlete who knows the importance of taking care of his body. As a receiver for the Steelers, his speed and agility are non-negotiable. Any tightness, imbalance, or untreated trigger point could cost him valuable tenths of a second on the field. Thatโ€™s why athletes like Calvin turn to chiropractic careโ€”not just for injury treatment, but for injury prevention and performance optimization.

If it works for professional athletes, it can work for you too.

What Makes Cohen Trigger Point Therapy Different

Thereโ€™s no shortage of chiropractors in Pittsburgh. But what sets Cohen Trigger Point Therapy apart is our focus on treating the root cause of painโ€”not just the symptoms.

Traditional chiropractic care often relies on spinal adjustments alone. And while that can be helpful, it often ignores whatโ€™s happening in the soft tissue. Most chronic painโ€”especially in the back, neck, shoulders, and hipsโ€”originates in tight, dysfunctional muscles that compress joints and restrict movement. These are known as trigger points. Chiropractic adjustments are a key component of our approach, promoting natural healing and pain relief.

Trigger points are hyper-irritable spots in muscle tissue that refer pain to other areas of the body. Theyโ€™re often missed by imaging tests and overlooked by standard practitioners. But left untreated, they can wreak havoc on your posture, limit your performance, and contribute to persistent pain.

Thatโ€™s where my method comes in.

As a Pittsburgh chiropractor specializing in trigger point therapy, I use a blend of manual pressure, neuromuscular re-education, and mobility work to release those hidden knots and restore full muscle function. Unlike treatments that offer short-term relief, this approach addresses the actual dysfunction so your results last.

Many of my patients come in after seeing multiple providers with little success. Once we start addressing the muscular system in a deeper way, they finally begin to see meaningful changes. Whether youโ€™re a wide receiver like Calvin Austin or someone who just wants to wake up without back pain, this method works.

Chiropractic Adjustments and Techniques

Chiropractic adjustments are a cornerstone of chiropractic care. These adjustments involve spinal manipulation to restore proper alignment and function to the spine and other joints. Chiropractors use a variety of techniques, including manual adjustments, instrument-assisted adjustments, and soft tissue techniques, to help the body heal and function at its best. Regular adjustments can improve body function, reduce pain and inflammation, and promote overall health and well-being. By keeping your spine and joints in optimal condition, chiropractic care helps you stay active and pain-free.

Massage Therapy and Chiropractic Care

Massage therapy is a powerful complement to chiropractic care. It helps to relax tense muscles, improve circulation, and reduce pain and inflammation. Chiropractors often incorporate massage therapy into a comprehensive treatment plan to help patients achieve optimal health and function. This combination is especially beneficial for patients with chronic pain, sports injuries, and those recovering from auto accidents. By addressing both the muscular and skeletal systems, massage therapy and chiropractic care work together to provide holistic, effective relief.

You Donโ€™t Have to Be a Pro Athlete to Deserve Elite Care

One of the biggest myths about chiropractic careโ€”especially sports-oriented chiropractic careโ€”is that itโ€™s only for elite athletes. Nothing could be further from the truth.

At Cohen Trigger Point Therapy, I work with people from all walks of life:

  • Desk workers dealing with tech neck and upper back pain
  • Teachers, nurses, and retail workers on their feet all day
  • Parents juggling jobs, errands, and physically demanding routines
  • Runners, cyclists, and CrossFit athletes pushing their limits on weekends
  • Retirees looking to stay active and mobile without medication

The common thread? These are people who want to feel better and move betterโ€”without relying on prescriptions, surgery, or generic advice.

What they find in my office is a personalized approach that treats their pain at its source. We take the time to understand your movement patterns, history of injury, posture, and lifestyle. Many patients receive personalized answers to their health concerns and see significant improvements in their condition. From there, we build a treatment strategy that focuses on long-term results, not quick fixes.

Just like Pittsburghโ€™s athletes, you deserve care that keeps you strong, mobile, and resilient.

Local Roots, Lasting Impact

Pittsburghers trust people who show up, put in the work, and stand behind their results. Thatโ€™s how Iโ€™ve built my practiceโ€”one patient, one referral, one success story at a time. And in a city that values loyalty and authenticity, word-of-mouth means everything.

Many of my patients come in because a co-worker told them about their results. Or a teammate shared how their shoulder pain vanished. Or a family member saw them standing straighter and feeling better. Thatโ€™s the power of real, lasting changeโ€”and itโ€™s what keeps me motivated every day. An observational study found that patients receiving chiropractic care reported higher satisfaction levels compared to those receiving medical care.

Working with local athletes like Calvin Austin has only reinforced my belief that performance and recovery are universal needs. Whether youโ€™re playing under the lights at Acrisure or chasing your kids around the park, your body deserves the same level of attention and respect.

My goal is to bring that pro-level care to everyone in Pittsburgh, from South Hills to the Strip District.

Conditions We Treat

Our chiropractic clinic treats a wide range of conditions, including:

  • Neck pain and headaches
  • Chronic pain and inflammation
  • Back pain and sciatica
  • Sports injuries and auto accidents
  • Carpal tunnel and other repetitive strain injuries
  • Migraines and other types of headaches
  • Fibromyalgia and other chronic pain conditions

We use a variety of techniques, including spinal manipulation, massage therapy, and rehabilitation, to help patients achieve optimal health and function. Our team is dedicated to providing personalized care and attention to each patient, striving to help you achieve your health goals and live a pain-free life. Whether youโ€™re dealing with a recent injury or chronic condition, weโ€™re here to support your journey to better health.

When Should You See a Pittsburgh Chiropractor for Spinal Manipulation?

A common misconception is that you should only see a chiropractor when youโ€™re in pain. But by the time pain shows up, your body has likely been compensating for weeks, months, or even years. Thatโ€™s why early intervention is so critical.

Here are some signs that it might be time to visit a chiropractor:

  • Frequent tension headaches or migraines
  • Stiffness in your neck, shoulders, or lower back
  • Tingling or numbness in your hands or feet
  • Poor posture thatโ€™s starting to feel โ€œnormalโ€
  • Limited range of motion during workouts or daily tasks
  • Nagging pain that comes and goes without a clear cause

Even if youโ€™re not in acute pain, chiropractic care can help you move more freely, recover faster, and stay active longer. At Cohen Trigger Point Therapy, we emphasize education just as much as treatment. I want my patients to understand their bodies betterโ€”so they can take control of their health and make smart decisions for years to come. We are in-network with most insurances, including UPMC Health Plan, making it easier for you to access affordable chiropractic care.

Ready to Work with the Pittsburgh Chiropractor Athletes Trust?

If youโ€™re looking for a Pittsburgh chiropractor who takes a different approachโ€”one thatโ€™s grounded in science, guided by hands-on experience, and trusted by elite athletesโ€”then letโ€™s work together.

At Cohen Trigger Point Therapy, Iโ€™m here to help you:

  • Eliminate deep muscle pain caused by trigger points
  • Improve flexibility, mobility, and posture
  • Prevent future injuries through smart, customized care
  • Feel better, move better, and live pain-free

Whether youโ€™re training for your next big game or just want to wake up without discomfort, you deserve a plan that worksโ€”and a provider who listens.

Letโ€™s build that plan together. Our friendly team looks forward to helping you achieve your health goals with personalized care.

Schedule your appointment today and experience the difference personalized chiropractic care can make. Trust your body to someone who understands what it means to be Built Like Pittsburgh.

Pittsburgh Chiropractor

 

Treat Infraspinatus Pain โ€“ Effective Therapies, Exercises & Prevention

Dealing with infraspinatus muscle pain can be frustrating, especially when it limits your daily activities and mobility. Whether it’s caused by muscle strain, tightness, or an injury, finding the right treatment is essential for recovery.

This guide will walk you through the most effective treatments, home remedies, and prevention strategies to keep your shoulders strong and pain-free. If left untreated, infraspinatus pain can worsen over time, leading to chronic discomfort and potential rotator cuff injuries. Letโ€™s dive into the best ways to relieve pain and prevent future issues.

Understanding Infraspinatus Pain Treatment

If youโ€™re wondering how to treat infraspinatus pain, itโ€™s important to take a comprehensive approach. Recovery involves reducing inflammation, restoring mobility, strengthening the muscle, and addressing underlying causes.

1. Trigger Point Therapy for Lasting Relief

Cohen Trigger Point Therapy targets the muscle knots and adhesions that contribute to infraspinatus pain and tightness. This technique helps:

    • Release muscle tension to restore normal function
    • Improve blood flow for faster healing
    • Reduce referred pain radiating from the infraspinatus
  • Faster Healing trigger point therapy speeds up the healing process by reducing inflammation and restoring range of motion

2. Effective Stretching Techniques

Regular infraspinatus stretches can help improve flexibility and reduce tightness. Here are a few effective stretches:

  • Sleeper Stretch โ€“ Lying on your side, gently press your arm downward to stretch the infraspinatus.
  • Cross-Body Shoulder Stretch โ€“ Bring one arm across your chest and hold for 30 seconds.
  • Childโ€™s Pose with Shoulder Stretch โ€“ Extend your arms forward and sink your chest down to open up the shoulders.

3. Strengthening Exercises for the Infraspinatus

A weak infraspinatus muscle is more prone to injury. Strengthening it can help stabilize the shoulder joint and prevent pain recurrence:

  • External Rotation with Resistance Bands โ€“ Attach a resistance band to a sturdy anchor and rotate your arm outward.
  • Scapular Retractions โ€“ Squeeze your shoulder blades together to improve postural support.
  • Farmerโ€™s Carries – hold a hand weight down by your side, and take 10 steps.

 

treat infraspinatus pain

Home Remedies for Infraspinatus Pain Relief

If youโ€™re looking for how to relieve infraspinatus pain at home, try these proven methods:

1. Ice & Heat Therapy

  • Apply ice (15-20 minutes) to reduce inflammation after activity.
  • Use heat therapy to relax tight muscles before stretching.

2. Foam Rolling & Myofascial Release

  • Use a lacrosse ball, tennis ball or foam roller to release muscle tension.
  • Target the upper back and shoulder area to relieve pressure on the infraspinatus.

3. Massage Therapy for Shoulder Pain

A deep shoulder massage can improve circulation, break up adhesions, and promote healing.

Preventing Future Infraspinatus Injuries

To avoid dealing with chronic infraspinatus pain, itโ€™s important to take preventative measures:

1. Maintain Proper Posture

  • Keep your shoulders relaxed and down while sitting or working. Squeezing your shoulder blades together will bring them down your back and get them out of your ears.
  • Avoid hunching forward, which places extra stress on the rotator cuff.

2. Optimize Your Sleeping Position

  • Avoid sleeping on the affected shoulder.
  • Use a supportive pillow to keep your neck and shoulders aligned.

3. Strengthen the Entire Rotator Cuff

  • Work on balanced shoulder strength to prevent muscle imbalances. Strengthening your upper back and chest will stabilize your shoulders and neck.
  • Incorporate shoulder mobility drills into your workouts.

When Surgery Might Be Needed

In rare cases, a severe infraspinatus muscle tear may require surgical intervention. Signs that you may need further medical attention include:

  • Sharp, persistent pain that doesnโ€™t improve with treatment
  • Noticeable weakness or inability to lift your arm

Why Choose Cohen Trigger Point Therapy?

At Cohen Trigger Point Therapy, we specialize in natural, hands-on treatments for infraspinatus/ rotator cuff/ shoulder pain relief. Our approach focuses on:

  • Eliminating trigger points to restore muscle function
  • Customized rehabilitation plans for long-term recovery
  • Manual therapy techniques to improve flexibility and strength

 

If youโ€™re struggling with infraspinatus pain, itโ€™s crucial to take early action. With the right combination of stretching, strengthening, massage therapy, and trigger point release, you can restore shoulder function and eliminate pain.

Ready to take the next step? Cohen Trigger Point Therapy can help you regain full mobility and live pain-free. Book a session today and start your recovery journey!

Looking for a Chiropractor Near Me? Hereโ€™s What You Need to Know

A common question I hear all the time is, “I’m looking for a chiropractor near me.” It makes senseโ€”when you’re in pain, convenience matters. You want to find someone close by who can help you feel better fast.

But hereโ€™s the thing: just because a chiropractor is nearby doesnโ€™t mean theyโ€™re the right one for you. The real question you should be asking is, “Where can I find a chiropractor who actually helps?”

Signs You Should See a Chiropractor

People tend to wait too long before seeking care, often thinking their pain will go away on its own. Sometimes it does, but other times it lingers, gets worse, or spreads to other areas. Here are some signs that itโ€™s time to book an appointment:

  • Chronic back or neck pain โ€“ If painkillers and stretching arenโ€™t doing the trick, a chiropractor can address the root cause.
  • Frequent headaches or migraines โ€“ Tension in your neck and spine might be contributing to your headaches.
  • Limited range of motion โ€“ If turning your neck or bending over feels stiff and painful, chiropractic adjustments can help restore movement.
  • Poor posture from sitting all day โ€“ If you work at a desk, chiropractic care can realign your spine and reduce posture-related pain.
  • Recovery from an accident or injury โ€“ Chiropractors help heal soft tissue injuries and improve mobility after car accidents or sports injuries.
  • Tingling or numbness in your arms or legs โ€“ This could be a sign of nerve compression that chiropractic care can help alleviate.

How to Find the Right Chiropractor

Not all chiropractors are the same. Some take a hands-on, muscle-focused approach, while others rely more on traditional spinal adjustments. Hereโ€™s what to consider when choosing a chiropractor:

  1. Check Their Credentials โ€“ Make sure theyโ€™re licensed and have experience treating conditions similar to yours.
  2. Read Reviews โ€“ Google, Yelp, and Healthgrades can give you insight into other patientsโ€™ experiences.
  3. Ask About Their Approach โ€“ Do they only adjust the spine, or do they work on muscles too? Techniques like trigger point therapy, spinal decompression, and myofascial release can make a huge difference.
  4. Look at Their Website โ€“ Does it provide useful information, or is it filled with gimmicks and sales pitches? A good chiropractor focuses on education, not just selling packages.
  5. Consider Location and Accessibility โ€“ A conveniently located clinic makes it easier to stick to your treatment plan.
  6. Trust Your Gut โ€“ Your instincts will tell you a lot. If something feels off during your first visit, keep looking.

What to Expect at Your First Visit

If youโ€™ve never been to a chiropractor before, you might be wondering what the experience will be like. Hereโ€™s what typically happens:

  • Initial Assessment โ€“ Weโ€™ll discuss your symptoms, medical history, and lifestyle to pinpoint whatโ€™s causing your pain.
  • Physical Exam โ€“ This may include range-of-motion testing, muscle assessments, and orthopedic tests.
  • Customized Treatment Plan โ€“ Based on our findings, weโ€™ll outline a plan tailored to your specific needs.
  • First Adjustment or Therapy โ€“ Many patients receive an initial treatment to start relieving discomfort right away.
  • At-Home Recommendations โ€“ Youโ€™ll get advice on stretches, exercises, and posture adjustments to help your body heal.

Why Local Chiropractic Care Matters

Choosing a chiropractor near you has real benefits:

โœ” Convenience โ€“ Shorter travel times mean youโ€™re more likely to stick to your treatment plan.

โœ” Personalized Attention โ€“ Smaller, independent clinics often provide better individualized care than large chain practices.

โœ” Faster Appointments โ€“ Youโ€™ll likely have more flexible scheduling options.

โœ” Ongoing Support โ€“ A local chiropractor gets to know you, your history, and your progress over time.

Why Patients Choose Cohen Chiropractic Trigger Point Center

If youโ€™re in Pittsburgh looking for high-quality chiropractic care, youโ€™re in the right place. Hereโ€™s what makes us stand out:

  • Specialists in Trigger Point Therapy โ€“ We donโ€™t just adjust the spine; we target muscle knots and soft tissue dysfunction for deeper, longer-lasting relief.
  • Holistic Approach โ€“ We focus on long-term solutions, including posture correction and mobility work, not just quick fixes.
  • Advanced Techniques โ€“ We use dry needling, myofascial release, spinal decompression, and deep tissue therapy to treat pain at its source.
  • Personalized Care โ€“ Every patient gets a customized treatment plan designed for their specific needs.
  • Convenient Location โ€“ Easy access for anyone searching for a โ€œchiropractor near meโ€ in Pittsburgh.

Common Questions About Chiropractic Care

Is chiropractic care safe?
Yes! When performed by a licensed professional, chiropractic care is a safe, non-invasive way to relieve pain and improve mobility.

How many sessions will I need?
That depends on your condition. Some issues resolve in a few visits, while chronic conditions may require ongoing care.

Does chiropractic treatment hurt?
Most patients feel relief after an adjustment. Some mild soreness (like post-workout stiffness) is normal but temporary.

Can chiropractic care help with more than just back pain?
Absolutely! We treat headaches, joint pain, sciatica, sports injuries, posture problems, and stress-related tension.

Ready to Feel Better? Letโ€™s Get Started

If youโ€™re tired of dealing with pain and searching for real relief, Cohen Chiropractic Trigger Point Center is here to help. Donโ€™t wait for the pain to get worseโ€”take control of your health today!

Visit us at: 4627 Fifth Ave, Pittsburgh, PA 15213
Call us at: (412) 681-4747

Book online: https://cohentriggerpoint.com/ย 

Have a pain-free day!

 

Chiropractor near me

Understanding Infraspinatus Muscle Pain: Causes, Symptoms & Treatment

If youโ€™ve been dealing with nagging shoulder pain, especially in the back of your shoulder, your infraspinatus muscle might be the culprit. This key rotator cuff muscle plays a big role in how your shoulder moves and stabilizes. When it gets tight, strained, or injured, it can lead to persistent pain, stiffness, and even limited mobility.

Understanding the causes of infraspinatus muscle pain, recognizing the symptoms, and starting treatment early can make all the difference. Ignoring the issue can lead to long-term discomfort, restricted movement, and even more serious rotator cuff injuries. Letโ€™s break down whatโ€™s causing your infraspinatus muscle pain and how you can start feeling better.

What is the Infraspinatus Muscle Pain?

The infraspinatus is one of four muscles in the rotator cuff, located at the back of your shoulder blade. It plays a key role in:

  • Rotating your arm outward (think of turning your palm away from your body)
  • Stabilizing the shoulder joint when lifting, reaching, or doing overhead movements
  • Preventing shoulder dislocations by keeping the joint secure

Since the infraspinatus is involved in so many everyday movements, itโ€™s easy to overwork or strain it, especially if youโ€™re active, lift weights, or have poor posture.

What Causes Infraspinatus Pain?

Pain in the infraspinatus muscle can happen for several reasons. Here are the most common ones:

1. Overuse & Repetitive Strain

  • Lifting weights, especially overhead presses or bench presses
  • Throwing sports like baseball, swimming, or tennis
  • Sitting at a computer all day with poor posture
  • Repetitive motions that keep the shoulders rounded forward

2. Muscle Tightness & Trigger Points

Tightness in the infraspinatus can lead to painful knots (trigger points), which can cause pain that radiates down the arm or into the upper back.

3. Infraspinatus Strain or Injury

Lifting something too heavy or making a sudden jerking motion can strain the muscle, leading to micro-tears and inflammation.

4. Rotator Cuff Injuries & Shoulder Impingement

  • Rotator cuff tendonitis from repetitive overhead movements
  • Infraspinatus tendon pain from wear and tear
  • Muscle tears, which can cause weakness and sharp pain

5. Infraspinatus Pain While Breathing

If you feel pain in this muscle when you take a deep breath, it could be due to tight fascia, rib misalignment, or restricted movement in the upper back.

Symptoms of an Infraspinatus Injury

Recognizing the signs of an infraspinatus issue early can help prevent long-term pain. Common symptoms include:

  • Dull, aching pain in the back of the shoulder
  • Sharp pain when lifting or rotating the arm
  • Tenderness or muscle knots in the infraspinatus
  • Shoulder weakness, making it difficult to lift objects
  • Pain radiating into the neck, upper back, or arm
  • Tightness and reduced range of motion
  • Pain while sleeping on the affected side

Early Treatment for Infraspinatus Pain

Catching the problem early can save you from chronic pain and bigger issues down the road. Hereโ€™s what you can do to start feeling better:

1. Stretching & Mobility Exercises

Keeping the infraspinatus loose and mobile is key. Try these:

  • Cross-body shoulder stretch โ€“ Bring your arm across your chest and hold for 30 seconds.
  • Wall angels โ€“ Stand against a wall and slowly raise and lower your arms.
  • Doorway stretch โ€“ Place your hands on a doorway and lean forward to open the chest.

2. Ice & Heat Therapy

  • Use ice packs (15-20 minutes) after activity to reduce inflammation.
  • Apply heat therapy before stretching to help relax tight muscles.

3. Trigger Point & Myofascial Release

  • Use a lacrosse ball or foam roller to release muscle knots in the infraspinatus.
  • Trigger point therapy can help break up muscle tension and improve circulation.

4. Posture Correction & Ergonomic Adjustments

  • Keep your shoulders in a neutral position while sitting or working.
  • Adjust your workstation so your shoulders stay relaxed and supported.
  • Avoid sleeping with your arm overhead, which can aggravate infraspinatus tightness.

5. Strengthening Exercises for Shoulder Stability

Strengthening the infraspinatus can prevent future injuries. Try:

  • External rotation with resistance bands โ€“ Strengthens the infraspinatus and improves stability.
  • Scapular retractions โ€“ Pulling your shoulder blades together strengthens supporting muscles.
  • Isometric holds โ€“ Holding a light weight at 90-degree elbow flexion helps build endurance.

When to See a Chiropractor

If your infraspinatus pain isnโ€™t improving with home care, itโ€™s time to seek professional help. Signs that you need expert treatment include:

  • Severe shoulder pain that interferes with daily activities
  • Sharp, stabbing pain with overhead movements
  • A popping or grinding sensation in the shoulder
  • Weakness or inability to lift or rotate your arm
  • Pain that worsens at night or while resting

How Cohen Chiropractic Trigger Point Center Can Help

At Cohen Chiropractic, we take a hands-on approach to treating infraspinatus pain. Our specialized techniques help release muscle tension, restore movement, and eliminate pain at its source. Our treatments include:

โœ” Trigger point therapy โ€“ We break up painful muscle knots to restore function and reduce pain.
โœ” Manual therapy โ€“ Hands-on techniques improve muscle flexibility and alignment.
โœ” Personalized rehab exercises โ€“ We design a custom plan to strengthen and stabilize your shoulder.

Donโ€™t Let Shoulder Pain Hold You Back

If youโ€™re struggling with infraspinatus pain, donโ€™t wait for it to get worse. With the right treatment, you can restore mobility, reduce pain, and get back to doing what you love.

Visit us at: https://cohentriggerpoint.com/ย 
Call us at: (412) 681-4747
Book online: https://cohentriggerpoint.com/contact/ย 

Have a pain-free day!

Infraspinatus Muscle Pain treatment

 

Walk In Chiropractic Services For Immediate Relief

Walk in Chiropractic Services

You canโ€™t choose when an accident happens. Thatโ€™s why they are called accidents.

Accidents usually happen at the worst possible time.

When we are rushing around, have no time, and getting stressed, thatโ€™s when we are prone to an accident.

We arenโ€™t paying attention and are focused on something other than where we are, mistakes, and accidents, can happen.

When an accident happens, when you hurt yourself, it is important to get treatment as soon as possible.

This will prevent the injury from becoming long lasting.

I like the saying โ€œthe longer it sticks around, the longer it will stick around.โ€

If you can get treatment, like trigger point therapy (like Nimmo/ Receptor Tonus Technique), it can help to prevent the issue from becoming long lasting and chronic.

When you injure yourself, like when you slip and fall, you sustain soft tissue damage. This entails maybe some bruising, or maybe a muscle pull which is a sprain or strain, while other muscles will tighten up to catch yourself and can go into spasm.

When a muscle is pulled, or sprained or strained, it is torn on a microscopic level. It is not torn completely through, it becomes frayed, or partially torn. The rest of the muscle will reflexively tighten up to prevent further tearing- it is a self protective mechanism.

This tightening will cause the muscle to send increased neurological stimulation into the spinal cord and comes out the other side telling the muscles to contract more. This creates a new neurological pathway that once established, it is there for life. Thus making it easier for the muscle to keep falling back into that old established pattern of spasm and inflammation over and over again.

If you can get trigger point therapy (like Nimmo/ Receptor Tonus Technique) or something else similar to it, within 48 to 72 hours, you can prevent those neurological pathways from being established.

If you can get treatment within 48 to 72 hours after an injury, you can help to heal that injury quickly, and prevent it from becoming chronic.

Thatโ€™s why businesses like mine, chiropractors who deal with injuries and the effects of accidents, need to be available for people who walk in and need immediate relief.

Yesterday a patient of mine who I havenโ€™t seen in months, slipped and fell on newly fallen and slippery snow, right outside of my office. He walked in and my wife who happened to be working at the time, fit him right in.

I was able to do trigger point therapy (Nimmo/ Receptor Tonus Technique) and red light, deep tissue, therapy laser on him to help prevent those neurological pathways of pain and spasm from becoming established in the first place. The trigger point therapy will help to start the healing process much quicker than on his own.ย 

The trigger point therapy will reduce inflammation and restore normal neurological functioning of the muscle, and reduce the muscle spasm.ย 

If you have an accident and need help, donโ€™t hesitate to come in.

You may have to wait a bit, but if you walk into my office, youโ€™ll get seen.

Have a Pain Free Day.

 

Walk In Chiropractic Services

 

Treating Your Jaw Pain and Your Headaches at Home

How do you deal with your stress?

Do you clench your teeth? How about shrugging your shoulders at a loss of what to do next? Do you swallow your screams instead of lashing out?

The truth is that many of us are finding ourselves more stressed than ever. Working from home gives us few escapes from โ€œthe office,โ€ and that prolonged stress can add up.

All of the ways you cope with stress can wreak havoc on the body – particularly in your jaw, neck, and head.ย 

Continue reading “Treating Your Jaw Pain and Your Headaches at Home”

How to Treat Your Pain, At Home

Are you suffering from muscle, joint, or arthritis pain? Do your shoulders or back feel stiff?

Well, you may have developed what is called โ€œtrigger points.โ€ And with the right simple steps, your tensed-up muscles and stiff joints can start whistling a happier tune.ย 

What are trigger points?

Trigger points are tight knots of muscle in your neck, shoulders, or back that make movement painful and difficult. Wherever there is muscle tissue, there may be a small area of tissue tension that could be a trigger point.ย 

Think of it as a small marble just under the skin or a tiny charlie horse in the muscle. Now, the pesky points donโ€™t cause too much pain on their own, but when you have enough you may start to feel intense pain or even limited muscle mobility.ย 

Treating your pain on your own.

I specialize in treating trigger points. Nerves control the muscles, and muscles control the joints. If you have joint pain, chances are that the muscles are involved and irritated in some certain pattern, but it is very hard to figure out that pattern of injury.

The best way to treat joint pain, arthritis pain, muscle spasm, is by treating the muscles. Muscles control everything. If you can reprogram the muscles, and break them out of these neurological patterns of inflammation and spasm, you can get them to heal and function like normal. Well, almost normal. I am a big believer that once you injure yourself, that area is never the same again. The injury gets wired into your system neurologically, and that area is less stable and more likely to get injured in the future.

The best way to treat joint pain and muscle spasm is by applying pressure to the most painful and inflamed spot (trigger point) in the painful muscle; by doing this you cut off the blood supply and the neurological input that perpetuates the muscle spasm.ย 

The way you find the spot (trigger point), is by locating the irritated muscle, and finding the most swollen and painful area of the muscle, and applying pressure to it. When you apply pressure, you are decreasing inflammation in the muscle and joint, and cutting off the neurological input that is causing the muscle spasm. Thereby reprogramming the muscle. The more you treat the trigger point, the quicker you will break that muscle out of its habit of spasm and inflammation, and allow it to return to its normal function.

Please keep in mind though, that the area that you feel your pain, might not be where your pain is coming from. And where you think your primary problem is, might be secondarily irritated by another problem, that is primary. Kind if like if you have pain in the outside of your knee. It can easily be coming from hip tightness in the glutes, on that same side of the knee pain, pulling on the IT band which is pulling on the outside of the knee, giving you knee pain.

Trying to figure out where your pain is coming from can be difficult, at best, even for a professional. That is why I break up joint pain into areas. It is a complex of muscles that are irritated and causing the joint pain. Thatโ€™s why you canโ€™t just treat one muscle.

Kind of like if you have left shoulder pain, you canโ€™t just treat the infraspinatus rotator cuff muscle. It will be involved, and possibly the primary spot, but you have to treat the rhomboids and traps and muscles going into the neck, and in the front of the chest as well.

Living the Pain-Free Lifestyle.

On my website, I break your pain up into different areas. Shoulder or neck or upper back pain? The written and video blogs will tell you which muscles to treat, and how to treat them. Hip or low back or knee pain? The written and video blogs will tell you which muscles to treat, and how to treat them. The videos are easy to follow and are meant to be done at home.ย 

The only equipment that you will need is a tennis ball, lacrosse ball, massage ball, or something else round and hard. A foam roller is also helpful, along with a basketball. I find the tennis ball much more accurate than the foam roller. And when treating trigger points, and muscle pain, accuracy is everything.

If you are thinking of starting on a new exercise system, I would recommend that you take the time and go through your muscles with a tennis ball and a foam roller, and make sure your muscles are looser and up to the challenge of exercising. You will find that youโ€™ll be sore and sensitive in places that you didnโ€™t know had muscles. Loosen yourself up and balance your body first, prior to starting a new exercise routine. You want to continue to treat yourself and your muscles at home, as you exercise, usually afterward. It is a great way to cool down and recover.ย 

Iโ€™d hold each trigger point, or tender spot, for 5-10 seconds, no more. The longer you hold it, the more you chance bruising it. You are trying to reprogram the muscle by breaking up the neurological patterning that is causing the muscle pain, not trying to mash out a muscle knot, or rub out a tender spot. You can go over each muscle 2-3 times. A very painful and active spot, you can go over 4 times. But try not to do it more than that. If you do, you chance bruising the muscle. Iโ€™d also not do this more than every other day. If you do it every day, you chance bruising the muscle.

The trigger point will feel like a slippery little ball under the skin. It might be extremely sensitive, or not that sore. It might be stringy, or fibrous. This is a sign that itโ€™s been tight for along time, years.

It is a skill to treating trigger points. Take your time. The more you do it, the better you will get at it. And the better you will feel. The simplest explanation for treating your trigger points at home: find the most irritating spot in the muscle, and press on it.

Have a Pain Free Day

How To Exercise At Home, Pain Free

For the first time, many of us are finding ourselves at home. Weโ€™re home for a prolonged period of time, with nothing to do โ€“ and many of us are doing just that โ€“ nothing.

And thatโ€™s where the problems begin. If we donโ€™t figure out a way to be active, then youโ€™ll come out of this period of self-isolation shaped like a potato; weaker and deconditioned. Your body will break down, and youโ€™ll be more prone to injury.

You can, however, come out of this period in better shape. Come out of this period conditioned and ready to meet that stresses that will be present as we are all coming out of our hibernation. All it takes is a few dumbbells.

Creating your at-home gym.ย 

It can be hard to exercise at home if you never have before. I consider myself lucky. Iโ€™ve been exercising at home for years. I am a big proponent of exercising at home. It is just so much easier than going to the gym. Outside of buying equipment, it can be very inexpensive exercising at home.

You can make your home gym as elaborate, or as simple, as youโ€™d like. Whether youโ€™ve spent years accumulating equipment or pick up some used equipment on Craigslist or eBay, what matters is making the commitment to changing your lifestyle.

If you can find an exercise that you can perform at home, with minimal equipment, it can be very easy to get into, and stick with, an exercise routine.

Sticking to a new routine.

When was the last time you did a push-up? High school PE class?

Or maybe you tried running as a part of a New Yearโ€™s resolution for a few months but lost your motivation.ย 

Many of us have decided to start a home workout plan and have failed.ย  So, why not try a new approach?

Think of what you want to be able to do โ€“ whether itโ€™s getting in better shape or keeping up with your kids as you get older. Find your inspiration and then set yourself long-term and short-term goals.ย 

Focus on one week at a time. Get in your workout for the day. Then complete the next workout. Make it a challenge to find that 15-45 minutes in your day, as often as possible, to just keep yourself moving.ย 

After that first week, look back and take it a step further. Add a new exercise to your routine, and slowly crank up the intensity.

Start your journey with โ€˜Pain Free Lifestyle.โ€™

I speak with all of my patients about exercise: how to get into exercise, how to pick the right routine for themselves or analyze their current routine to make sure that it is conducive to their specific needs.ย 

Thatโ€™s why, a few years ago, I created an online exercise and nutrition program for my patients to use. It is meant to be done completely at home, with minimal equipment. All that you need are a few dumbbells.ย 

Through the years, Iโ€™ve learned a few easy on your body exercises. They are easy to learn and great for beginners. As the program progresses, the exercises get progressively harder and more complex. But they are still easy on your body and generally wonโ€™t create injury.

In this routine I have isolated the majorly overused areas of the body that we want to focus on, to keep ourselves moving and our pain minimized.ย 

The program is designed to guide you through a series of exercises that will get you up and moving. For a limited time, since everyone is locked up at home, the Pain Free Lifestyle program is free. It is usually 9.99$ per month.

Iโ€™d recommend that anyone who tries the Pain-Free Lifestyle program starts with a light, almost too easy routine. Ease your body into it.ย  With a little patience, consistency, and sweat, youโ€™ll forget what life was like before you started working toward your fitness goals.ย 

Have a Pain Free Day.

Dr. Joshua Allen Cohen Has Been Nominated and Accepted as a Four Years AIOCโ€™S 10 Best in Pennsylvania For Client Satisfaction

The American Institute of Chiropractors has recognized the exceptional performance of Pennsylvania’s
Chiropractor Dr. Joshua Allen Cohen as Four Years 10 Best Chiropractors for Client Satisfaction.

The American Institute of Chiropractors is a third-party rating organization that publishes an annual list
of the Top 10 Chiropractors in each state. Practitioners who are selected to the “10 Best” list must pass
AIOC’s rigorous selection process, which is based on client and/or peer nominations, thorough research
and AIOCโ€™s independent evaluation. AIOC’s annual list was created to be used as a resource for clients
during the practitioner selection process.

One of the most significant aspects of the selection process involves practitioners’ relationships and
reputation among his or her clients. As clients should be a practitioner’s top priority, AIOC places the
utmost emphasis on selecting practitioners who have achieved significant success in the field of
Chiropractic without sacrificing the service and support they provide. Selection criteria therefore focus
on practitioners who demonstrate the highest standards of Client Satisfaction.

We congratulate Dr. Joshua Allen Cohen on this achievement and we are honored to have him as a Four
Years AIOC Member.