Trigger Point Therapy Palo Alto | Upper Back & Shoulder Tension Release
Office professional holding a tense shoulder after desk work
Avy Spa · Trigger Point Therapy · Palo Alto

Trigger Point Therapy for Upper Back & Shoulder Tension Release

Focused Trigger Point Therapy for stubborn muscle knots and built-up tension across the upper back, shoulders and shoulder-blade area. Your therapist works slowly through connected muscle patterns and adjusts the pressure to your comfort.

How booking works: Review the Trigger Point options and prices on our booking page, then continue securely to choose your therapist, enhancements and live appointment time.

Choose 90 or 120 minutes when you want detailed shoulder work without losing the full-body massage.
Top of the ShoulderHeavy · tight · constantly raised
Inside the Shoulder BladeStubborn knot · tired burning
Neck to ShoulderStiff · pulling · hard to relax
One-Sided TensionMouse · driving · bag carrying
Start With What You Feel

Which Shoulder Pattern Feels Most Like Yours?

These are common muscular tension patterns—not diagnoses. Choose the closest match and show your therapist the exact area before the massage begins.

01 · Upper Shoulder

Heavy at the Top of the Shoulder

The shoulder stays lifted after work, feels weighted by the end of the day, or never fully settles when you rest.

Common muscle area: upper trapezius and levator scapulae—the muscles that help support and raise the shoulder blade.

Recommended: 90 minutes when the neck and upper back feel connected.

02 · Shoulder Blade

One Knot Beside the Shoulder Blade

A hard-to-reach point feels knotted, tired or irritated after screens, driving, pulling exercises or rounded posture.

Common muscle area: rhomboids, middle trapezius and infraspinatus around the inner and back surface of the shoulder blade.

Recommended: 90 minutes for the point plus its connected upper-back muscles.

03 · Neck Connection

Pulling From the Neck Into the Shoulder

Turning the head or looking down makes the base of the neck, side of the neck or upper shoulder feel tight together.

Common muscle area: upper trapezius, levator scapulae, scalenes and sternocleidomastoid around the side of the neck.

Recommended: 90 minutes so the therapist can work gradually around sensitive neck structures.

04 · One-Sided Load

One Shoulder Works Harder

Mouse use, commuting, carrying a bag, workouts or repetitive tasks leave one shoulder tighter than the other.

Common muscle area: posterior shoulder, rotator-cuff muscles, rear deltoid and the shoulder-blade stabilizers.

Recommended: 120 minutes when several connected areas or full-body fatigue are present.

Not sure which pattern fits? Book the time you want and point to the area when you arrive. Your therapist will personalize the focus.

Who It’s For

For Workdays, Active Days and Tired Muscles

Trigger Point Massage is a wellness service for everyday muscle tension, tightness and post-activity fatigue. It is personalized to your comfort and does not diagnose a medical condition.

01

Executives & Screen-Heavy Work

Long computer or phone sessions can leave the neck, shoulders and upper back feeling tight, sore or tired.

02

Driving & Long Hours Standing

Commuting, standing for work or repeating the same position may create one-sided shoulder or back fatigue.

03

Physical Work & Active Lifestyles

Lifting, carrying, training and repetitive movement can leave several muscle areas stiff-feeling after activity.

04

Stress & Full-Body Fatigue

Busy weeks, limited sleep and ongoing stress may make familiar neck, shoulder, upper-back or lower-back tension more noticeable.

Why connected areas matter: the chest, neck, shoulder blades and back share daily workloads. Your therapist can check the surrounding muscles instead of pressing only one spot.
How Trigger Point Therapy Works

Focused Work, Applied Slowly and Intentionally

Trigger Point work is not a contest for the deepest pressure. Your therapist first warms the area, follows the connected muscle pattern and pauses over selected points while checking how your body responds.

01

Locate the Pattern

You point to the spot. The therapist checks whether nearby neck, chest, shoulder-blade or upper-back muscles feel connected.

02

Warm, Press & Recheck

Pressure builds gradually, pauses over selected muscular points and is adjusted when the sensation feels too sharp or intense.

03

Restore Full-Body Ease

A longer session combines detailed shoulder work with full-body massage so the rest of the body has time to settle.

Sensations and responses vary. Focused pressure should remain tolerable and is not intended to reproduce sharp, electric or worsening pain.

Why One Tight Spot Can Feel Connected

Neck and Shoulder Tension Can Follow a Wider Muscle Pattern

A sore point near the neck or shoulder blade may feel connected to nearby muscles in the upper back, shoulder and arm. During your session, the therapist works around the muscular pattern instead of pressing only the most sensitive spot.

Useful for desk work, driving and repeated one-sided movement.
Pressure is adjusted gradually and should remain tolerable.
Massage is for muscular tension and does not diagnose nerve or spinal conditions.
Illustration of neck and shoulder discomfort extending toward the shoulder and arm
Illustration showing a common neck-to-shoulder and arm discomfort pattern. It is educational and is not a medical diagnosis.
Avy Spa therapist applying focused pressure around a guest's upper shoulder and shoulder blade
Focused Trigger Point work can be paired with one complementary enhancement during a longer massage.
Optional Massage Enhancements

Add One for a More Complete Session

Choose one Add‑On based on the sensation and pressure style you prefer. Each enhancement is integrated into your scheduled massage.

Optional Add-On · +$15

Hot Stone

Comforting heat helps broader shoulder and upper-back muscles settle before focused pressure.

Best for: warmth · gradual relaxation

Optional Add-On · +$15

Back Walking

Broad, supported foot pressure covers larger back muscles while detailed shoulder work remains precise.

Best for: firm · wide pressure

Optional Add-On · +$25

Cupping

Silicone cups create a lifting sensation over selected upper-back areas. Temporary circular marks may occur.

Best for: lifting instead of downward pressure

Optional Add-On · +$25

Gua Sha

A smooth-edged tool adds warming, focused strokes around selected neck, shoulder or upper-back areas.

Best for: targeted tool-assisted work

Important: Add‑Ons are enhancements paired with a scheduled massage—not stand-alone treatments. Choose one compatible option so there is enough time for both the focus area and full-body relaxation.

Clear Session Options

Choose 60, 90 or 120 Minutes

Choose 60 minutes for one main area. Consider 90 or 120 minutes when you want more focus areas plus a complete full-body massage at an unhurried pace.

Short & Focused

60
minutes · $110
  • One main focus area
  • Targeted neck, shoulder or upper-back work
  • Best when your priority is clear
View 60-Minute Options
Frequently Asked Questions

Quick Answers Before You Book

What is the difference between Trigger Point Therapy and deep pressure?

Deep pressure describes intensity. Trigger Point Therapy is more specific: the therapist slows down over selected muscular points, checks connected areas and adjusts the pressure according to your feedback.

Should Trigger Point Massage hurt?

It may feel concentrated or tender, but it should stay tolerable. Sharp, electric, numbing or worsening sensations are not the goal—tell your therapist immediately so the pressure can change.

Why does my shoulder knot return after computer work?

A massage can relax a muscular pattern, but the same screen posture, mouse position, stress response or repeated movement may load it again. Regular movement breaks and workstation changes may help between sessions.

Which muscles commonly feel tight around the shoulder?

Common areas include the upper and middle trapezius, levator scapulae, rhomboids, rotator-cuff muscles, rear shoulder and sometimes the neck or chest muscles that influence shoulder position.

Is 60 minutes enough for one shoulder knot?

Sixty minutes can work for one focused upper-body area. We recommend 90 minutes when the neck, both shoulders or upper back feel connected, and 120 minutes when you want several focus areas plus full-body relaxation.

Which Add‑On pairs well with heavy shoulders?

Choose Hot Stone for warmth, Back Walking for broad firm pressure, Cupping for a lifting sensation or Gua Sha for tool-assisted strokes. Your therapist can help you select one compatible option.

Can I feel sore afterward?

Some guests notice temporary tenderness after focused pressure. Tell your therapist if you prefer a gentler session, and avoid treating more pressure as automatically better.

When should I seek medical care instead of massage?

Seek medical guidance first for a recent injury or surgery, severe or worsening pain, unexplained swelling, weakness, numbness, chest pain, fever or symptoms traveling strongly down the arm.

Avy Spa · Palo Alto

Show Us the Spot. We’ll Personalize the Session.

Choose 90 or 120 minutes for focused Trigger Point work, connected shoulder care and complete full-body relaxation.

3783 El Camino Real, Palo Alto, CA 94306 · Free parking behind the building