American   Academy   f   Manual   Medicine

Home  Search  Pain referral  Trigger points  Cranial nerve  Spinal nerve  Historical  About us  Contact us  Site map 

 

Pectoralis Major
Pointer Plus

Pointer Plus

The Pointer Plus is an easy to use trigger point (TP) locator which incorporates a push button stimulation feature to immediately treat Trigger point pain.

 

The Pectoralis major is a muscle of the chest.

Collectively with the Pectoralis Minor, they maybe referred to as the Pecs.

Anatomical Attachments:

  • Origin: Attaches to the clavicle, sternum, costochondral junction of the 2nd to 7th ribs, as well as the superficial aponeurosis of the external oblique.
  • Insertion: Attaches to the crest of the greater tubercle of the humerus.

Action: Adducts the arm, pulls it forward and rotates it internally.

Synergist: Pectoralis minor, Subclavius, Serratus anterior, Trapezius, Latissimus dorsi, Rhomboid major and minor, Levator scapulae.

Antagonist: Deltoid, Supraspinatus, Infraspinatus, Teres major and minor, Subscapularis.

 

Click for Upper Muscle Test 

Click for Lower Muscle Test 

 

Nerve Supply: Medial and lateral Pectoral nerve (C5, C6, C7, C8, and T1).

Vascular supply: Pectoral branch of the thoracoacromial and the perforating branches of the interior thoracic artery.

Vascular entrapment: While there are no studies depicting neurovascular entrapment by the pectoralis major, Travell and Simonís state that entrapment of the axillary lymph nodes will result in breast swelling and tenderness.

Travell and Simons Trigger Point Pain Referral:  

 

Click on a small image to view an enlarged image

 

Trigger Point Signs and Symptoms: Chest pain; front of shoulder pain; restricted shoulder abduction; subclavicular, arm, breast pain and tenderness.

Trigger Point Activating and Perpetuating Factors: Round shoulder posture, prolonged sitting while riding, slouched posture, heavy lifting, anxiety, sudden cooling of muscle.

Differential Diagnosis: Angina pectoris, Bicipital tendonitis, Costochondritis, Supraspinatus tendonitis, Subacromial Bursitis, Medial epicondylitis, Lateral epicondylitis, Pleurisy, (Segmental, Subluxation, Somatic dysfunction) C5 C6 C7 C8 or T1 Radiculopathy, Intercostal neuritis, Lung cancer, Mastitis, Breast cancer, Menses, Fibrocystic Breast disease, Lymphatic cancer, Lymphedema, Lymphadenopathy, Myocardial infarction, Esophagitis, Gastroenteritis, Hiatal Hernia, Gallbladder Dysfunction, Polyneuropathy, Polymyalgia rheumatica, Fibromyalgia, Polymyositis, Systemic lupus erythematosus, Ankylosing spondylosis, Diabetic neuropathy, Osteoarthritis, Osteoporosis, Eosinophilic fasciitis, Tetanus, Systemic infections or inflammation, Nutritional inadequacy, Metabolic imbalance, Toxicity, Side effects of medication.

 

Back to Top

 

Return to Search 

 



Home  Search  Pain referral  Trigger points  Cranial nerve  Spinal nerve  Historical  About us  Contact us  Site map 

Continuing Education © Copyright 2001, 2004, 2006. All rights reserved.