From its proximal attachment to the upper 4 cervical transverse processes to its distal attachment to the superior medial border of the scapula, this muscle has multiple actions:
- elevating the scapula
- tipping the glenoid downward
- ipsilateral rotation of the . . .
Posted in: triggerintramuscular therapycervicalcervical instabilityacupuncturerehabdry needlingtpdntrigger point seminardry needling instructiondry needling seminartrigger point dry needling coursetrigger point dry needling instructionneedlingshoulder painpainshoulderlevator scapulascapulalevator
The importance of anatomical localization: The Scalenes
When needling, whether it be dry kneeling or acupuncture, precision is key (1, 2). It is often said that "if you don't know where your needle is, you probably shouldn't be there". This is very true and in areas like the apex of the lung field, especially prudent.
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We all know that needling the trapezius can be a great thing, especially with the typical "J" referral pattern working so well for headache and neck pain.
We also know there is much literature to be found regarding its efficacy for: mechanical neck pain (1,2), myofascial pain (2-4), range of motion (5), local blood flow (6), . . .
Posted in: trapeziusheadacheheadachesintramusculartherapyintramuscular therapyrehabilitationacupuncturerehabseminardry needlingtpdntrigger point dry needlingdry needling instructionneedlingtrigger point dry needling seminartrigger