Scalene Trigger Points
Testing for Scalene Muscle Issues:
- Visual Test: Most easily seen by people who hold their neck crooked to one side. Since the scalenes are responsible for tilting the head, a person exhibiting a natural head tilt often has a tight set of scalenes on one side and a deactivated set of scalenes on the other side.
- Strength Test: Standard muscle tests can also be used by isometrically measuring the relative tilt for a client can provide.
- Range of Motion Test: Measuring the relative distance a client can tilt their head left or right can indicate possible scalene issues.
The SCM is in the same general location and the scalenes, so it may be difficult to visually isolate these muscles. In addition, it’s easy to confuse the function of the Clavicular Sternocleidomastoid muscle (tuck left/right) with Scalenes (tilt left/right)
Common Functional Symptoms:
- Chest Pain towards near the sternum like to fingers pressing on your chest
- Neck pain or neck crooks
- Pain inside the shoulder blades
- Pain running down the arm or index fingers
Notable causes of pain:
- Car Accidents
- C3-C7 disc replacement surgery or implants.
There are three Scalene Muscles on each side of the neck:
- Anterior Scalene
- Medius Scalene
- Posterior Scalene
They provide the same general function — head tilting. Because any of the three scalene muscles could be injured, it’s important to test range of motion and strength of each of the 6 scalene muscles.
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