By Paul Bailey MSc – Cert Ed - IGCT

Introduction

Scalene pain is a relatively common condition; however, it is frequently misdiagnosed. Deep within the neck there is an area known as the anterior Triangle. It is in this area that 3 Scalene muscles reside. These muscles originate from your cervical spine and insert into your first and second ribs.

The muscles function to elevate your ribs, tilt your neck and assist in breathing. When these muscles become irritated, they tend to cause localised and referred pain. Areas commonly affected are the neck, shoulder, arm, hand, shoulder blade and chest.

What are the causes of SMPS?

Chronic muscle overuse, poor posture and repetitive microtrauma are some of the leading primary causes of this condition.

Why is SMPS often misdiagnosed?

There are many other conditions known to cause localised and referred pain similar to that of SMPS. Such conditions include cervical disk prolapse, spinal stenosis and thoracic outlet syndrome. Misdiagnosis often leads to mismanagement, which leads to persistent pain and suffering.

What are the long-term implications of SMPS?

Poor management of the condition ultimately leads to weak and stiff muscles. Thus, it can significantly impact on a person’s level of daily activity and quality of life.

Treatment and management

The principle management of SMPS consists of an advanced massage technique known as Trigger Point Therapy. However, other treatment methods are used to eradicate this condition. For example; stretching, deep tissue massage and heat therapy.

About Paul Founder of PAYGT

Paul, has over 23 years of clinical/teaching experience. He has a Masters Degree, Several teaching qualifications and is a qualified assessor and internal, external quality assurer. Over his teaching career, he as taught courses in the following sectors;

• Fitness, Health and Therapy
• Public Services
• Health and Social Care

Paul has an avid interest in use of the many modality types used to treat dysfunctional and Injured tissue.