Pressure pointermanual

Muscles account for more than 60% of the human body mass,
making up the largest part of our bodies. They are responsible
for all movement of the human body. With such an enormous
responsibility, it is easy to see how muscles can be subjected to
wear and tear, fatigue, overuse, and repetitive injury.
When we want to move or use our muscles, the muscle
contracts, and this is typically a voluntary action. However,
sometimes the entire muscle contracts involuntarily, which we
call a spasm. Muscles are also subject to another condition,
known as a Trigger Point, which is essentially an involuntary
contraction of only a small portion of the muscle, creating pain
and dysfunction within the muscle. One of the reasons that prescription muscle
relaxants are ineffective on Trigger Points is that the medication would have to be
strong enough to stop all involuntary muscle contractions...one incredibly important
involuntary muscle—your heart—might not agree with this!
Trigger Points have been studied and shown to be the most common cause of
musculoskeletal pain. Pain clinic doctors have found that Trigger Points are the
main source of pain nearly 75% of the time! Trigger Points cause the muscle to
remain tight, which weakens the muscle and puts stress on the points where the
muscles attach to the bones as well. This often leads to pain in nearby joints.
A unique feature that distinguishes Trigger Points from other muscle pain is that
Trigger Points almost always refer pain to other areas of the body. This is why many
treatments are ineffective. Most treatments assume that the area of pain should also
be the source of pain, yet the actual cause could be in a completely different location.
Trigger Points and their referred pain can be associated with many conditions, and
may even cause some of them!
You can learn how to control your musculoskeletal pain by treating Trigger Points at
home, saving yourself from costly professional office visits!
Trigger Point therapy can reduce pain, increase movement, and allows the muscles to
lengthen and become stronger again. To treat Trigger Points, heavy pressure must
be applied to the Trigger Point. Light pressure is not effective for treating Trigger
Points, and in fact may increase spasms as the muscle tries to protect itself, leading
to increased and more constant pain. In contrast, moderate to heavy pressure
applied to a Trigger Point causes the pain to initially increase, but then as the
muscle relaxes the pain will fade.
Pressure should be applied slowly and released slowly for best results. The pressure
should be maintained until there is a change in pain. If there is no decrease in pain
after one minute, stop the pressure—this is probably not a Trigger Point! After
applying pressure to Trigger Points, the relaxed muscle should be stretched. If the
muscles are not returned to normal length, there is a greater likelihood the Trigger
Points will reoccur. Stretching is safer and less painful after the Trigger Points have
been treated.
The Pressure Pointer is the best tool available for self-applied Trigger Point therapy!
TRIGGER POINT THERAPY
TRIGGER POINTS Trigger Point Therapy
Can Be Used To Help
You With These
Common Conditions:
• MIGRAINES
• TENSION HEADACHE
• NECK AND JAW PAIN
• UPPER BACK PAIN
• BURNING BETWEEN
SHOULDERS
• THORACIC OUTLET
SYNDROME
• FROZEN SHOULDER
• TENNIS ELBOW
• CARPAL TUNNEL SYN-
DROME
• ARM AND HAND PAIN,
NUMBNESS, AND TIN-
GLING
• ARTHRITIS
• BURSITIS
• TENDONITIS
• SINUS PAIN AND CON-
GESTION
• FIBROMYALGIA
• MUSCLE AND JOINT
STIFFNESS

Muscle
Trapezius
Levator Scapula
Posterior Neck Muscles
Scalenes
Sternocleidomastoid (SCM)
Rhomboids
Serratus Posterior
Serratus Anterior
Thoracic Paraspinal
Infraspinatus
Supraspinatus
Teres major/minor
Latissimus Dorsi
When pressure is applied to the Trigger Point, the chemical/pressure cycle is interrupted, which helps to stop the contraction
and the pain in the muscle. Additionally, the muscle is heated and kneaded during treatment, which helps to increase
circulation and to remove the metabolic waste products. Another effect is that muscle fibers become lengthened and stretched
which decreases the pressure component of the pain cycle. Finally, adding a stimulus (pressure) to the trigger point overrides
the pain signals being transmitted, much like a train track which can be switched.
The advantage of the Pressure Pointer is that while applying the pressure to the Trigger Points, the muscles involved are able
to be fully relaxed during treatment, allowing deeper penetration. It is important to understand that Trigger Points are not
the same as acupressure points. For treatment to be effective, the specific Trigger Point, or contracted portion of the muscle,
must be contacted.
In 1999, David Simons, M.D.,
discovered that a Trigger Point is a
dysfunction that occurs at the point
where a nerve enters a muscle.
Trigger Points result in muscles which
have been traumatized by accidents,
sports, occupational stress, and
overuse. Once a Trigger Point
develops, it can remain for life unless
properly treated.
The Trigger Point restricts motion of
the muscles and decreases circulation,
depriving the muscle of nutrients and
oxygen and resulting in a collection of
metabolic waste that cannot be
properly filtered away. These wastes
excite pain nerve endings and can also
damage them. The decrease of
nutrients to the muscle increases
spasm and inflammation. Pain is now
being caused by mechanical (pressure)
and chemical (waste product)
stimulation. This nasty cycle
continues until treatment occurs.
Referred pain occurs somewhat
mysteriously. Pain signals in the body
that come from several sources are
known to merge into a single nerve at
the spine before continuing on to the
brain. As these signals merge, it
becomes possible for mistaken
impressions as to the true source of
the pain to occur.
Additionally, Trigger Points create
shortened muscles which often
compress nearby nerves. This
compression irritates the nerve and
distorts the nerve signal
transmissions. This can lead to
irregular sensations such as
numbness, tingling, and burning. The
Brachial Plexus is a network of nerves
originating in the neck, and supplying
the neck, upper back, shoulders, arms,
forearms, and hands. This explains
why many Trigger Points found in the
neck and upper back can lead to pain
and dysfunction throughout the upper
body.
Shortened muscles can also compress
nearby arteries and veins. Decreased
blood flow in an artery can lead to
decreased temperature (i.e. cold hands
and fingers), while decreasing blood
flow in the veins can lead to swelling
in the hands and fingers.
Finally, Trigger Points make
movement of the muscles themselves
difficult. Stretching or contracting
muscles affected by Trigger Points can
cause intense pain, and the body
responds by trying to protect itself—a
phenomenon called “splinting” or
“guarding.” Over time the muscles
stiffen, and can even form scar tissue,
which further immobilizes them.
What was originally decreased
movement based on trying to avoid
pain ultimately results in the
incapacity of the muscle to move
correctly.
HOW DO TRIGGER POINTS CAUSE
PAIN AND OTHER SYMPTOMS?
MUSCLES BEST
TREATED WITH
PRESSURE POINTER
HOW DOES APPLYING PRESSURE MAKE TRIGGER POINTS
GO AWAY?
“There is no substitute for learning to
control your own musculoskeletal
pain. Treating myofascial trigger
points yourself addresses the source of
that kind of common pain and is not
just a way of temporarily relieving it.”
- David G. Simons, M.D.
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different, having many
options allows you to
maximize your
treatment while
providing the most
comfort for your
individual needs.
Finally, the Pressure
Pointer provides a
comprehensive
treatment manual that
teaches you about your
muscles and their
Trigger Points, helps you locate
Trigger Points for treatment, and
offers specific stretches to help the
Trigger Points from returning.
Self treatment of Trigger Points is
one of the best and most effective
ways to achieve long lasting pain
relief. For Trigger Point therapy to
be effective, you must use moderate
to heavy pressure. Many of the
products currently on the market
are hand held devices. Using these
tools requires arm and hand
strength, which is often difficult if
these are already painful areas.
The Pressure Pointer relies on leg
power to provide the firm pressure
needed without tiring sore and
painful upper body muscles. This
also allows the target muscles to be
relaxed during treatment. Another
advantage during
treatment is that the
target muscles are free
to be taken through
ranges of motion or to
perform specific
stretches while
applying pressure at
the same time. This
just isn’t possible with
the hand held devices.
The Pressure Pointer
also includes a variety
of interchangeable heads which can
range from very specific, localized
pressure to broader, rolling
massage. Since everyone is
• Use Pressure Pointer to avoid fatigue
• Deep stroking is often more effective than fixed
pressure
• Use short, repeated strokes
• Do not stroke back and forth - stroke in one direction
only
• Apply and release pressure slowly
• Apply pressure for 1 minute - if there is no decrease
in pain, leave it alone...this is not a trigger point
• Before treatment, rate your pain on scale of 0 - 10
(0=best, 10=worst)
• Maintain pressure until your pain has decreased to
a level of 2 or 3 - the length of time this will take
varies from muscle to muscle and from person to
person
• Repeat treatments 6 - 12 times per day for best
results
• Be sure to perform the stretches once the Trigger
Points are deactivated. Stretching with an active
Trigger Point can actually increase your pain.
• If you experience bruising, don’t panic. You will
want to use less pressure next time.
The muscle illustrations show the location
of the muscle. Each muscle is shown on
one side of the body only. There is always
a mate on the opposite side of the body.
The most common Trigger Point locations
are indicated by a circle on the muscle.
This is a general guide only. Your Trigger
Points may be found in a location near the
location shown in the illustration. Be sure
to search carefully to find your Trigger
Points - for treatment to be effective, you
must apply pressure directly to the Trigger
Point.
The referral patterns are indicated by
shaded areas on the body. Most are shown
on only one side of the body. The referral
pattern will occur on the same side of the
body as the Trigger Point. Again, this is a
guideline only, and some pain referral can
be caused by more than one muscle. You
must be a detective to determine if only
some, or all, muscles are affecting you
personally.
If you have questions, or need assistance
with your Pressure Pointer, call Pressure
Products, or consult a local health care
professional.
WHY SHOULD I USE THE PRESSURE POINTER?
USING THE
TREATMENT MANUAL
TIPS FOR SAFE AND
SUCCESSFUL TREATMENT
Foot Pressure allows the
target muscles to relax, and
keeps you from getting tired
during treatment.

Trapezius Stretch
Place right arm behind back, and grasp wrist with left hand,
as shown.
Bend neck sideways to the left while pulling on right arm.
Hold for 10-15 seconds.
Repeat for other side.
Repeat cycle three times, at least three times daily.
The Trapezius is a major
source of headache pain,
typically the type of pain
experienced as a “tension
headache.” It can also be a
cause of dizziness, jaw, and
toothache pain. Tightness felt
in the neck and back of the
skull often comes from Trigger
Points in the Trapezius.
If neck massage does not
relieve the sensation of
tightness in the neck, Trigger
Points in the Trapezius are the
most likely culprit.
Computer users and others who use their arms for
extended periods of time will recognize the burning pain
between the shoulder blades.
Referred pain from the Trapezius can be found in such a
wide variety of locations, that it commonly leads to
misdiagnosis, including shoulder bursitis, headaches, disc
compression, or a “pinched nerve.” Using the Pressure
Pointer may help alleviate your symptoms.
Trapezius Muscle Location and Trigger
Points
Trapezius Referred
Pain Patterns
Page 4

Sit on chair. Grasp seat of chair with right hand.
Place left hand on head and gently pull forward and to the
opposite side at the same time, until a stretch is felt.
The Levator Scapula muscle’s main function is to
raise the shoulder blade. Stress and tension keep
the shoulders raised, creating increased tension
on this muscle. Poor posture can also be a factor.
When Trigger Points are evident in this muscle, it can be very painful. This muscle is
typically involved when you find yourself unable to turn your head. In this case, the
direction which you cannot turn is the side that of the problematic Trigger Point. Using the
Pressure Pointer to treat the Trigger Points can help restore full movement.
Trigger Points in this muscle also create pain and stiffness along the neck and the edge of
the shoulder blade.
Levator Scapula Muscle Location
Levator Scapula Stretch
Levator Scapula Referred
Pain Patterns

Place hand on back of head.
Gently push chin to chest, until a stretch is felt.
Repeat three times, at least three times daily.
Headaches are the
most troublesome
pain experienced as
a result of Posterior
Neck muscle
Trigger Points.
Migraine
headaches, with
pain inside the
head all along one
side generally
result from Trigger
Points in the
muscles at the base
of the skull. Headaches which feel like a constricting
band around the head are also attributed to these
muscles. In addition, these muscles can be a cause of
blurred vision and pain behind the eyes.
Trigger Points in the lower neck muscles can cause pain
in the neck itself, but also frequently cause numbness,
burning, or tingling in the back of the head and scalp.
They can also cause pain along the angle of the neck and
upper shoulder.
Posterior Neck Muscle Locations and
Trigger Points
Posterior Neck Stretch
Posterior Neck
Referred Pain
Patterns

Stand, holding hand behind back.
Lower left shoulder, then tilt your head to the right. Slowly
roll head backwards until a stretch is felt.
The scalene muscles are
actually three muscles
found in the side of the
neck. Blood vessels
supplying the arm actually
pass between these
muscles. Trigger Points in
these muscles can be very
problematic, and cause a
wide variety of symptoms.
Thoracic Outlet Syndrome
is caused by compression of
these blood vessels.
Common symptoms include
pain, numbness, tingling,
swelling, and weakness of the arms and hands. These
symptoms are often incorrectly assumed to be Carpal
Tunnel Syndrome, as the symptoms are similar. In
addition, Trigger Points here can cause chest pain similar
to angina, as well as upper back pain.
If you’ve had difficulty finding relief from these symptoms,
addressing the problematic Scalene muscles could provide
better results. Remember, the pain location is not always
the same location as the source of pain.
Scalene Muscle Locations and Trigger
Points
Scalenes Stretch
Scalenes Referred
Pain Patterns

Sit on chair. Grasp seat of chair with right hand.
Place left hand on head and gently pull head toward the
left shoulder. Maintain pressure and turn head to the
right, until a stretch is felt.
Although the
SCM muscles are
located toward
the front of the
neck, this is
rarely where the
pain is felt.
Trigger Points in
the SCM mainly
refer pain into
the head, the jaw, and the sternum.
Headaches in the front of the head, as well as
accompanying facial pain, are usually from the SCM.
This muscle can also refer pain to the sinuses, the
teeth, and the tongue. SCM Trigger Points can affect
the inner ear, causing balance problems such as
dizziness, fainting, staggering, or even falling. There
can also be hearing loss and ear pain.
Finally, SCM Trigger Points can cause eye problems
such as drooping eyelids, watery eyes, and reddening.
Sternocleidomastoid (SCM) Muscle
Location and Trigger Points
SCM Stretch
SCM Referred Pain
Patterns

Bring left arm across front of body as shown.
Hold elbow with right arm and gently pull arm across
chest, until a stretch is felt.
The Rhomboid muscles are
often overlooked, but they
are frequently a location of
Trigger Points. The
Rhomboids are very thin
muscles which have the
tremendous responsibility
for much of the movement of
the shoulder blades. Due to
the enormous amount the
shoulder blades are used
daily, the Rhomboids are
often overworked and over
tired, leading to chronic
Trigger Points.
The referral pattern of the Rhomboids is not as widely distributed, but nearly everyone
suffers from the pain of Rhomboid Trigger Points. The pain is generally extends from
the edge of the shoulder blades to the spine. Since the Rhomboids on both sides are
almost always affected, this is a primary source of mid back tightness or aching
between the shoulder blades. This pain is felt when the muscles are in use, but also at
rest. Snapping or crunching noises when moving the shoulder can also be traced to the
Rhomboid muscles.
Rhomboid Muscle Location and Trigger
Points
Rhomboid Stretch
Rhomboid Referred
Pain Patterns

Begin standing with arms hanging loosely to the sides.
Breathe in slowly and as deeply as possible, while slowly
raising arms to the side until above head.
Hold for 5 seconds.
Slowly exhale while lowering arms back to sides.
Repeat 3-6 times, at least three times daily.
The Serratus Posterior
Superior looks very similar
to the Rhomboid muscles,
but is, in fact, very different.
This muscle runs
underneath the shoulder
blade and attaches to
multiple ribs. Its primary
function is to help raise the
ribcage when breathing in.
Since the muscle runs under
the shoulder blade, treating
this muscle requires moving
the shoulder blade out of the
way. When using the
Pressure Pointer, reach the arm of the affected side across the
chest to move the shoulder blade away.
Trigger Points in the Serratus Posterior Superior cause a deep
aching pain under the shoulder blade. Additionally, pain or
numbness can be found in the back of the shoulder, the elbow,
and the pinky finger of the hand. Finally, the Serratus
Posterior Superior can refer pain to the back of the upper arm
and forearm, as well as the pectoral, or chest, region.
Serratus Posterior Superior Muscle
Location and Trigger Points
Serratus Posterior Superior Stretch
Serratus Posterior
Superior Referred
Pain Patterns

Place right arm behind back, and grasp wrist with left hand,
as shown.
Bend neck sideways to the left while pulling on right arm.
The Serratus Anterior muscle
attaches to the ribs and the
shoulder blade. Its main
functions are to assist in
raising the arm and to expand
the ribs while breathing in.
Trigger Points in the Serratus
Anterior muscle typically refer
pain to the side and the lower
portion of the shoulder blade.
Although the pain distribution
isn’t large, the pain itself can
be very uncomfortable. When
Trigger Points are present in
this muscle, breathing in causes a sharp pain in the side.
Some people also describe feeling unable to breathe out
fully.
The pain of Serratus Anterior Trigger Points can mimic the
pain of lung disease and heart attacks. Although these
symptoms should be taken seriously, if no lung or heart
problems have been found, it is worthwhile to address these
Trigger Points with the Pressure Pointer.
Serratus Anterior Muscle Location and
Trigger Points
Serratus Anterior
Stretch
Serratus Anterior
Referred Pain
Patterns

Sit in a chair to stabilize hips.
Cross arms at mid forearm, and slowly roll forward,
until a stretch is felt
The Thoracic Paraspinal
muscles run lengthwise, parallel
to the spine. There are actually
two layers of muscle that lie one
on top of the other. Because
these muscles attach to the
vertebrae, or bones of the spine,
they can cause problems with
spinal misalignment and
damage to the intervertebral
discs.
The pain of Trigger Points in the
Thoracic Paraspinal muscles
often feels like it originates in
the spine itself. The muscles
feel hard and rigid, causing stiffness and decreased
movement. It often feels as though the entire back is in spasm, which should respond to
treatment with heat and superficial massage. When these treatments do not decrease the
pain and spasm, Trigger Points are more likely the cause. Extreme tension in these
muscles can lead to scoliosis, or a curvature of the spine.
Due to the close proximity of these muscles with the spine and nerves, Trigger Points in
these muscles can also refer pain that mimics problems with organs of the chest and
abdomen, such as appendicitis, kidney stones, angina, and lung problems.
Thoracic Paraspinal Muscle Location and
Trigger Points
Thoracic Paraspinal Stretch
Thoracic Paraspinal
Referred Pain
Patterns

Place both hands on the back at waist level
with palms facing forward.
Lean over and allow elbows to drop toward
floor, until stretch is felt.
The Infraspinatus, one of
the rotator cuff muscles, lies
on the outside of the lower
2/3 of the shoulder blade. It
functions primarily to rotate
your arm outwards and to
pull your arm back, such as
when swinging a bat or golf
club.
Trigger Points in the
Infraspinatus are commonly
overlooked, due to the
unique referral pattern.
Although this muscle is
located on the back, the primary referral pain is to the front
of the shoulder. Pain can also be found along the outer
portion of the shoulder, extending into the upper arm as
well.
A common condition known as “Frozen Shoulder” causes
weakness and stiffness in the shoulder. This true condition
is caused by adhesions and scar tissue in the joint. Trigger
Points in the Infraspinatus muscle can mimic the symptoms
of “Frozen Shoulder.” Trigger Point treatment with the
Pressure Pointer can help to alleviate many of these
symptoms.
Infraspinatus Muscle Location and Trigger
Points
Infraspinatus Stretch
Infraspinatus
Referred Pain
Patterns

Sit on chair (or stand) near wall. Place left arm
straight out to the side with elbow straight, and
place hand against wall.
Move waist sideways away from the wall until a
stretch is felt in the arm.
The Supraspinatus,
another rotator cuff
muscle, lies on the
outside of the upper 1/3
of the shoulder blade.
The function of this
muscle is to assist in
raising the arm above the
head. Although it is a
small muscle, it has an
incredibly important
function, and should not
be overlooked.
Supraspinatus Trigger Points cause a deep, aching pain
in the shoulder. It is extremely painful, if not impossible,
to raise your arm above your head. This interferes with many simple, daily tasks, and
makes normal life very difficult. If you’ve ever been diagnosed with bursitis, it’s possible
the Supraspinatus is the true source of your pain, not the shoulder bursa. In this case, the
pain does not resolve with typically prescribed anti-inflammatory medications.
Another interesting pain referral location of Supraspinatus Trigger Points is the outer
portion of the elbow. This pain is often misdiagnosed as Lateral Epicondylitis, more
commonly known as “Tennis Elbow.”
Working on the computer with no elbow support, carrying a heavy purse or briefcase at
your side, or moving heavy objects can overwhelm the Supraspinatus, causing increased
incidence of Trigger Points. Use the Pressure Pointer to keep this important muscle
healthy and happy.
Supraspinatus Muscle Location and
Trigger Points
Supraspinatus Stretch
Supraspinatus
Referred Pain
Patterns

Place right arm over and behind head with elbow bent, as
shown.
Grasp right wrist with left hand and pull gently, until a
stretch is felt.
The Teres major and
Teres minor are two
muscles that are
closely related, and
also comprise part of
the rotator cuff
muscles. Teres minor
helps rotate the arm
outward, while Teres
major helps extend the
arm backward and
pull the arm down.
Trigger Points in the Teres minor refer pain to a very
small and specific area of the back of the shoulder,
near the outer edge of the shoulder blade. Numbness and tingling, but not pain, in the
fourth and fifth fingers is also commonly associated with Teres minor.
Teres major Trigger Points create a feeling of sharp pain in the back of the shoulder and
arm, often feeling like pain in the Deltoid muscle.
These muscles are small, but important. They become easily fatigued and affected by
Trigger Points. Using the Pressure Pointer to treat these muscles can help decrease these
symptoms.
Teres Major/Minor Muscle Locations and
Trigger Points
Teres Stretch
Teres Major/Minor
Referred Pain
Patterns

Raise right arm above and behind head as shown.
Hold elbow with left arm.
Pull arm gently as you bend your trunk to the left, until
a stretch is felt.
The Latissimus Dorsi is
a large, broad muscle
that brings the arm
down and back. For
this reason it is often
known as the
“swimmer’s muscle.”
Trigger Points in the
Latissimus Dorsi cause
pain in the mid back,
below the shoulder
blade. They also refer pain to the lower back and
stomach. Additionally, they cause pain along the inside of
the arm, all the way to the fourth and fifth fingers of the
hand. Pain in the fingers, with no numbness, is usually
due to the Latissimus Dorsi.
Activities which involve repetitive motions of the entire
arm, such as swimming, rowing, throwing, tennis, and
golf, are common causes of Latissimus Dorsi overuse.
Addressing Trigger Points with the Pressure Pointer
allows pain free participation in many of these activities.
Latissimus Dorsi Muscle Location and
Trigger Points
Latissimus Dorsi
Stretch
Latissimus Dorsi
Referred Pain
Patterns

QUICK REFERENCE CHART
HEADACHES CHEST PAIN ARM PAIN
Trapezius Scalenes Scalenes
Posterior Neck muscles Serratus Posterior Serratus Posterior
SCM PAIN WITH BREATHING Infraspinatus
THORACIC OUTLET SYNDROME Serratus Posterior Teres major
Scalenes Serratus Anterior Latissimus Dorsi
CARPAL TUNNEL SYNDROME FROZEN SHOULDER HAND & FINGER PROBLEMS
Scalenes Infraspinatus Scalenes
Serratus Posterior Supraspinatus Serratus Posterior
Teres minor Teres major/minor Teres minor
Latissimus Dorsi SHOULDER PAIN (BACK) Latissimus Dorsi
NECK PAIN (BACK) Trapezius SIDE & STOMACH PAIN
Trapezius Levator Scapula Serratus Anterior
Levator Scapula Scalenes Latissimus Dorsi
Posterior Neck muscles Serratus Posterior EYE PROBLEMS
NECK PAIN (SIDE) Supraspinatus Trapezius
Levator Scapula Teres major/minor Posterior Neck muscles
SCM Latissimus Dorsi SCM
UPPER BACK PAIN SHOULDER PAIN (FRONT) EAR & JAW PAIN
Trapezius Infraspinatus Trapezius
Levator Scapula Latissimus Dorsi SCM
Scalenes SHOULDER BURSITIS SINUS, TONGUE, THROAT,
TEETH
Rhomboids Trapezius SCM
Serratus Posterior Supraspinatus HEAD & SCALP NUMBNESS
Serratus Anterior TENNIS ELBOW Posterior Neck muscles
Teres minor Supraspinatus DIZZINESS
Latissimus Dorsi Trapezius
BURNING BETWEEN SHOULDERS SCM
Trapezius
Rhomboids

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