I have myofacial pain in my shoulder blade - from an injury where my arm was jerked behind me and up... there was alot of scar tissue around the scapula from it not healing correctly..

so where the scar tissue is where there is a trigger point - so if it in any way gets "tiggered" it then starts off an inflamation type effect.. like even with a massage, if it is pressed on too hard that will actually trigger it..

It is my understanding that myfascial is based on trigger points.. The physical therapy for it thru the years has been massage that is a very gentle streching of the area...
Little by litle so that it is not triggered..