What pain and symptoms are associated with the serratus anterior?
- Pain on the side of the chest toward the middle of the ribcage
- Pain down the arm to the fourth and fifth fingers
- Pain below the shoulder blade
- Difficulty breathing
- Inability to take a deep breath
- Sharp pain in the side (side stitch)
- Pain and difficulty reaching behind the body
- Pain and difficulty when pulling shoulders back
Where is the serratus anterior muscle?
The serratus anterior attaches ribs 1-8 to the shoulder blade.
What movements does the serratus anterior control?
- Rolls shoulders forward
- Raises the arms to the front of the body
- Aids in inhalation by raising the ribs
Activities that cause serratus anterior pain and symptoms:
- Chin ups, Push ups
- Weight lifting
- Severe coughing
Interesting facts about the serratus anterior:
The serratus anterior is easily taxed by hard or heavy breathing. People with asthma and emphysema often suffer from symptoms of this muscle. Tightness and trigger points in the serratus anterior can cause headaches, jaw pain, dizziness, and numb hands for those who have difficulty breathing because of asthma, COPD, and emphysema.
Clinical diagnoses to which this muscle symptoms may contribute:
- Thoracic outlet syndrome
- Slipped rib
- Fractured rib syndrome
- Intercostal muscle tear
- Gallbladder Dysfunction
- Ankylosing spondylosis
Other muscles that should be considered and examined in conjunction with the serratus anterior:
- Latissimus Dorsi
- Teres Major
- Pectoralis Minor
- Rhomboid Major and Minor
- Serratus Posterior Superior
Satellite Trigger Points: Latissimus Dorsi, Scalenes, Sternocleidomastoid
For detailed anatomy information see: Serratus Anterior Muscle Anatomy
Help with Serratus Anterior Muscle Pain and Symptoms
Warm Therapy Gel for Serratus Anterior Muscle Pain
Sombra Warm Therapy Pain Relieving Gel is a pain relieving gel that I use both personally and in my massage therapy practice. Unlike other over the counter heating creams, it provides warmth without burning heat. Applying Sombra to the serratus anterior muscle as well as to the upper back, chest and arm area can help relax muscle spasms caused by the serratus anterior. I recommend Sombra for chronic pain and chronically sore tight muscles.
Cold Gel Therapy for Serratus Anterior Rib Injury and Pain
Biofreeze Pain Relieving Gel is an excellent pain relieving gel that I use on clients who have sudden onset muscle pain or recent injuries. Biofreeze Cold Therapy gel works like ice and does not promote swelling. A recent study showed that Biofreeze decreased pain 2 times more than ice and the pain relief lasts 9 – 10 longer. If your pain is from a recent injury such as strained serratus muscle from coughing or recent high rib injury that affects the serratus anterior, I would recommend Biofreeze.
Hot Cold Packs For Serratus Anterior Muscle Pain
SofTouch Large Hot Cold Pack is a large pack that can be used for hot or cold treatment. The pack is large enough to cover the serratus anterior muscle and drape down over the back. To treat the serratus anterior lay your unaffected side and drape the pack over the side of your ribs starting just under the arm covering the side of the rib cage.
The inside of the pack contains a clay like substance that remains soft and pliable so you can mold the pack to your body. The outside of the pack is wrapped with soft suede like material that does not shock the skin when touched. My clients love this pack and it is now the only hot and cold pack that I use in my massage therapy practice.
Breathing Correctly Can Help With Muscle Pain
Improper or irregular breathing is one of the main contributors to serratus anterior muscle dysfunction. Learn To Breathe is a DVD by internationally renowned yoga instructor Max Strom that walks you through several breathing exercises that will help you improve your quality of breathing. The exercises are especially beneficial for people who suffer with breathing problems such as asthma emphysema COPD and allergies. I often recommend this dvd to friends and clients who have breathing problems. Yoga experience is not necessary.
Braces and Support To Help With Serratus Anterior Muscle Dysfunction
Rounded shoulders and slumping upper body posture are can contribute to serratus anterior pain and breathing difficulty.
ShouldersBack Posture Support gently pulls your shoulders back helping you maintain straight correct posture while stretching and elongating the chest muscles.
I use this brace myself when I begin to feel twinges of pain in my shoulders and upper back. I have recommended it to family, friends and clients who have pain due to slumping upper body and rounded shoulder posture. If you have rounded shoulders, begin using the brace slowly for short periods of time. As your body adjusts, you can tighten the support and use it for longer time periods. This brace is not a rigid support, you can still move comfortably and freely, it does not forcibly hold your shoulders down and back.
Self Treatment For Your Serratus Anterior Pain
Injury to the serratus anterior muscle can cause a multitude of symptoms. If you are suffering with pain on the side of the rib cage, pain just under the shoulder blade, pain and numbness in the arm going down into the ring and little fingers, and often have sharp pains in your side (side stitches), then your pain is likely trigger points in the muscle. The Trigger Point Therapy Workbook: Your Self-Treatment Guide for Pain Relief will help you locate and treat these trigger points, relax the muscle, and relieve and possibly eliminate your symptoms. Not only will this book help with your serratus anterior muscle pain, but it will also help with other muscle pain that you may be experiencing!