Rhomboid muscle pain isn't always a muscle problem! The deep connection between the liver and gallbladder system and shoulder and back pain – something every Hong Kong resident should know.

Do you think that pain on the inside of your shoulder blade (rhomboid myalgia) is due to poor posture or muscle strain? Dr. Eric Berg reveals a surprising truth: right shoulder and back pain may be referred pain caused by liver, gallbladder, or bile duct problems .

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🧠 Why do liver and gallbladder problems cause shoulder and back pain?

Neural connections : The hepatobiliary region is connected to the cervical nerves via the phrenic nerve.
Cervical nerve ( C5 ) → rhomboid and levator scapulae muscles → liver and gallbladder pressure can be reflected to the shoulder and back muscles.
The principle of pain transfer : Just like when you step on a dog's tail, the dog barks not because its mouth hurts, but because its tail is being pressed.

🩺 Common liver and gallbladder problems and symptoms

Problem Type	Symptoms and effects
Cholecystitis/Gallstones	Right upper abdominal bloating and pain, tightness in the shoulders and back
Cholestasis	Indigestion, right shoulder pain, fatigue
Fatty liver/hepatomegaly	Liver compressing nerves → persistent shoulder and back pain

👉 Simple test : Massage below the right lower rib (gallbladder location) for 10 seconds → If shoulder and back pain is temporarily relieved, it may be a liver or gallbladder issue.

🚫 Foods that the hepatobiliary system fears most

Grains
Sugar
Oils high in Omega-6 (such as peanut oil and corn oil)
Fried foods, potato chips, nut butters (peanut butter, almond butter)
Alcohol, processed foods, frequent eating

🥗 Dietary recommendations for improving liver and gallbladder health

High-quality protein : eggs, fish, grass-fed beef
Plenty of vegetables/salads : help bile flow and reduce the burden on the liver.
Avoid eating only meat and no vegetables → it makes it harder for the liver to metabolize.
Raw vegetables are better : they retain enzymes and aid digestion.
Intermittent fasting : reduces the burden on the digestive system

💊 Recommended natural supplements

TUDCA (Taururose Deoxycholic Acid) : Helps dilute bile → Improves bile duct flow.

Take on an empty stomach: 2 tablets in the morning and 2 tablets in the afternoon.

Bile salt supplements : Take after meals → Helps digest fats and reduces stress on the liver and gallbladder.

🧘 ♂️ What if it really is a muscle problem?

Mobility Stick Stretching Tool : Targets the rhomboid muscles and scapular muscles.
Improve sitting posture and computer posture → reduce muscle stress
Combined with massage, hot compresses, and myofascial release → accelerates recovery

🧾 In conclusion: Don't assume that "shoulder and back pain = muscle strain" anymore. Understanding the root cause is key to real improvement.

Starting today, a liver-protecting diet, a simple massage test, and a targeted stretching tool will lay the foundation for your shoulder and back pain!

Don't be misled by the myth that "muscle pain = stretching solves it." True health comes from recognizing the underlying causes, adjusting accordingly, and protecting your liver! 💪🫀🫁