This PPT includes an absolute knowledge about the scalenus syndrome,with causes,clinical features and management of the same,which is taken from the known books such as orthopaedics physical assessment by David J.Magee &etc.

1. SCALENUS SYNDROME
-Hitesh Rohit
(3rd year BPT)

2. Content:-
 Introduction
 Causes
 Clinical features
 Test
 Management
 Complications

3. Introduction:-
 Scalene myofascial pain syndrome is a regional pain
syndrome wherein pain originates over the neck area and
radiates down to the arm.
 It is usually caused by compression of brachial plexus and
subclavian artery against the first rib by hypertonic
anterior scalene muscle.

4. Causes:-
 Whiplash injuries
 Excessive coughing
 Gasping of air(people who suffer from asthma, emphysema,or
have bronchitis or pneumonia are especially susceptible to
problematic scalene muscles)
 Pulling or lifting with arms level With the waist
 Working for long-periods with head turned to one side
 Sleeping on the stomach with head turned to one side
 Carrying a heavy backpack or purse
 Wearing a tight collar or tie

5. Clinical features:
 Pain in the shoulder and neck
 Numbness
 Pins and tingling sensation
 Reduced sensation of touch
 Breathing difficulty
 Chest pain

6. Test for scalene:-
Individuals position :-The individual is lying supine with head
elevated and rotated to the contralateral side to be assessed;with
hand raised above the head.
Examiner’s position:- Standing on the head of the table with the
fingers of his hand on the forehead of the individual.
Description of muscle test:- The individual is requested to flex
his/her head to the chest against the examiner’s mild resistance.

7. Management:-
 Pain relievers such as NSAIDs.
 Stretching of the scalene muscles.
 Strentghening of the scalene muscles.

8. Complications:-
 Permanent paralysis due to T1 root compression
 Pneumothorax
 Hemothorax with pneumothorax
 Recurrence of symptoms
 Subclavian artery and vein injuries
 Causalgia
 Chylothorax

9. Thank you