Pain Posture Performance
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Combining a selection of innovated soft tissue therapies, corrective exercises and fitness training to address the factors causing your pain or discomfort.
First Flow Stretch 2, that’s a wrap.
Thank you to all the students who came to our very first Flow Stretch 2 in Merrimac, MA. It was a great weekend filled with knowledge and laughter.
Next up Escondido, CA August 1-2. Check link in bio for sign up.
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The Subclavius is a small but often overlooked muscle located underneath the collarbone, running from the first rib to the underside of the clavicle. Its primary role is to stabilize and depress the clavicle while assisting with shoulder girdle mechanics and protecting neurovascular structures passing beneath the collarbone.
Trigger points within the subclavius can refer pain into the anterior shoulder, clavicle, upper chest, arm, and occasionally into the thumb or radial side of the hand due to its close relationship with the brachial plexus and thoracic outlet region.
This muscle is commonly aggravated by:
• rounded shoulder posture
• prolonged desk work
• heavy pressing movements
• repetitive overhead activity
• carrying heavy bags
• trauma or compression around the clavicle and first rib
Clinically, an overactive or shortened subclavius may contribute to thoracic outlet symptoms, anterior shoulder tightness, altered scapular mechanics, and protective guarding around the upper thorax.
Active and passive stretching are both incredibly important when it comes to restoring movement, reducing pain, and increasing confidence in our clients.
But knowing WHEN to use one over the other… that’s where the real skill begins.
At PPP, we don’t just teach stretches.
We teach:
• assessment
• intent
• positioning
• load management
• and how to integrate stretching into real-world movement and performance.
We dive deep into all of these concepts in our online CE course:
Stretching & Flexibility.
Perfect for:
• massage therapists
• trainers
• movement professionals
• rehab specialists
• bodyworkers
Comment “COURSES” below and we’ll send you the full information on this comprehensive Stretching & Flexibility program
04/30/2026
Tag your go to Therapist below ⬇️
Shoulders rarely become “bad shoulders” in isolation.
Most persistent shoulder issues are a story of what’s happening around the shoulder:
→ a stiff thoracic spine that limits clean overhead movement
→ neighbouring tissues like the lats, long-head tricep, and long-head bicep pulling mechanics off course
→ a scapula and shoulder girdle that can’t create the stability the joint depends on
This is why chasing symptoms at the front of the shoulder only gets people temporary relief.
Real long-term shoulder health usually improves when you zoom out:
✔ restore thoracic mobility
✔ release and strengthen the musculature feeding into the shoulder girdle
✔ rebuild scapular control and shoulder stability
Treat the shoulder like part of a system — not an isolated joint — and outcomes change dramatically.
The best shoulder rehab is rarely just shoulder rehab.
in what position do you normally treat upper trap trigger points?
Prone
Supine
Side-lying
Seated…..
The trapezius contains five clinically significant trigger point regions distributed throughout its upper, middle, and lower fibers.
Upper trapezius points commonly refer pain into the posterolateral neck, mastoid region, temple, and jaw, often mimicking tension-type headaches. Mid-fiber trigger points may generate deep aching across the acromion, suprascapular area, and medial scapular border, while lower trapezius involvement can refer discomfort into the interscapular and thoracic paraspinal regions
Recognition of all five referral sites is critical in accurately addressing persistent cervical, shoulder, and scapular pain of myofascial origin.
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see our stories and bio for more information
Hip mobility is one of the quiet foundations of longevity—when your hips move well, everything else tends to follow. Walking, bending, training, even just getting up and down stays smoother, easier, and pain-free. Keep your hips strong and mobile, and you’re not just improving performance—you’re investing in how your body feels for years to come.
If you can’t make it to our live classes please see our bio. We have several online CE courses as well as our online PPP Academy. Message us for a special discount.
04/22/2026
What are your go to techniques to help improve ankle Dorsi flexion?
1: Subtalar glide: Restores smooth side-to-side motion in the foot to improve balance and reduce ankle strain.
Subtalar glide: 1–2 sets of 5-second pulses with 10-second holds to restore foot motion and improve pain-free dorsiflexion.
2:Talocrural mobilization: Enhances ankle joint movement to help you squat, walk, and move with less restriction.
Talocrural mobilization: 3–5 second holds for 3–5 rounds to help the ankle glide forward with less pain and restriction.
3: Anterior ankle retinaculum release: Reduces tension at the front of the ankle to relieve stiffness and improve mobility.
Anterior ankle retinaculum release: 2–3 minutes of focused release to reduce front-of-ankle stiffness and allow better dorsiflexion.
4: Straight leg muscle energy technique (gastroc): Activates and lengthens the calf to improve flexibility and reduce tightness.
Straight leg gastroc stretch: Using the PPP protocol — 5-second contract, 5-second relax — to improve calf length and pain-free ankle motion.
5: Bent leg soleus stretch: Targets the deeper calf muscle to support better ankle mobility and stability.
Bent leg soleus stretch: PPP protocol — 5-second contract, 5-second relax — to target deeper calf tightness and enhance dorsiflexion.
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