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its called a tension nodule. it happens when the muscle is constantly tensed.

Answer 2: I am assuming you are not a massage therapist so I will use laymans terms. While affected person is lying face down, warm (by massaging) all of the muscles around the shoulder blade, then have the client place their forearm across their lower back this should allow some access to the area underneath the shoulder blade, make sure they communicate any pain or discomfort during this. using your fingers and the side of your hand gently massage the area that has opened up.

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Q: How do you get rid of a knot underneath the shoulder blade?
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