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1. Complete Trigger Points for
Shoulder Girdle Muscles
By:
Mr. Shamsul Azhar
Founder of MMT
Physiotherapist

2. Contents:-
Deltiod Supraspinatus
Pectoral Major Infraspinatus
Pectoral Minor Levator Scapula
Teres Major Latissimus Dorsi
Teres Minor Bisep
Rhomboid Major Trisep
Rhomboid Minor
Upper Trapezius
Middle Trapezius
Lower Trapezius

3. Deltiod
• •
Diagram 1 Diagram 2

4. Deltiod
Name: RP 33
Locations: Parallel with middle finger and
on the deltiod bulky area.
Related disease: Capsulatis, rotator cuff
injury and post humeral head fracture.
Application: Use tip of thumb, press deeply
and slowly hold 10 sec, repeat until the pain
reduce or disappear.

5. Pectoral Major
•
•
Diagram 2
Diagram 1

6. Pectoral Major
Name: RA 16
Locations: Parallel with nipple and on the
middle chest area.
Related disease: Pectoral muscle injury,
tightness and ribs pain .
Application: Use ball of thumb, press 0.5
to 1kg and hold 10 sec, repeat until the
pain reduce or disappear.

7. Pectoral Minor
• •
Diagram 1 Diagram 2

8. Pectoral Minor
Name: SM 33
Locations: Parallel with rip no 3 and
medial shoulder
Related disease: Kyposis pain, tightness
and 1st and 2nd ribs pain .
Application: Use ball of thumb, press 1 to
2 kg and hold 10 sec, repeat until the pain
reduce or disappear.

9. Teres Major
• •
Diagram 1 Diagram 2

10. Teres Major
Name: RL 17
Locations: Parallel with vertebra T7 and
beside lateral scapula border.
Related disease: Tightness, fibrositis and
post teres muscle injury.
Application: Use ball of thumb, press 1 to
2 kg and hold 10 sec, repeat until the pain
reduce or disappear.

11. Teres Minor
• •
Diagram 1 Diagram 2

12. Teres Minor
Name: RL 18
Locations: Parallel with vertebra T5 and
beside lateral scapula border.
Related disease: Tightness, fibrositis, post
teres muscle injury and capsulitis.
Application: Use ball of thumb, press 1 to
2 kg and hold 10 sec, repeat until the pain
reduce or disappear.

13. Rhomboid Major
• •
Diagram 1 Diagram 2

14. Rhomboid Major
Name: RM 18
Locations: Parallel with vertebra T5 and
between medial scapula border & spinous
process.
Related disease: Fibrositis, post rhomboid
muscle injury, facet & costotranversus
joints pain.
Application: Use ball of thumb or
knuckle, press 1 to 2 kg and hold 10 sec,
repeat until the pain reduce or disappear.

15. Rhomboid Minor
• •
Diagram 1 Diagram 2

16. Rhomboid Minor
Name: RM 19
Locations: Parallel with vertebra T3 and
between medial scapula border & spinous
process.
Related disease: Fibrositis, post rhomboid
muscle injury, facet & costotranversus
joints pain.
Application: Use elbow, press 1 to 2 kg
and hold 10 sec, repeat until the pain
reduce or disappear.

17. Upper Trapezius
• •
Diagram 1 Diagram 2

18. Upper Trapezius
Name: SL 30
Locations: Parallel with vertebra T1 and
between neck and shoulder.
Related disease: Stress, fibrositis, muscle
spasm, shoulder pain and neck pain.
Application: Use elbow, press 2 kg and
hold 10 sec, repeat until the pain reduce or
disappear.

19. Middle Trapezius
• •
Diagram 1 Diagram 2

20. Middle Trapezius
Name: RM 20
Locations: Parallel with vertebra T1 and
between medial scapula border & spinous
process.
Related disease: Tightness, fibrositis, facet
joint pain, stress and thoracic pain.
Application: Use knuckle, press 1 to 2 kg
and hold 10 sec, repeat until the pain
reduce or disappear.

21. Lower Trapezius
• •
Diagram 1 Diagram 2

22. Lower Trapezius
Name: RM 17
Locations: Parallel with vertebra T7 and
between medial scapula border & spinous
process.
Related disease: Tightness, fibrositis, rib
pain, thoracic spondilosis and post muscle
injury.
Application: Use elbow, press 1 to 2 kg
and hold 10 sec, repeat until the pain
reduce or disappear.

23. Supraspinatus
• •
Diagram 1 Diagram 2

24. Supraspinatus
Name: RP 19
Locations: Parallel with vertebra T3 and
on middle of the scapula crease
Related disease: Impingement syndrome,
supraspinatus tendonitis, post muscle
injury and subarcomial bursitis.
Application: Use knuckle, press 1 to 2 kg
and hold 10 sec, repeat until the pain
reduce or disappear.

25. Infraspinatus
• •
Diagram 1 Diagram 2

26. Infraspinatus
Name: RP 18
Locations: Parallel with vertebra T5 and
below and middle of scapula crease.
Related disease: Tendonitis, fibrositis and
muscle tightness.
Application: Use ball of thumb, press 1 to
2 kg and hold 10 sec, repeat until the pain
reduce or disappear.

27. Levator Scapula
• •
Diagram 1 Diagram 2

28. Levator Scapula
Name: RM 20
Locations: Parallel with vertebra T1 and
between medial scapula border & spinous
process.
Related disease: Fibrositis, neck pain,
facet arthritis and spondilosis.
Application: Use elbow, press 1 to 2 kg
and hold 10 sec, repeat until the pain
reduce or disappear.

29. Latismus Dorsi
• •
Diagram 1 Diagram 2

30. Latismus Dorsi
Name: Ex. RL4
Locations: Same level with vertebra T9
and parallel with lateral scapula border.
Related disease: Tightness, fibrositis and
post muscle injury.
Application: Use ball of thumb, press 1 to
2 kg and hold 10 sec, repeat until the pain
reduce or disappear.

31. Biceps
•
•
Diagram 1 Diagram 2

32. Biceps
Name: RP 35
Locations: Anterior - middle of the
forearm.
Related disease: Tightness, tendonitis and
post muscle and humerus injury.
Application: Use ball of thumb, press 1 to
2 kg and hold 10 sec, repeat until the pain
reduce or disappear.

33. Trisep
•
•
Diagram 1 Diagram 2

34. Trisep
Name: RA 33
Locations: Posterior-middle of the
forearm.
Related disease: Tightness, post muscle
injury.
Application: Use ball of thumb, press 1 to
2 kg and hold 10 sec, repeat until the pain
reduce or disappear.

35. Contact Us
SMT Manual Therapy
Center
PO Box No 9, Jalan Kebun Nenas 2G/KS 7, Bandar
Putera, 41000 Klang Selangor
Darul Ehsan Malaysia.
Tel :60133518732
:60331694185
Email: Shamsul@therapist.net
Website:www.medicmassage.net