The scalenes, as should be obvious from the preceding description, are quite complicated muscles and so they can have many different trigger points. Although it is a good idea to keep the shoulders pinned back during most lifting exercises, do not exaggerate this and do not excessively puff the chest out and up. Learn to take your breaths into the diaphragm (discussed more below) and don’t tense your neck, or crane if forward when lifting. When you strain on a heavy lift, such as a barbell squat, you may find yourself holding your breath while tensing the muscles in your shoulder and chest area. Travell & Simons’ Myofascial Pain and Dysfunction: the Trigger Point Manual. trauma from a hard fall or auto accident, whiplash (also affects sternocleidomastoid) 1 Simons, David G., Janet G.poor posture with head-forward, kyphotic slouching and other problems such as:.pulling or lifting (especially with arms at waist).work that requires repeatedly raising and lowering the arms.working long periods with arms overhead.
working for long periods with arms in front and possible slouched forward (as at a desk).labored breathing and/or habitual upper chest breathing (paradoxical), or chronic coughing, possibly associated with:.Here is a list of possible causes of scalene trouble which can lead to trigger points in the muscles or to neurovascular entrapment syndrome: Scalene Trigger Point and Pain CausesĪs stated in the article linked above, since the scalenes can become overly active in improper high-chest breathing habits or labored breathing due to lung or airway problems, this can cause the muscles to become overworked. You may want to find out more about the scalenes before you read on about scalene pain syndromes. The scalene muscles of the neck are quite complex and can be a huge source of pain from myofascial trigger points.
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