Question
Hi, how are you. I have  had this shoulder surgery. The surgery involved  reattaching my Rhomboid Muscle and my Lower Trap Muscle to my scapular spine since it was detached. MRI does not show if these muscles are detached. The Surgeon have went in and noticed it. When he did my exam, he had a feeling these muscles were detached, but can't say, until he goes in with a open surgeon of the scapular. Once again, I am in chronic pain. Went to a massage therapist. She has told me that my lower trap muscle has come loose and feel off the scapular spine. That is why I have unbearable pain. The question I have is it possible for a massage therapist to make that observation. Sh have noticed it on my first visit with her. According to this surgeon, MRI does not show this. That is true, I spoke to about 5 patients that had this surgery, and the MRI was normal. I am writing m doctor a letter regarding what the massage therapist have told me. I believe she is telling me the truth. I have been to 5 other massage therapist in the last year, and they told me that I have scar tissue issues, and it would take about 10-20 visit to see a improve to get rid of scar tissue. This Massage therapist has studies abroad and has many degrees in all aspects of the human body. Also she told me, I have scar tissue, but that is not causing the unbearable pain. Again, is it really possible for a massage expert to notice the trap. is off the scapular spine. I don't want my Orthropedic doctor to think I am a fraud. .  He may see it is impossible to notice that, but he is not a massage experts. Thanks, Todd.

Answer
I would think an MRI would show any detachment of the muscle form the shoulder blade plus it would show swelling/edema. A very skilled massage therapist may be able feel the muscle abnormality but why would it be pulled away if they were already surgically repaired? You could find a sports medicine doctor or chiropractor that has diagnostic ultrasound to image the muscles.  Best Regards, Dr. Peck