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Serratus Anterior
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Protraction of the scapula (pulls the scapula towards the front of the body). |
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Pain is felt in the anterolateral (front/side) midchest area, the
medial aspect of the inferior angle of the scapula, and may project down the medial aspect of the arm.
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A person with TrPs in the serratus anterior muscle may complain of a pain during deep breathing or a “stitch in the side” while running. The runner may press the area to relieve the pain to keep going. People also have difficulty laying on the
affected side. A person may also complain of shortness of breath or cannot take a deep breath due to pain. They will not be able to finish a sentence without stopping to breathe.
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- TrPs in other muscles, such as middle trapezius, rhomboid, external oblique, diaphragm, and paraspinal muscles.
- Costochondritis.
- intercostals nerve entrapment.
- C7-C8 root lesions.
- Herpes zoster.
- Broken rib or stress fracture.

- Excessively fast or prolonged running, push-ups, lifting heavy objects, or severe coughing during respiratory disease.
- Abrupt forceful turn of a vehicle or machinery that does not have power steering.

- Avoid push-ups, overhead lifting, hanging from a bar, or chin-ups.
- Learn diaphragmatic breathing.
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References :
Simons DG, Travell JG, Simons LS, Myofascial Pain and Dysfunction: The Trigger Point Manual, vol 1, 2nd Ed. Baltimore: Williams and Wilkins, 1999.
Travell JG, Simons DG, Myofascial Pain and Dysfunction, vol 2. Baltimore: Williams & Wilkins, 1992.
This information is not intended to diagnose, treat, or cure any disease.
A proper diagnosis should be sought from a licensed health care provider. |
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