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Username: Samma

Registered: 10-2006
Posted on Monday, February 05, 2007 - 21:30:   

Hello, I have found palpating my neck a quite massive trigger point in what I believe is the second scalenes muscle. The muscles run quite closely here so I'm not sure about the exact location, but the point appears to be either L.I. 18 or S.I. 16 (it's about on the level of my adam's apple). Massaging it directly doesn't give much effect as the trigger point itself seems to be very unresponsive. The reason why I'd really want to get rid of this is because I'm a musician and I'm quite certain that having trigger points in (also) these muscles interfere with the ability of using my hands even if there isn't any explicit pain. I was wondering if acupuncture might be of any help and what kind of experience people here have with treating this kind of problems (I know some ch. med. theory so giving specific advice would be useful too). Thanks for any help..

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Shmuel Halevi
Posted on Tuesday, February 06, 2007 - 08:49:   

I suppose by trigger point you mean a painful point or area, or Ahshi point. Trigger point is not the right term for such a point. Si-16, acts quite often as a painful (or Ahshi) point, most often pointing to a problem of the Taiyang musculature system. This point has been extensively described on this thread:
You have mentioned that you are a musician, I daresay a violinist..(?).. that could explain the tenderness of this point.
In order to get rid of this painful point, I suggest that you have the entire Taiyang musculature system of your upper body checked by a specialist and treat the problem by acupuncture. Sometimes, puncturing even a very distant point such as Si-3, may solve the problem. If you wish to treat it yourself, I heartily recommend that you use my technique of Chopstick Acupuncture. It is indeed very efficacious in such cases.
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Phil Macqueen
Username: Phil

Registered: 02-2005
Posted on Tuesday, February 06, 2007 - 08:52:   

Hi Juho. With a neck problem like that I wonder if you play the violin?
Well done for finding the problem. There is possibly a simple answer and
that is to find the ORIGIN of the muscle on the Transverse Process of the
vertebrae its related to.
Often that is quite tender and feels like a rock when you press it. Like an
overgrown bone! I frequently needle these origin points and release Scalene
Scalenes can be tight if the Splenius Cervicus muscles are tight. Sometimes
bilaterally. Get face down and let a practitioner check them out for you.
Sometimes sitting with your head tipped forward while they are palpated from
T7 up to T1 will show them up as tense more clearly than face down.
Another point to be curious about is, how long have you had the problem.
If the simple fix DOESN'T fix it get a few other things checked to be sure
theres nothing else going on in the area

Good Luck
Phil in Sunny Brisbane Australia
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Username: Samma

Registered: 10-2006
Posted on Tuesday, February 06, 2007 - 11:39:   

No, I'm not a violinist, a guitarist actually and I first noticed this trigger point maybe 2-3 years ago when I learned about trigger points. Not sure how I got it, but now I've decided to get rid of it.. But I'm not sure I can do it on my own just massaging. The point is not very tender until I really press it for about 15 minutes or so and even after that it's not _that_ tender as trigger points tend to be. As Phil you said, it almost feels like small rock or something. The idea of checking the vertebrae sounds good, because after I presse the point about 20 minutes or so last night, I could feel it start opening to somewhere in the direction of the upper-back spine (and also to the area of si-9 and si-10).. But thanks for the responses. And just for curiosity, Phil, could you elaborate what you mean by "something else" going on.. Thanks all


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