Scalenes

Overview

The scalene muscles are a group of three muscles (anterior, middle, and posterior) on each side of the neck. They run from the cervical vertebrae to the first and second ribs. They assist in neck flexion, lateral bending, and rib elevation during breathing.

Pain Pattern

Scalene trigger points produce one of the most complex referred pain patterns of any muscle group. Pain can radiate into the chest, down the front and back of the arm, into the hand, and across the upper back. The pattern frequently mimics thoracic outlet syndrome, carpal tunnel syndrome, and even cardiac pain.

Common Causes

Chronic stress breathing using accessory muscles, forward head posture, sleeping with the head elevated too high, whiplash, and prolonged carrying of heavy bags on one shoulder all contribute to scalene trigger point activation.

How to Use the Pressure Pointer

The scalenes require careful technique. Position the Pressure Pointer on the side of the neck, between the sternocleidomastoid and the upper trapezius, at the level of the mid-cervical spine. Use light to moderate pressure only. Hold for 30 to 45 seconds. Never apply strong force to the anterior neck.