That knot in your shoulder blade isn't a muscle problem. I spent two years treating the wrong thing.
Artuvate

That knot in your shoulder blade isn't a muscle problem. I spent two years treating the wrong thing.

And what a cervical spine specialist finally showed me, two years too late.

A woman at her kitchen table reaching back over her shoulder to press the inner edge of her shoulder blade.

Ibuprofen at three, so I could finish the day. The next appointment booked before I had even left the last one. And my hand going back to that spot at the kitchen table over and over, without me noticing I was doing it.

It was tight when I woke up and tighter by the evening, and I was arranging my week around something the size of a thumbprint.

I just figured this was my back now.

It kept coming back in the exact same place. Like something was putting it there. Something was.

Here's what nobody checked. Stretching it, digging into it and paying to crack it never lasted, because none of it reached the nerve.

It wasn't tension. It wasn't stress. It wasn't something I needed to manage better.

If you have the same one, you already know it by heart.

Six things. How many are yours?

However many you just ticked, that is not how many problems you have.

That was mine for two years. All six of them.

It took me far too long to ask the obvious question. What if those were not six problems, but one?

1. The chiropractor. Two days of relief. Then again.

I walked out feeling taller. For the rest of that afternoon the nail at the inner edge of my shoulder blade went quiet, and I stopped reaching back for it.

Two days later it was back.

It wasn't that it didn't work. Life kept undoing it. He put the space back, and then my neck spent another eight hours over a screen pushing the disc onto the nerve again.

Sleeping position, I was told. Muscle tension from stress. Rhomboid strain. Sit up straighter. Stretch more.

So I booked the next one before I left. And the one after that. Twice a week, until it was eating $800 a month. It worked for exactly as long as I kept paying for it.

The drive home from the clinic parking lot, one hand resting on the wheel.
What it cost$80 to $150 a visit, twice a week
How long it heldTwo days

2. Physical therapy, until the course ran out

Twice a week for three months. Eighty dollars a session. Bands, chin tucks, a printed sheet of exercises to do at home.

Strengthen the mid back, I was told, and the stiffness would stop coming back. So I strengthened it. And it worked. While I was doing it.

Then the course ran out, and the pressure settled back in like it had never left. The sheet went in a kitchen drawer.

None of what I was given was wrong. It just wasn't aimed at what was actually causing it, and nobody had told me what that was yet.

By the time it came back I wasn't sure whether to book another course or accept that this was just what my shoulder blade did now.

Two flat therapy bands folded on a linen cupboard shelf beside a towel.
What it cost$80 a session, twice a week for three months
How long it heldWhile I kept going

3. Ibuprofen every four hours

Ibuprofen at three in the afternoon so I could get through the rest of it. Something stronger on the bad weeks.

It reduced the pain signal. That's all it did, and it did it.

The nerve was still being pinched. Tomorrow at three the disc would be pressing on it exactly the same, and I would reach for another one.

They helped for a few hours. And I didn't want to be relying on painkillers or appointments for the rest of my life.

Three in the afternoon at her desk. One hand still on the laptop, the other reaching back over her shoulder. An unlabelled bottle and a glass of water on the wood beside her reading glasses.
What it costOne every four hours
How long it heldA few hours

4. I kept changing what my head rested on

Memory foam. Then a firmer one. Then a third, because I had been told the angle was wrong.

Every one of those changed what my head rested on. None of them took the pressure off the nerve root, and that was the thing sending the pain. I was rearranging the bed while the problem sat two inches inside my neck.

There are three of them in my closet.

Three ordinary pillows stacked on a closet floor, the bottom one still in its packaging.
What it costAbout $180 for three ordinary pillows
How long it heldNothing changed

5. The massage, the tennis ball and the heat pad: it loosens up for a day and tightens right back up

And then the things I did myself. Massage every few weeks. The tennis ball against the wall, digging into that exact spot until it went numb. The heating pad every evening. The theragun attachment my husband bought, which helped for about forty minutes.

Nothing touched it for more than a day. And by the end, all of it was almost painful.

Her hand holding open the top drawer of a bedside table: a massage gun with its cable coiled, a heat pad folded badly with its controller on top, a tennis ball in the corner, a tube of gel and a blister pack of tablets.
What it costAbout $250, gun, pad and ball
How long it heldAbout forty minutes

Five different things. Five different price tags. Two years.

Every one of them was aimed at my shoulder blade. Not one of them went anywhere near my neck.

Somewhere in those two years a doctor barely looked up from his computer. "It's common at your age. Probably posture."

Then I got in with someone different. A physical therapist who specialised in cervical spine. Not a general physio. Someone who works with nerve and spine conditions specifically.

She watched me move for a few minutes, pressed a few spots in my neck, and turned her screen around.

It was a diagram of the cervical spine. The vertebrae in the neck, with nerves branching out from between each one like roots from a tree.

"These nerves don't just stay in your neck," she said. "This one branches out and runs along the inner edge of your shoulder blade and down your arm. When a disc in your neck shifts and presses on it, the pain shows up wherever that nerve goes."

She pointed at my shoulder blade.

"That knot you keep pressing on isn't a muscle problem. It's where that nerve ends up."

THE DISC, PRESSING 123
  1. 1A disc in your neck presses on the nerve root. Everything below starts here.
  2. 2You feel it at the inner edge of your shoulder blade. That is where the pain shows up, not where it starts.
  3. 3Sometimes it carries on down the arm.
Schematic illustration, not a scan.

Then she explained why nothing I had ever done had held. She drew it as a circle, because that is what it is.

The loop I had been in for two years

  1. 1

    A disc in my neck presses on the nerve root. All day, every day.

  2. 2

    The muscles along that nerve clamp down to protect it. That is the knot, and that is why it feels like something solid under the skin.

  3. 3

    I dig into the knot. The muscle lets go.Held: about forty minutes

  4. 4

    The disc is still pressing. So the muscle gets the signal to tighten right back up.

And I am back at step one, working on the muscle that is reacting instead of the nerve causing the reaction.

Everything I had put down to bad luck turned out to be the same one thing.

Heat on its own does nothing to decompress a nerve root. Neither does vibration. Aimed at the knot while the nerve is still being squeezed, they buy about forty minutes. My entire evening routine, explained in one sentence.

What actually takes the pressure off, she said, is decompression, and it has an angle. Most cheap neck stretchers use a random angle and either do nothing or make the pinch worse. Mine had cost thirty dollars and did nothing at all.

What the research actually says

In 2006 a team published fifty cases in the journal Spine. Every patient had pain in the neck or around the shoulder blade. Every one of them had surgery on a single compressed nerve root in the neck. Nobody operated on the shoulder blade.

70%

35 of the 50 felt it in the neck or shoulder blade first

92%

46 of the 50 lost the pain once the nerve root was freed

In the seventy percent, the neck or the shoulder blade came first by months, before anything showed up in the arm or the fingers. On average it had been there more than seven months.

And the spot told the surgeon where to look. Pain between the shoulder blades pointed to the lower two roots in the neck.

Nobody touched the knot. It stopped because the thing sending it stopped.

Source

Tanaka Y, Kokubun S, Sato T, Ozawa H. “Cervical roots as origin of pain in the neck or scapular regions.” Spine, 1 August 2006, volume 31, pages E568 to E573.

PubMed, PMID 169241931
An empty physiotherapy treatment room with a cervical traction unit at the head of the table.

The angle is 26 degrees

That is the number she gave me. It is the same approach a spine clinic uses to take pressure off a nerve root.

Then she told me what those machines cost a clinic to buy. Twelve to fifteen thousand dollars. That is the whole reason this has always been something you drive to instead of something you own, and it is why a session runs what it runs.

What to look for, if you look at anything else

She was clear that the angle is not a setting you turn up or down. A key that is the right shape opens the lock. One that is close does not open it a little, it does not open it at all. Traction at the wrong angle is not a weaker version of the right thing. It is a different thing, and on a nerve that is already pinched it can make the day worse.

And decompression on its own is only one of the three. Take the pressure off but leave the muscle cold and tight and it clamps back down within the hour, which is exactly what my heat pad had been proving to me every evening for two years.

She mentioned that a group of physical therapists and cervical spine engineers had built a home version. The same 26-degree angle, the same heat, the same vibration, in a single device, fifteen minutes a day, without the appointments. It is called FisioRest.

It wasn't another pillow, another appointment, or another thing to dig into my shoulder blade. It was the first thing that went after the nerve instead of the knot.

Therapist designedwith cervical spine engineers
365 day returnsa full year to send it back
2 year warrantyfree shipping included
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What the fifteen minutes actually does

Everything in that drawer did one thing. Decompress, or heat, or massage. This does all three at the same time, and that's the whole difference.

Takes the pressure off

The 26 degree curve stretches the neck out and holds it in the curve it is meant to have, which takes the load off the nerve root. This is the one that stops the signal being sent.

Gets underneath

Heat raises blood flow into the deep muscles running along that nerve, the ones a pad on the surface never reaches. Three levels.

Lets go of the hold

Vibration releases the tension those muscles had been holding for years, once they finally have a reason to release it. Three intensities.

Artuvate's own product renders. Tap between the three.

That is why the heat pad on the sofa never held. It was warming a muscle that was about to clamp down again, because the nerve under it was still being pinched. Take the pressure off first and the muscle has a reason to stay loose.

Fifteen minutes, once a day

I lie back on the bed. My head rests into the cradle. One button, and I pick the heat and vibration level.

Fifteen minutes, usually in the evening. Nothing to learn, nothing to book, nothing to remember to reorder.

What the first two weeks were like

The first week I still caught myself reaching back to press on that spot out of habit. But the nail, that constant deep pressure, was not hitting the same intensity by the afternoon.

Week two I was sitting at my desk and realised I had gone most of the morning without thinking about my shoulder blade. Then I reached across the table for something and noticed my arm felt normal. No tingling. No warning that the feeling was coming.

I sat there for a second waiting for it to catch up with me. It didn't.

A few weeks later a friend asked if I had done something different. I had stopped the tennis ball routine and the evening heating pad, and she said I seemed less distracted. Less somewhere else.

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$300 a week. For months.

I did the math on the drive home from the physio. A physio or chiropractor visit is $80 to $150, two or three times a week. Three hundred dollars a week, for months. And it stops working the month you stop going.

One clinic session$80 to $150
Twice a week, one month$640 to $1,200
The three months I did, at $80 a session$1,920
FisioRest, once$89

Bars are drawn to the top of each range, against the largest figure here.

$89

And that bar never grows

Not a month, not a session. Then it's yours, and you use it every night if you want.

I added up what the five things above had already cost me. It came to more than three thousand dollars. All of it for pain that came back a few days later.

Set against that, eighty nine dollars was not really a decision. I had already spent more than three thousand on things that worked for a day. And if it did nothing, I had a year to send it back.

"This seems to really be helping… hundreds of dollars each week by reducing my visits to the chiropractor for decompression treatments."

Luke S.  Verified

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The FisioRest with the free neck pain guide and exercise set that comes with it.

Free gifts with your order

  • The neck pain relief program, “8 Ways To Fix Neck Pain”.
  • The exercise set, posture and daily stretches, one tip to a sheet.

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Three people who had already given up

4.8

502 ratings on Artuvate's own review page, across 110,000+ customers.

Three of them, in their own words, exactly as they wrote them.

Sophia E., the photograph submitted with this review.

"I no longer get pain and stiffness in my neck and shoudler. I'm so much happier and I'm even sleeping better!"

Sophia E.  Verified

Individual results may vary.

Mark C., the photograph submitted with this review.

"I work long hours at a desk, and by the end of the day, my neck feels stiff and achy. I know I have poor posture, and I've tried various remedies like neck pillows and ergonomic chairs, but they didn't provide much relief. I was skeptical about Fisiorest at first and figured I'd return it if it didn't work. After a few months of using it, I'm very impressed! The heat option is a game-changer, and the combination of stretching and massage makes a noticeable difference."

Mark C.  Verified

Individual results may vary.

Charlotte A., the photograph submitted with this review.

"It does relieve stiffness & pain, and the results hold in time, the pain doesn't come back as it does with pills, and that's what matters for me. It work for every family member who has tried it. 5/5 from me!"

Charlotte A.  Verified

Individual results may vary.

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If it does not work

You get 365 days to send it back. I ordered it that night and told myself not to expect anything, because I had been let down enough times to know better. You don't have to expect anything either. You just have to try one more thing.

"Was not thinking that this will work & only got it because of their 365 day money back guarantee, thought if it doesn't work I'll just return it, but it works very well so I won't be returning it."

Henry V.  Verified

P.S. If you take one thing from this, take the bit that took me two years. The knot is not where the problem is. It is where the problem is being sent. Every hour you spend working on the shoulder blade is an hour spent on the wrong end of the same nerve.

One note before you order. FisioRest combines traction, heat and vibration. If you have had cervical surgery, a recent neck injury, or you are being treated for a diagnosed spinal condition, speak to your doctor before using it. Numbness, weakness or pins and needles running down the arm or into the hand is worth having looked at rather than treated at home.

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  1. Tanaka Y, Kokubun S, Sato T, et al. "Cervical Roots as Origin of Pain in the Neck or Scapular Regions." Spine, 2006. Prospective observational study, fifty consecutive patients, single-root decompression alone. This study was not conducted using FisioRest or any consumer device. Its findings concern the origin of neck and scapular pain, not the effect of this product.

This is an advertorial and not a news article, blog, or consumer protection update.

Medical & health disclaimer. The information and other content provided on this page, or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. If you or any other person has a medical concern, you should consult with your health care provider or seek other professional medical treatment. Never disregard professional medical advice or delay in seeking it because of something you have read on this page or in any linked materials. If you think you may have a medical emergency, call your doctor or emergency services immediately.

Results vary from person to person. FisioRest is not intended to diagnose, treat, cure or prevent any disease or medical condition.

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