Lats and poor posture.

One of the often overlooked muscles affected by poor rounded shoulder posture is the latissimus dorsi muscle. They are the largest muscles in the back and function primary to adduct the arm and to assist in medially rotating the arm. Chronic strain causes trigger points to build up in the muscle tissue causing pain, referred pain, stiffness and weakness. Trigger points in the lats refer pain into the back, shoulder, and down the arm into the fingers.

Supraspinatus trigger points

The supraspinatus muscle is one of your rotator cuff muscles in the shoulder. It helps to move and stabilize the shoulder joint. Poor posture can cause this muscle to become strained and irritated. Rounded shoulders can cause strain in this muscle and can even cause the tendon of this muscle to become impinged with overhead shoulder movement. Trigger points that form in this muscle will cause pain to be felt in the shoulder, elbow, and down the arm.

Trigger points in the scalenes muscles

The scalenes muscles are located in the neck and help with neck movements and inspiration. The anterior scalene runs directly over the brachial plexus that gives nerve and blood supply to the arm. Poor neck and head posture as well as poor breathing mechanics can cause this muscle to become overloaded and develope trigger points. These points will refer pain into the shoulder, arm, and hand. As well as the shoulder blade. When tight, the anterior scalene muscle can put pressure on the brachial plexus causing numbness and tingling felt in the fingers and hand.

Pain from subclavius trigger points

The Subclavius muscle is a small muscle on the underside of the clavicle. It originates on the first rib and it’s cartilage, and inserts on the inferior clavicle. It’s main function is to assist in protraction of the shoulder. This muscle is often shortened and tight from poor rounded shoulder posture. When trigger points form in this muscle they can refer pain into the anterior shoulder and down the radial part of the arm. Pain can also be referred into the thumb and first two fingers.

Trigger point pain from the sternalis muscle

The sternalis muscle is a little known muscle located at the sternum. This muscle seems to be vestigial in that it doesn’t have a known function. In originates on the superior portion of the sternum and the upper part of the pectoralis muscle. It’s insertion is the cartilage of ribs 3-7, or sometimes the sheath of the rectus abdominis, or the lower part of pectoralis major. Even though this muscle doesn’t seem to have a purpose anymore it can still harbour trigger points. These points will cause pain to be felt intensely deep in the sternum, with spillover pain radiating down the inside of the arm.

Supraspinatus trigger points

The supraspinatus muscle is one of the muscles that makes up your rotator cuff. It attaches from the scapula to the humerus. It functions mainly to laterally rotate the arm as well as stabilize the shoulder joint. It also assists in abduction of the arm. This muscle can often harbour stubborn trigger points. These points refer pain into the shoulder, down the arm, into the elbow, and even into the forearm if irritated enough. These points can be effectively treated with trigger point massage therapy.