Chiropractor Chandler AZ

Carson Robertson
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Sternalis Trigger Point

The origin of the Sternalis muscle is the manubrium of sternum or clavicle. The muscle’s insertion is on the xiphoid process, pectoral fascia, lower ribs, costal cartilages or rectus sheath, and it is innervated by the lower intercostal nerves.

The trigger point is located in the torso and the referred pain is in the front of the chest, causing rapid, fluttery, irregular heartbeat and heart attack-like pain. The trigger point also causes pain in the front of the arm and shoulder. The images below show the trigger point and path of referred pain.

sternalis trigger point
Conservative Treatments

Therapeutic treatments for addressing soft tissue injuries involve massage therapy, manual therapy, trigger point therapy, Graston Technique, or Active Release Technique. These treatments increase blood flow, decrease muscle spasms, enhance flexibility, speed healing, and promote proper tissue repair.

When these treatments are incorporated into a treatment plan patients heal faster and are less likely to have long-term pain or soft tissue fibrosis or scar tissue in the injured muscle. These soft tissue treatments are incorporated with therapeutic exercise and flexibility programs.

Treatment for headache symptoms may involve many prescription, over the counter, herbal, and homeopathic remedies. The neck muscles need to function appropriately and not remain in spasms, which alters neck spinal movements and postures. For those with arthritic degeneration in the cervical spine, restoring proper muscle function is even more important. This often requires people to change their postures, habits, and activities. Acupuncture has been known to help headache sufferers.

Working any muscles in the front of the neck is not comfortable, but it needs to be done to restore proper cervical and shoulder function. The neck, shoulder, scapula, and arm work as a functional unit to turn your head, raise your shoulder, or reach in front of you. Dysfunction in any of these muscles leads to pain and tendinopathy.

Medical Treatments

NSAIDs are often prescribed for the initial acute injury stages. In severe cases that involve multiple joint regions, muscle relaxers or oral steroids can be given. Trigger point injections, botox, or steroid injections can be treatment options. Pain management is not usually required unless stronger medications or joint injections are required for treatment.

MRI and X-rays will not usually be ordered to evaluate mild to moderate muscle, tendon, and ligament injuries. Severe cases may utilize advanced imaging to rule out bone fractures, edema, nerve entrapments, tendon or muscle ruptures. NCV testing may be utilized in cases that also involve muscle, sensory, or reflex loss.

Cervical spinal disc bulges and herniations onto the spinal cord or nerve root produce different symptoms and location of symptoms. Your chiropractor, physical therapist, occupational therapist, or physician will evaluate your condition and make a proper diagnosis and treatment recommendations. Ask them any questions you might have about your injury and treatment progression for your neck.

In Conclusion

The neck and upper extremity works as a comprehensive unit performing many of the repetitive tasks at home, work, and recreational sports. Injuries to one area of the musculature often indicate that additional damage has been incurred by other muscles.

Many therapeutic exercises can help restore proper strength and endurance to the neck, shoulder, upper back, and arm muscles. Isometric exercises are often the initial treatment exercises. Followed by single plane rubber band exercises for elbow flexion, extension, lateral flexion, abduction, and adduction movements. Dynamic exercises involving stability ball push-ups can be performed on the wall or floor. The more unstable of the surface the more effort and stabilization is required of all the upper extremity muscles.

Push-ups on a stability ball enhances neuromuscular learning throughout the neck, scapula, shoulder, upper arm, and lower our muscles. Additional strength exercises can be found on the arm and shoulder strengthening pages.

Our Chandler Chiropractic & Physical Therapy clinic treats patients with a variety of muscle, tendon, joint, and ligament injuries. The clinic provides treatment for runners, tri-athletes, and weekend warriors in addition to common headache, neck, and back patients traditionally seen in Chiropractic, Physical Therapy, Massage Therapy clinics. We work with all ages and abilities of the residents in Phoenix, Tempe, Gilbert, Mesa, and Chandler AZ.