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Scalene muscles - Clinical significance

1/4/2019

 
The scalene muscles are a group of three pairs of muscles in the lateral neck, namely the anterior scalene, middle scalene, and posterior scalene. 
​They are innervated by the fourth, fifth, and sixth cervical spinal nerves (C4-C6).
The anterior and middle scalene muscles lifts first rib and bends the neck to the same side;
the posterior scalene lifts the second rib and tilts the neck to the same side.
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Clinical significance
​The anterior and middle scalene muscles can be involved in certain forms of thoracic outlet syndrome as well as myofascial pain syndrome, the symptoms of which may mimic a spinal disc herniation of the cervical vertebrae.

Since the nerves of the brachial plexus pass through the space between the anterior and middle scalene muscles, that area is sometimes targeted with the administration of regional anesthesia by physicians. The nerve block, called an interscalene block, may be performed prior to arm or shoulder surgery
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While each Scalene muscle can harbor multiple trigger points, the primary trigger point in the Anterior Scalene is the most frequently encountered

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​​​Very thorough information, with a quiz that really makes you read and digest the notes
The videos are a good touch, too.
Would recommend this study option to anyone needing to complete their CPE points." P Jancovich

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  • Home
  • Workshops
    • Thoracic Outlet Syndrome Study Module Details
    • Frozen Shoulder (Adhesive Capsulitis) Study Module Details
    • Plantar Fasciitis Study Module Details
    • Carpal Tunnel Syndrome Study Module Details
    • Patellofemoral pain syndrome Study Module Details
    • Headaches Study Module Details
    • Whiplash Study Module Details
  • Contact Us
  • Policies
  • Blog