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Trigger Point Therapy - Treating Scalenes Trigger Points

Posted by Dr. Jonathan Kuttner on


Dr. Jonathan Kuttner - Treating Scalenes Trigger Points


Trigger Point TV


Notes for the Video Above:

It's worth remembering that trigger points in the psoas muscle (causing shortening of the psoas) can lead to adaptations in the scalenes, resulting in a short contracted state, thereby pulling up the ribcage and sometimes even affecting respiratory efficiency.

Clients may present with numbness in the anterior chest, the upper back, and the lateral-anterior shoulder down the arm. In many cases the pain may refer into the thumb and second digit.

The scalenes are a complex group of muscles with varying muscle fiber lengths, and therefore demonstrate the potential for many trigger points.

Excellent palpatory skills (and a lot of study and practice) may be required to successfully locate and treat these trigger points.


Chronic Pain and Trigger Point Therapy Specialist

 Dr. Jonathan Kuttner 

(MBBCH, Dip Sports Med, Dip MSM, FRNZCGP, FAFMM)


About Team NAT's Dr. Jonathan Kuttner

Dr Jonathan Kuttner is a musculo-skeletal pain specialist who has spent the last 35 years in New Zealand working as a doctor, teacher and writer.

In 2014 Dr. Kuttner was the recipient of the NAMTPT Lifetime Award for Contribution to Myofascial Trigger Point Therapy.

Dr. Kuttner is regularly featured on national TV and radio.








This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell. 




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