Trigger Point Therapy
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Origin | EOP, Sp C7, Ligamentum Nuchae
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Insertion | Lateral 1/3 clavicle, acromion, spine of scapula
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Action | Extend the neck, Laterally flex and rotate the Neck, elevate the scapula
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Synergist | Levator scapula
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Antagonist | Scalenes
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How many trigger points are in the Upper traps | Two TrPt 1 & 2
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Location of TrPt 1 | Mid portion of anterior border of upper trapezius
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Location of TrPt 2 | Mid portion posterior bulk of upper traps
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What are the symptoms | Jaw pain, posterior neck pain, temporal headache
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How are these TrPt's Activated | Stress, holding a phone between your ear and shoulder, no are rests where you are seated
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Examination of TrPt 1 | Supine or seated with slight lateral flexion of neck and use pincer to roll the muscle and squeeze
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Examination of TrPt 2 | Prone with flat palpation, posterior and anterior
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Corrective Actions for prevention | Raise arm rests up, wear head set instead of holding phone, lower keyboards, rest hands in pockets instead of loose hanging, sleep on side or back, wider bra straps, do not carry a heavy purse if so wear it acros the shoulder
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Referral for TrPt 1 | Mastoid Angle of the jaw, temples
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Referral for TrPt 2 | Suboccibital Region
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