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Myofascial Pain Trigger Points pt.9 Anterior Scalene

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For such small muscles the scalenes cause a huge amount of pain in a large range of the body. When clients come in I often check the anterior scalene if they have issue with any of the following: arm pain, hand pain, thoracic outlet syndrome, headaches, migraines, chest pain and carpal tunnel syndrome. Being able to work on and release the scalenes effectively is an important part of any bodyworker’s tool chest.

You place gentle broad finger pressure on the muscle and hold. Have whoever you’re working on breathe and see if the muscle begins to give way. The upper portion often refers pain into the head the lower half down into the chest and arm. If you do not tell the client this notice that they’ll start moving their hand on the side you’re working as they feel the sensation.

The carotid artery is nearby and is fine, just don’t press into it if you feel the pulse underneath. When it doubt don’t. Take your time, breathe, go slow and use your hands effectively. Try working it on yourself and see how tight the muscle is.

Myofascial Pain Trigger Points pt.8 Coracobrachialis

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I’ve had pain in my arm for so long I’ve almost forgotten what it feels like to not have pain. I’d worked trigger points in subscapularis, infraspinatus and subclavius but still had some lingering pain. I was completely blown away when I found coracobrachialis.

My arm rotation, I’m happy to announce, is much greater and it’s improving slowly with ease, care and work. It feels nice to have my arm back after ten or more years.

When you work on the trigger point go slow. The area feels exquisitely tender and as I mention in the video be sure to use the pad of your thumb. No stress in the hands is needed and coracobrachialis is fortunately easy to access. Pull the elbow down into your side and you’ll feel the muscle pop up, relax the arm then press gently. Start in the middle of the arm then move slowly, purposefully into the armpit near the coracoid process.

Myofascial Pain Trigger Points

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Myofascial pain and trigger points from flexor carpi ulnaris should be the next spot you look at after working with flexor carpi radialis. The referred pain caused by trigger points here will be similar to flexor carpi radialis but in my experience the pain runs down towards the underside of the outer hand and to the middle to pinky fingers. If you believe you’re having carpal tunnel syndrome, check this area.

I find the forearm extensors to be the first stop in dealing with carpal tunnel syndrome but I recommend looking at these two trigger points in addition. Spending time at a computer is something most of us will continue for a long time so regular maintenance is a must. When you work the trigger point, go slow, it can be tender. You’ll find it exquisitely painful then hang out, breath and see if it releases.

Myofascial Pain Trigger Points

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Myofascial pain trigger points in infraspinatus are a problematic area to work on. They’re hard to reach but this video shows an easy way to access and treat these yourself. Infraspinatus is one of the muscles that make up the rotator cuff. This muscle in particular is an extremely common dysfunction I see in my bodywork practice. Due to its function in moving the upper arm around it means that it’s used when people lift their arms out in front of them. This happens in such common activities as driving, using a computer or many manual labor tasks like hanging sheet rock.

Keeping muscles in the rotator cuff relaxed seems to be good in preventing long term injury or a torn rotator cuff. When you think about tightening a guitar string to the point that it snaps, that is what can happen to a tight infraspinatus. Releasing chronic contractions and trigger points in the area go a long way to helping ease this tension and set things back in good working order.

Remember to go slow, breathe through your nose and relax onto a golf ball or tennis ball when you do this. Take your time and also keep in mind that the area can be extremely tender to the touch. Feel free to fold a rag or towel over your tool of choice to soften the pressure. The area is muscular, not bony and it takes time to get the superficial muscles to relax and allow a deeper tissue to be relaxed and released. Try it first for about 5 minutes, you can extend duration from there.