May 1, 2015

Pain Source in the Neck (2) – How to Massage Scalenes



It is important to know how to massage these key muscles for many problems as mentioned in the last post.  Don’t be afraid of touching your neck.  You may want to lie down while massaging so that your neck gets relaxed.   

Scalenes are behind the sternocleidomastoid (SCM).
To reach the anterior scalene, with your opposite hand, you have to push the sternocleidomastoid aside toward your throat to locate it between the sternocleidomastoid and the neck vertebrae.  

© Clair Davies
Get your fingertips in front of the vertebrae and push the anterior scalene against the vertebrae up behind your ear and down to the collarbone (clavicle).  If you feel the pulse, just get out of the way.  You will feel tenderness if trigger points are active.  You might find the worst one behind the collarbone.  It is normal to feel a referred sensation somewhere else or mild nervy sensation.  Stroke on each trigger point side to side up to six times.

To locate the middle scalene is easier.  Get your fingertips on the side of the neck vertebrae.

The posterior scalene is buried almost behind the collarbone and tricky to find.  Find where your collarbone meets the top ridge of the shoulder, and move toward the throat along the collarbone. 

© Clair Davies
When you press downward toward the collarbone, you feel a bony structure underneath.  The posterior scalene is around there, and it feels ropy and moves around.  It brings to me a mild nervy sensation, not tenderness, and sends a referred sensation to my back at the inner edge of the shoulder blade.  It may not be comfortable first, but if you don’t find trigger points in the anterior and middle scalenes, this posterior scalene is the key, so don’t be discouraged.