The number one complaint that I get as a massage therapist is a knot either under the shoulder blade or between the shoulder blade and the spine. When I first started doing massages I would go right to that area when people would complain about it. However, as much as I worked on it, it would never bring lasting results. I had to find a way to get this pain in the shoulder to go away for good. To get the desired permanent change I, and my clients, had to experience a paradigm shift.