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Myofascial pain patterns of the scalene muscles (2)

Of all the scalene muscles, the scalenus minimus is the most variable, being present in one half to three quarters of individuals. Myofascial trigger points in this muscle refer strongly to the thumb, lateral arm, dorsum of the forearm and wrist, and all 5 fingers. (From Travell JG, Simon DG. Myofascial pain and dysfunction, scalene muscles, the trigger point manual. Volume 1. Baltimore: Williams & Wilkins, 1983:345, with permission.)

Associated Disorders

  • Fibromyalgia
  • Greater occipital neuralgia
  • Piriformis syndrome
  • Postexercise muscle soreness
  • Thoracic outlet syndrome
  • Whiplash