Rhomboid Major

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.

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

Vascular supply: Descending scapular artery.

• Primary: The pain refers along the vertebral margin of the scapula.
• Satellite or associated triggers: Scalenes, Levator scapulae, Middle Trapezius, Infraspinatus, Latissimus dorsi.

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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.

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