American   Academy   f   Manual   Medicine

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

 

Rhomboid 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 Rhomboid Major is a back muscle which connects the scapula to the spinal column.

Anatomical Attachments:

  • Origin: Attaches to the spinous processes of T2 through T5.
  • Insertion: Attaches to the lower 2/3 of the medial or vertebral border of the scapula to the inferior angle.

Action: Adducts, stabilizes, and rotates scapula.

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

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

 

Click for Muscle Test 

 

Nerve Supply: Dorsal Scapular Nerve (C4, C5).

Vascular supply: Descending scapular artery.

Travell and Simons Trigger Point Pain Referral:  

Click on a small image to view an enlarged image

 

Trigger Point Signs and Symptoms: Popping and grinding noises during movement of the scapula, aching pain at rest, rounded shoulders or slumped posture, and the inability to stand upright.

Trigger Point Activating and Perpetuating Factors: Hanging wallpaper, lifting boxes over your head, pull-ups, and extensive work at a computer.

Differential Diagnosis: Degenerative disc disease, (Segmental, Subluxation, Somatic dysfunction) C4 C5 C6 C7 C8 T1 or T2 radiculopathy, Myocardial Infarction, Pleurisy, Intervertebral stenosis, Fibromyalgia, Scapulocostal syndrome, Pulmonary carcinoma, Tetanus, Sprain/Strain syndrome, 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.