MASSAGE - NECK PAIN TRIGGER POINTS 1

Neck Muscles / back
1.What Muscles
2.Muscles Nerves Pics
3.DO 
4.Symptoms (pain)
5.TGP (trigger points responsible)
6.Ex (exercises)
...................................
    Splenius Capitis
    Semispinalis Capitis
    Longus Capitis
    Sternocleidomastoid SCM
    Levator Scapula
    Scalene Muscle
   Trapezus
1.What
1.1.Splenius Capitis  = Nerves= C3-C4 . orig C7- T3, T4. Straplike muscle in the back of the neck  innervated by the dorsal rami of spinal nerves - connects the back of the skull to the neck vertebrae.
1.2.Semispinalis Capitis = Nerves= greater Occipital. orig C4-C6 C7-T6; Sheetlike muscle extending upward from vertebrae in neck and thorax to occipital bone.
1.3.Longus Capitis muscle =Nerves C1-C3-C4 spinal. orig C3-C4-C5-C6 cervical; orig C3-C7 T1-T5
1.4.Sternocleidomastoid SCM = Nerves spinal accessory, cervical plexus. orig C2-C3. Long muscle in side of neck that extends upward from thorax to base of skull behind ear.
1.5.Levator Scapula = Nerves cervical nerve C3 -C4, dorsal scapular C5. orig C4-C5 Straplike muscle that running almost vertically through the neck, connecting the cervical vertebrae to the scapula. http://www.triggerpoints.net/sites/default/files/styles/triggerpoint_display_for_muscle_pages/public/Semispinalis%20Capitis%2C%20Multifidi.jpg?itok=B_O27IDw
1.6.Scalene Muscle = Nerves C3-C6 ; orig C4-C6 (C2-C7) 1st, 2nd Rib
 1.8.Trapezus

2. Muscles Pics  
    1.a  Occipitalis & Frontalis 




















http://www.triggerpoints.net/muscle/frontalis

http://www.triggerpoints.net/sites/default/files/styles/triggerpoint_display_for_muscle_pages/public/Occipitalis%2C%20Frontalis.jpg?itok=oVgkFhZ3

http://triggerpoints.net/triggerpoints/Occipitalis_&_Frontalis.jpg

    1.b  Posterior Neck 
1.1.Splenius Capitis  





















http://www.wikidoc.org/images/5/51/Splenius.png
http://www.webmanmed.com/bu/buf/mg/back/12090348_files/image001.jpg

http://www.triggerpoints.net/muscle/semispinalis-capitis

http://www.triggerpoints.net/sites/default/files/styles/triggerpoint_display_for_muscle_pages/public/Semispinalis%20Capitis%2C%20Multifidi.jpg?itok=B_O27IDw

http://www.disease-picture.com/wp-content/uploads/2007/9/28/splenius-capitis-semispinaliskx.jpg

    1.2.Semispinalis Capitis 
http://upload.wikimedia.org/wikipedia/commons/8/88/Gray129.png
http://www.webmanmed.com/bu/buf/mg/back/11995349_files/11995349001.html

    1.3.Longus Capitis  
http://upload.wikimedia.org/wikipedia/commons/thumb/7/7d/Longus_capitis.png/250px-Longus_capitis.png











http://www.webmanmed.com/bu/buf/mg/back/12954766_files/image001.jpg 

1.4.Sternocleidomastoid 
http://upload.wikimedia.org/wikipedia/commons/thumb/1/1a/Sternocleidomastoideus.png/250px-Sternocleidomastoideus.png

    1.5.Levator Scapula 
http://upload.wikimedia.org/wikipedia/commons/thumb/b/bc/Levator_scapulae.png/250px-Levator_scapulae.png
http://www.exrx.net/Graphics/LevatorScapHalf.gif

    1.6.Scalene Muscle 
http://upload.wikimedia.org/wikipedia/commons/thumb/6/6e/Scalenus.png/250px-Scalenus.png

http://www.webmanmed.com/bu/buf/mg/antneck/12707800_files/image001.jpg

    1.8. Trapezus 


http://www.triggerpoints.net/sites/default/files/styles/triggerpoint_display_for_muscle_pages/public/Trapezius%202.jpg?itok=FB-h6w4G

http://www.triggerpoints.net/sites/default/files/styles/triggerpoint_display_for_muscle_pages/public/Trapezius.png?itok=Mjqtz4t1

http://www.triggerpoints.net/muscle/trapezius

NERVES Pics
Cervical nerves  (there are 8 cervical nerves C1-C8) Dorsal =C1=suboccipital, C2=greater occipital, C3=3 occipital; Ventral/ Frontal C1-C4 =cervical plexus, C5=branchial plexus
SPINE - Nerves ALL

















http://upload.wikimedia.org/wikipedia/commons/thumb/6/6c/Gray801.png/220px-Gray801.png

    1.1.Splenius Capitis  Nerves= C3-C4

    1.2.Semispinalis Capitis  Nerves= greater Occipital, C1,C3,C3,C4,C5,C6
http://upload.wikimedia.org/wikipedia/commons/8/8d/Gray790.png
http://upload.wikimedia.org/wikipedia/commons/d/d8/Gray800.png

    1.3.Longus Capitis Nerves C1-C2-C3-C4 cervical plexus

    1.4.Sternocleidomastoid SCM Nerves - cranial nerve xl
          spinal accessory
http://upload.wikimedia.org/wikipedia/commons/thumb/8/84/Brain_human_normal_inferior_view_with_labels_en.svg/250px-Brain_human_normal_inferior_view_with_labels_en.svg.png

http://upload.wikimedia.org/wikipedia/commons/thumb/0/08/Cranial_endobasis_of_a_19-20_weeks_foetus.JPG/800px-Cranial_endobasis_of_a_19-20_weeks_foetus.JPG

          cervical plexus
http://upload.wikimedia.org/wikipedia/commons/2/20/Gray784.png

    1.5.Levator Scapula Nerves cervical nerve C3 -C4, dorsal scapular C5

    1.6.Scalene Muscle Nerves C3-C6

3.DO 
1.1.Splenius Capitis    *rotates head, bends head to one side, or brings head into an upright position, connects base of skull to vertebrae in neck & upper thorax, bends the neck toward the back
1.2.Semispinalis Capitis *rotates, extends the head, bends it to one side and rotates it, extends the ribs and pelvis.  
1.3.Longus Capitis           *flex, extend the head and neck laterally rotate the head/face ipsilaterally acting bilaterally, to flex the head and neck
 1.4.Sternocleidomastoid  *flex, rotate head. pulls head to one side, pulls head towards chest, or raises sternum. muscle on 1 side contracts, the face turns to the opposite side. When both contract, the head bends toward chest. accessory muscle of inspiration
1.5.Levator Scapula    *elevates scapula
1.6.Scalene Muscle    * elevate the 1st rib and laterally flex, pull the neck forward to the same side
                                      *elevate the 2nd rib and tilt the neck to the same side (middle)
                                      *accessory muscles of inspiration, effect on breathing
4.Conditions Symptoms Pain
HEADACHES:
http://www.triggerpoints.net/head-and-neck-pain.htm
     1.Posterior Neck Referred Pain Patterns = migraine headache with pain inside the head all along one side,  feel like a constricting band around the head,  blurred vision and pain behind the eyes, pain in the neck itself, frequently cause numbness, burning, or tingling in the back of the head and scalp, pain along the angle of the neck and upper shoulder











PAIN:  band eye ear http://www.mypressureproducts.com/Posterior-Cervical-1-referr.jpg















PAIN:  band back http://www.mypressureproducts.com/Posterior-Cervical-2-referr.jpg

    1.1.Splenius Capitis  = pain on top of head (burning, pressure, tingling) directly above ears, migraine headache, neck pain, blurry vision, pain on the crown of the head; pain on top of head (burning, pressure, tingling) directly above ears,Pain that radiates up from the upper back up the neck to the base of the skull, Aching throbbing pain that starts at the back of the head and goes through to the back of the eye, Numbness or pressure in the back of the head, Migraine headaches, Blurred vision with headache. http://dmmassage.com/?p=230  factors:  postural stresses/bird-watching,military neck, eye strain, sleeping without proper head support; acceleration/deceleration injury, sudden cooling of muscles, prolonged forward head bending.

















PAIN:  http://www.webmanmed.com/bu/buf/mg/back/12090348_files/image003.jpg
















http://www.triggerpoints.net/triggerpoints/splenius-capitis.jpg

    1.2.Semispinalis Capitis = pain temple region with a spillover above the eye which encircles the lateral aspect of the head; Occipital and neck region, headache, tenderness over the back of head and neck, numbness, paresthesia in the scalp. factors: chronic stress, Acceleration/Deceleration injury (Whiplash), postural stress, excessive cervical extension at night, neck constriction.  
















PAIN:  http://www.webmanmed.com/bu/buf/mg/back/11995349_files/image003.jpg
http://www.webmanmed.com/bu/buf/mg/back/11995349_files/image005.jpg

    1.3.Longus Capitis =PAIN:  ear region, slightly down the neck and behind the eyes, headache, tenderness over the back of the head and neck, numbness and tingling in the scalp, factors: Acute trauma, acceleration/deceleration injury, chronic emotional stress, postural stressors, persistent neck and shoulder contraction, neck immobilization (cervical collar).    

    1.3.2.Longus Coli =  PAIN: laryngeal region, anterior neck and sometimes into the mouth, difficulty in swallowing (Dysphagia), choking, pain with talking, sore throat, hoarseness. factors: Persistent anterior tilting of the head, anterior neck trauma, Acceleration/Deceleration injury (Whiplash).

    1.4.Sternocleidomastoid SCM = pain into the face, cranium - jaw, sternum, headaches in the front of the head,  facial pain,  sinuses, teeth, tongue, inner ear, balance problems, dizziness, fainting, staggering, even falling, hearing loss,ear pain,eye problems- drooping eyelids, watery eyes, reddening. more: http://www.webmanmed.com/disorders/disorders_files/musclgd/antneck/11679703.html














PAIN: http://www.webmanmed.com/bu/buf/mg/antneck/11679703_files/image003.jpg
http://www.webmanmed.com/bu/buf/mg/antneck/11679703_files/11679703005.html

    1.5.Levator Scapula = unable to turn head,bend, rotate,  pain and stiffness along the neck and the edge of the shoulder blade. factors: poor posture

    1.6.Scalene Muscle = pain breast, upper arm, shoulder, back upper arm, outerlower arm, wrist,back of thumb, index finger, half middle finger next index same side trigger.Shoulder and upper limb pain, muscle tenderness, venous obstruction, vasomotor changes, spasm, chest pain, back pain which is located predominantly at the vertebral border of the ipsilateral scapula, paresthesia with possible swelling of the hand. factors: Trauma, excessive pulling or lifting, paradoxical breathing, upper limb amputation, Scoliosis, and acceleration/deceleration injury.
PAIN: shoulder arm front
















 http://www.webmanmed.com/bu/buf/mg/antneck/12707800_files/image009.jpg
shoulder arm back 
















http://www.webmanmed.com/bu/buf/mg/antneck/12707800_files/image011.jpg
arm front
















http://www.webmanmed.com/bu/buf/mg/antneck/12707800_files/image013.jpg

arm back http://www.webmanmed.com/bu/buf/mg/antneck/12707800_files/image015.jpg 

1.7.Multifidi 












http://www.triggerpoints.net/triggerpoints/Multifidi-Rotatores.jpg

5.Trigger Points
      Posterior Neck Referred Pain Patterns TGP















http://www.mypressureproducts.com/Posterior-Cervical-trigger.jpg

    1.1.Splenius Capitis  TGP
















http://triggerpoints.net/triggerpoints/splenius-capitis.jpg

    1.2.Semispinalis Capitis TGP
http://triggerpoints.net/triggerpoints/SemispinalisCap_and_Multifidi.jpg

    1.3.Longus capitis TGP
    1.4.Sternocleidomastoid SCM  TGP
http://triggerpoints.net/triggerpoints/Sternocleidomastoid.jpg









http://www.mypressureproducts.com/SCM-trigger.jpg







http://www.mypressureproducts.com/SCM-1referral.jpg








http://www.mypressureproducts.com/SCM-2referral.jpg


    1.5.Levator Scapula TGP
http://triggerpoints.net/triggerpoints/Levator_Scapulae.jpg
http://www.mypressureproducts.com/Levator%20scapula_trigger_points.htm













http://www.mypressureproducts.com/Levator-Scapula-trigger.jpg














http://www.mypressureproducts.com/Levator-Scapula-Referral.jpg

    1.6.Scalene Muscle TGP
















http://www.triggerpoints.net/triggerpoints/Scalene.jpg
















http://www.realbodywork.com/learn/neck/scalene.jpg

   1.8. Trapezus
















1 http://www.triggerpoints.net/triggerpoints/trapezius.jpg
















2 http://www.triggerpoints.net/triggerpoints/Trap23.jpg
















3 http://www.triggerpoints.net/triggerpoints/Trap23.jpg

   1.9. Suboccipital










http://www.triggerpoints.net/triggerpoints/suboccipital-group.jpg

   2.1 Temporalis
















http://www.triggerpoints.net/triggerpoints/Temporalis.jpg

  2.2.Occipitalis
http://www.triggerpoints.net/triggerpoints/Occipitalis_&_Frontalis.jpg

6.Exercises 
   1.1Posterior Neck Stretch - migraine headache pain inside the head one side, constricting band around the head,  blurred vision, pain behind the eyes, pain in the neck itself, numbness, burning, or tingling in the back of the head and scalp, pain along the angle of the neck and upper shoulder.
Place hand on back of head.
Gently push chin to chest, until a stretch is felt.
Hold for 10-15 seconds.
Repeat 3 times, at least 3 times daily.











http://www.mypressureproducts.com/Posterior-Cervical-stretch.jpg

   1.Splenius Capitis Stretch and chill  - pain on top of head (burning, pressure, tingling) directly above ears,Pain that radiates up from the upper back up the neck to the base of the skull, Aching throbbing pain that starts at the back of the head and goes through to the back of the eye, Numbness or pressure in the back of the head, Migraine headaches, Blurred vision with headache
Chin-to-chest .Sit on a chair and let your head drop forward as far as possible. Place one or both hands on your head, so that your fingertips touch your skull bone. Exhale and gradually apply pressure to deepen the stretch in the back of your neck. Hold this position for one to two minutes, and then perform one to four repetitions with your head rotated to the left, and then rotated to the right, holding each position for one to two minutes. or Take head as far forward as possible hold for 1-2 minutes. http://www.livestrong.com/article/437375-splenius-capitis-exercise/
Neck Stretch, Lateral Neck Stretch Left Right Relax shoulders
http://www.youtube.com/watch?v=UPTyXni4uqk&feature=player_embedded

Neck Stretches, Rotating Neck Stretch
http://www.youtube.com/watch?feature=player_embedded&v=u7TO6MPTIyc

Neck Stretch, Flexion Extension Neck Stretch Chin up
http://www.youtube.com/watch?v=lgcSa5eOB44&feature=player_embedded

    1.2.Semispinalis Capitis -  pain temple region with a spillover above the eye which encircles the lateral aspect of the head; Occipital and neck region, headache, tenderness over the back of head and neck, numbness, paresthesia in the scalp.

    1.3.Longus Capitis - ear region, slightly down the neck and behind the eyes, headache, tenderness over the back of the head and neck, numbness and tingling in the scalp,

    1.4.Sternocleidomastoid SCM  Stretch  - pain into the head, jaw, sternum, headaches in the front of the head,  facial pain,  sinuses, teeth, tongue, inner ear, balance problems, dizziness, fainting, staggering, even falling, hearing loss,ear pain,eye problems- drooping eyelids, watery eyes, reddening.
Sit on chair.  Grasp seat of chair with right hand.
Place left hand on head and gently pull head toward the left shoulder.  Maintain pressure and turn head to the right, until a stretch is felt.
Hold for 10-15 seconds.
Repeat for other side.
Repeat cycle 3 times, at least 3 times daily.
http://www.mypressureproducts.com/Scalenes-stretch.jpg

    1.5.Levator Scapula  Stretch - unable to turn head,  pain and stiffness along the neck and the edge of the shoulder blade
Sit on chair.  Grasp seat of chair with right hand.
Place left hand on head and gently pull forward and to the opposite side at the same time, until a stretch is felt.
Hold for 10-15 seconds.
Repeat for other side.
Repeat cycle 3 times, at least 3 times daily
http://www.mypressureproducts.com/Levator-Scapula-Stretch.jpg

    1.6.Scalene Muscle Stretch Chill - pain breast, upper arm, shoulder, bacl upper arm, outerlower arm, back of thumb, index finger, half middle finger next index same side trigger.
Rotate head away from the active trigger, stretch head backwards.
............................
http://www.mypressureproducts.com/Scalene_trigger_points.htm
http://quizlet.com/1054138/muscles-that-move-head-vertebral-column-pectoral-girdle-flash-cards/
http://triggerpoints.net/alphabetical-index.htm
http://www.guidetomuscles.com/home/medical-conditions
http://education.yahoo.net/articles/booming_health_care_careers.htm?kid=1LE80
http://www.scribd.com/doc/15197557/Instant-Pain-Control-Trigger-Point-SelfTreatment
http://www.exrx.net/Muscles/LevatorScapulae.html
good pics
http://adriendaniel.com/stretch.html
RULES FOR SELF STRETCHING
*Relax during the stretch.
*Tune into your body.
*Focus on muscles and joints being stretched.
*Feel the stretch.
*Be guided by the feel of the stretch.
*No bouncing!
*Stretch until you feel a slight mild tension and hold for 5–10 seconds (Once you feel for comfortable,
maintain the stretch up to 30 seconds).
*For stretching to be beneficial, make sure you set a routine.
*Once in the morning and once at night to get in a good routine.
*Have a journal of your stretching routine.
*No pain during the stretch!
*When stretching: Slow in to it…Maintain it…Slowly come out of it.
*Don’t hold your breath during the stretch.
*Don’t be in a hurry during the stretch.
*Don’t stretch while you are tense.
*No bouncing during the stretch.
*Don’t stretch to the point of pain.
*Stretching is not exercise.
*Don’t stretch a cold muscle.
*The general warm-up should begin with joint-rotations, starting either from your toes and working
your way up, or from your fingers and working your way down. If they are not already warm before
you wish to stretch, then you need to warm them up yourself, usually by performing some type of brief
aerobic activity.
*Breathe slowly, rhythmically and under control. Do not hold your breath.
*Take your time.
*Alternate the stretches to allow for proper rest periods.
*Do not compare yourself with others (Everyone has different flexibility).
*If you are stretching correctly, the stretch feeling should slightly subside as you hold the stretch.
*If you feel any unusual pain; see a doctor.
*Typically, if you have pain in an area for 7 or more days; you should see a doctor.
*There are many different forms of stretching…just stick to the basics to start.
*You could be ore the next day (Aerobic workout for the muscles).
*Stretching is not a 2-3 times a week routine, it is an everyday routine.
*If you stretch on a regular basis, it could help get rid of up to 50% of your pain.
*Hydrate your muscles!
http://www.massagenerd.com/pdf_massage_ebooks/Self_Stretching_Ryan_Hoyme_.pdf