Why Your Neck Pain Keeps Coming Back: The Hidden "CT Joint" Adhesion

Nickolas Fransen, L.Ac.
January 20, 2026
3 min read
Treating the CT joint capsule for chronic neck pain

Precision treatment of the Cervicothoracic (CT) Junction is often the missing link in chronic neck pain recovery.

Nickolas Fransen

Written By

Nickolas Fransen, L.Ac.

Licensed Acupuncturist & Adhesion Release Method Specialist

Imagine going to therapy for months, getting adjustments, massages, and doing endless chin tucks, only to have that nagging pain between your neck and shoulder blade return every single time.

This is the reality for millions of people suffering from chronic neck pain. And the reason isn't that your neck is "weak" or that you have "bad posture."

The reason is often a specific, hidden adhesion that almost everyone misses: The CT Joint Capsule.

What is the CT Joint?

The Cervicothoracic (CT) Junction is the transition zone where your flexible neck (cervical spine) meets your rigid upper back (thoracic spine). It's a high-stress area that acts like a hinge.

Because of the immense mechanical load on this area—especially with modern phone and computer use—the joint capsules here are prone to developing dense, glue-like scar tissue called adhesion.

The "Shooting" Symptom

When the CT joint capsule is glued down, it often mimics a disc herniation. Patients typically feel a sharp or dull ache that shoots down from the lower neck to the inside border of the shoulder blade (medial scapula).

Why Most Treatments Fail

Standard treatments often fail because they don't address the adhesion itself:

  • Adjustments: Can mobilize the joint temporarily, but if the capsule is glued shut, the joint will stiffen up again within hours.
  • Massage: Rubs the surface muscles (traps and rhomboids) but rarely goes deep enough or precise enough to reach the joint capsule itself.
  • Stretching: Pulls on the flexible healthy tissue above and below the adhesion, leaving the glued-down spot stuck.

The ARM Solution: Precision Matters

In the Adhesion Release Method (ARM), we don't just guess. We feel for the specific texture of adhesion in the CT joint capsule.

As seen in our recent advanced training sessions, treating this area requires extreme precision. The provider must set up the treatment pass exactly right to tension the capsule without irritating the surrounding nerves.

"Without getting the adhesions removed here, disc episodes are guaranteed to continue for neck pain sufferers."

Once this adhesion is released, the relief is often immediate and, more importantly, permanent. The joint can finally move freely, taking the pressure off the discs and nerves.

Do You Have CT Joint Adhesion?

If you have:

  • Pain at the base of your neck
  • Aching that travels to your shoulder blade
  • Stiffness that is worse in the morning
  • A history of "failed" neck treatments

...then you likely have adhesion in your CT joint capsules.

Stop the Cycle of Neck Pain

If you're tired of temporary relief, let's check your CT joint for adhesion. Schedule your assessment with Nickolas Fransen today.