A therapist must know this muscle group and its trigger points very well if they are to offer effective solutions to their client’s chest pain, upper back pain, shoulder pain, radiating arm pain or thoracic outlet syndrome, wrist pain, and hand pain complaints. The job of releasing Scalene trigger points is made more difficult by the somewhat hidden location of the muscle group and its proximity to many important nerve trunks and blood vessels in the neck region.
Neck pain is a lot more prevalent in women compared to men, regardless of occupation or age. Stressed younger women suffer from more neck pain in comparison to their male counterparts. Women also perceive everyday life to be more stressful.
Sometimes wrist and hand pain come from thoracic outlet syndrome. We can test for it with a nerve tension test (shown in this graphic). If you want to learn how to evaluate the nerves, this DVD Nerve Mobilization teaches that. http://www.realbodywork.com/nerve/nerve.htm
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