There are two very effective techniques that may be used to maximize results:
1) It’s very helpful to have someone help with massaging this area, but holding it against the back of a chair also works quite well (see low back techniques). This is an area that most often results from tightness and stress of the low back and/or neck muscles.
2) The massager is set at a comfortable level and can be moved up and down the spine in a gentle circular motion concentrating on specific tender areas or trigger points. It is especially helpful to massage around the edges of the shoulder blades (scapula).
Duration: This can be done several times a day for 5-10 minutes at a time or until comfort is achieved