After a thorough examination to rule out the cervical and thoracic spine, what you have left is sharp, localized qi stagnation of the soft tissues causing the “rhomboid pain.” If it’s not the C or T spine causing the problem, then what could be causing this tissue issue? It can be a bunch of different reasons such as dehydration, electrolyte imbalance, poor posture, muscle imbalances, trauma, deconditioning, overuse, etc.
Iman Majd, MD, MS, EAMP / LAc
Dr. Iman Majd is the director of the Osher Clinic for Integrative Medicine at the  University of Washington and a member of the NCCAOM board of commissioners. Learn more at https://integrativehealth.org/iman_majd.