RehabFAQs

how-to rehab pectoral minor

by Mr. Walker Batz DDS Published 2 years ago Updated 1 year ago
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There are a number of options to treat a pectoralis minor injury using physiotherapy. Physiotherapy may include a home exercise programme, electrotherapy and postural education. The treatment you receive will be tailored specifically to your needs and will depend on your main goals and problems.

Pectoralis Minor Exercises
  1. Chest dips – similar to tricep dips, but focus is on directing body forward.
  2. Chest Press – can be done with a machine, free weights or a resistance band.
  3. Close grip Push up.
  4. Chest Fly.
  5. Cable Crossover work – best executed with a cable machine, but can also achieve with free weights.

Full Answer

How do I treat a pectoralis minor injury?

As well as being able to release and lengthen the pectoralis minor muscle, it is important to have adequate strength for maintaining good posture and preventing further injury from occurring. Exercises which target the pectoralis muscle group include but are not limited to: Chest dips – similar to tricep dips, but focus is on directing body forward

What does the pectoralis minor muscle do?

May 03, 2019 · Pushups, chest presses, dumbbell flys and bench presses are examples of pectoral-strengthening exercises that may be performed during your therapy session. To help prevent reinjury, begin with light weights, such as 5-pound dumbbells, when …

How do you palpate the pectoralis minor?

There are a number of options to treat a pectoralis minor injury using physiotherapy. Physiotherapy may include a home exercise programme, electrotherapy and postural education. The treatment you receive will be tailored specifically to your needs and will depend on your main goals and problems. Other treatment options include: Hydrotherapy

How do I use the pectoralis minor self-massage?

Begin sport specific exercise as tolerated – avoid large spikes in training load and always assess post-exercise soreness. For the correct rehabilitation program for a pectoralis muscle strain, come see our experienced Physiotherapist at Pivotal Motion. Book an appointment online or call us today on 07 3352 5116.

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How do I heal my pectoralis minor?

In isolated pectoralis minor tendon tears, however, a conservative treatment approach is typically recommended. Recommend rest, ice, and anti-inflammatory medication for the first two to four weeks following the injury. The athlete may use an arm sling to increase comfort, but complete immobilization isn't necessary.

How long does it take for a pectoralis minor strain to heal?

How long should recovery take for torn pec muscle? Generally, low-grade tears take 4-6 weeks to recover while high-grade tears can take 3-4 months. Remember, recovery time is not only determined by the grade of injury but how quickly you heal after surgery.7 days ago

How do you rehabilitate your pectoral muscles?

Physical Therapy Treatment for Pectoralis TearRange of motion. Range of motion exercises help to improve the way your shoulder moves. ... Strengthening exercises. Strengthening exercises may be done to help improve the way your shoulder and pectoralis muscles work. ... Endurance exercises. ... Plyometrics.Aug 5, 2020

What does a pec minor injury feel like?

Symptoms of the pec minor injury include; Pain in between shoulder blades in upper back. Pain and/or numbness through the inner arm, inside of elbow, into wrist, hand and 4th and 5th fingers. A sore/tight pec minor can contribute to a rounded shoulder posture as the muscle pulls the shoulder forward.

How do you know if you have a pectoral tear?

When the pectoralis muscle ruptures, you will have sudden severe pain and a tearing sensation in the chest. You may also have pain in the upper arm, weakness, bruising, and a dimpling, or pocket formation above the arm pit.

How do I know if I tore my pectoral muscle?

Signs and symptoms of a pulled chest muscle The pain experienced from a pulled chest muscle can be either sharp or dull and it can be more pronounced with deep inhales and exhales. Other signs of chest muscle strain include swelling, bruising, and muscle spasms.

Should I stretch a strained pec?

Physical Therapy and Stretching The Chest Pec stretches are performed to gently stretch the muscle to reduce this tightness and are prescribed to you by your physical therapist. These stretches should be done gradually so as to minimize re-tear and further injury.May 14, 2020

Can a pec strain heal on its own?

In most cases, a torn pectoral will not heal on its own. Our team will need to perform surgery to reattach the muscle so that you can begin your road to recovery. The operation will involve sewing the muscle back into place on your upper arm.Nov 20, 2021

How do you strengthen the pectoralis major tendon?

Wrist weights, light dumbbells and low tensioned exercise bands are generally used for shoulder flexion exercises to slowly improve the strength of your pectoral muscles after a tear. Perform three sets of 15 repetitions of strengthening exercises. Slowly increase the resistance depending on your rate of progress.

How long does it take for chest muscle to heal?

Recovery generally takes between 2 and 3 weeks. Grade 2 (more extensive damage): The injury has affected more of the individual muscle fibers, but the muscle is not completely ruptured. There is a significant loss of strength and motion. The injury may take between 2 and 3 months to heal fully.

What causes a tight pec minor?

There are many possible causes of a tight pec minor muscle. Bad posture is certainly at the top of the list for most people. However, direct trauma to the chest, stress, prolonged use of crutches, or a heavy backpack carried over the shoulder will also do the trick.Apr 4, 2016

Treatment

General health websites prescribe Rest, Ice, Compression, and Elevation (R.I.C.E) for every muscle ache and pain. Lucky for you, Facts & Physio doesn’t endorse outdated, ineffective treatments.

Soft Tissue Treatment

These exercises address trigger points in the pectoral muscles. Recall from the Symptoms section that pec trigger points cause chest, shoulder, elbow, and hand pain.

Push-Ups

Rebuilding pec muscle strength is vital to recovery and regaining function. Push-up variations strengthen the pecs and remodel the injured tissue.

Bench Press

The bench press exercise (or a chest press on weight training machines) is the best way to build powerful pectoral muscles.

Caution!

Muscle strains aren’t the only cause of chest pain. A serious medical issue, like a heart attack or panic attack, can cause chest pain.

Closing Remarks

Like any muscle strain, the severity of a pec injury determines how long it takes to recover. Healing can take a few days to a few months ( 5 ). Fortunately, muscles have good blood flow so they heal faster than tendons and ligaments.

What is the importance of the pectoralis minor muscle?

As well as being able to release and lengthen the pectoralis minor muscle, it is important to have adequate strength for maintaining good posture and preventing further injury from occurring. Exercises which target the pectoralis muscle group include but are not limited to:

How to strengthen the pectoralis muscle?

As well as being able to release and lengthen the pectoralis minor muscle, it is important to have adequate strength for maintaining good posture and preventing further injury from occurring. Exercises which target the pectoralis muscle group include but are not limited to: 1 Chest dips – similar to tricep dips, but focus is on directing body forward 2 Chest Press – can be done with a machine, free weights or a resistance band 3 Close grip Push up 4 Chest Fly 5 Cable Crossover work – best executed with a cable machine, but can also achieve with free weights

What muscle prevents the scapula from moving?

Tight muscles here can also prevent the scapula from moving optimally in regards to biomechanics and cause a slouched posture, which can cause further impairments or injury. Tightness in the pectoralis minor when combined with weak latissimus dorsi (a large, important back muscle), can cause excessive protraction of the shoulder, ...

What exercises target the pectoralis muscle?

Exercises which target the pectoralis muscle group include but are not limited to: Chest dips – similar to tricep dips, but focus is on directing body forward. Chest Press – can be done with a machine, free weights or a resistance band. Close grip Push up. Chest Fly.

Is it important to release the pectoralis muscle?

In this case, it is not only important to release the pectoralis muscles but also to strengthen latissimus dorsi. In the video below, Bertrand shows you how to release the pectoralis minor, which often becomes shortened for people with shoulder pain/dysfunction.

Is the pectoralis minor tight?

Whilst it is not one of the largest muscles in the pectoral girdle, tightness of the pectoralis minor is increasingly common, even more so in those with shoulder pain. A tight or shortened pec minor can significantly impair shoulder range of motion, making every day tasks very challenging.

How to treat pectoral muscle pain?

Pectoral Muscle Pain Treatment. Physical therapy treatments are used to decrease pain after injury to your pectoral muscle. Moist heat is often used to increase blood flow to the injured area and help your muscles relax. Electrical stimulation — delivered through pads placed on your pectoral muscle — uses electrical current to decrease pain ...

What exercises can be performed during a pectoral restraining session?

Pushups, chest presses, dumbbell flys and bench presses are examples of pectoral-strengthening exercises that may be performed during your therapy session. To help prevent reinjury, begin with light weights, such as 5-pound dumbbells, when resuming bench presses.

What exercises are used to strengthen a PEC strain?

Strengthening exercises are performed during the pec strain recovery time once you have full range of motion without pain. Dumbbells, elastic bands, wrist-cuff weights and exercise machines are all utilized in therapy for strengthening.

Why does my pectoral muscle tighten up?

After injury, your pectoral muscle may tighten up — a condition called muscle guarding — as the body attempts to protect the area from further injury. Perform stretches to gently lengthen the muscle to reduce this tightness.

How to stretch chest muscles?

Hold each stretch for 20 to 30 seconds and repeat three times. Your therapist may also instruct you to stretch at home between therapy sessions. Do the corner stretch to improve chest flexibility: Stand facing a corner with your feet staggered. Lift your arms to shoulder height and place both forearms flat on the wall.

How to stretch your PECs?

Lift your arms to shoulder height and place both forearms flat on the wall. Slowly lean in until you feel a stretch across your chest. Hold for 20 to 30 seconds and repeat three times. Lower and raise your arms slightly and repeat to stretch other parts of your pecs.

Does bench press help with pectoral strain?

According to an article published in 2017 by Musculoskeletal Imaging, the bench press exercise has become more popular, leading to an increase in pectoral injuries since the early 2000s. Physical therapy interventions decrease pain and restore motion and strength as part of your pectoral strain treatment. Video of the Day.

How to treat a pectoralis injury?

There are a number of options to treat a pectoralis minor injury using physiotherapy. Physiotherapy may include a home exercise programme, electrotherapy and postural education. The treatment you receive will be tailored specifically to your needs and will depend on your main goals and problems. Other treatment options include:

What is the pectoralis minor?

The pectoralis minor muscle is the smaller of the two chest muscles responsible for movements of the scapula (shoulder blade). It lies underneath the larger chest muscle, pectoralis major and is important in providing support for the shoulder joint. Physiotherapy is an excellent treatment for a pectoralis minor injury.

Why is my pectoralis minor injured?

Pectoralis minor injuries are relatively uncommon but can be caused by poor posture or repetitive trauma to the muscle during gym activities. This can be referred to as “the bench-presser’s shoulder”. Pectoralis minor is often injured in combination with larger muscles of the shoulder such as pectoralis major and the deltoid.

Can you ignore a pectoralis injury?

If you notice symptoms of a pectoralis minor injury, you should not ignore them. If you continue with your normal activities, you may aggravate the injury further. This will delay your recovery and may cause long term problems with this muscle.

Can a pectoralis minor injury cause long term complications?

A pectoralis minor injury should not cause long term complications but it is important to receive physiotherapy as soon as possible to optimise your recovery. Above: Progressive strength training for the chest muscles supervised by specialist MSK physiotherapist. To arrange a physiotherapy assessment call Physio.co.uk on 0330 088 7800 ...

How to do a PEC major tear?

The primary mechanism of Pec Major tears is the classic bench press. This exercise begins with the bar pushed straight up above the body. The bar is then slowly lowered towards the chest before being pushed back up to the starting position.

How to heal a muscle tear?

muscle tear – Relative rest, Ice, Compression and Elevation (helps reduce the inflammation to the injured tissue allowing for a quicker recovery time). Effleurage massage can help reduce swelling to the area. Pain free mobility exercises retain as much range of motion as possible.

What is a grade 2 PEC strain?

Significant tissue damage leading to a moderate loss in movement is a Grade 2 pec major strain. Grade 3 muscle strains will be the muscle fibres have been torn resulting in a complete rupture and major loss in function. Majority of pec major muscle strains are Grade 2, meaning that there is significant damage to the muscle ...

How long does it take for a muscle to return to normal after a strain?

Provide adequate self-management strategies and pre-exercise routine. Note: Grade 1 muscle injuries can expect a full return to function within a week, once symptoms have subsided. With grade 2 strains the return to full activity can be significantly slower, depending on the severity, return can range from 2 – 6 weeks.

Where does the PEC major come from?

It originates from the breastbone (sternum) and collarbone (clavicle) before attaching into the top of the arm bone (humerus). The upper part of the Pec Major helps to raise the arm and rotate it inwards (flexion and medial rotation), and brings the arm across the body (horizontal adduction). The lower part of the pec major can assist ...

How to reduce soreness from bench press?

Increase resistance with exercises. Can begin bench press exercise with progressive increase in reps and load. Begin sport specific exercise as tolerated – avoid large spikes in training load and always assess post-exercise soreness.

What is the stretch to the PMI?

A stretch to the PMi would require movement of the muscle’s insertion in a posterior direction, in conjunction with scapular retraction that is performed at or above 30° of flexion or elevation in the scapular plane (scaption), thereby lengthening the muscle.

What is PMI in a shoulder?

The PMi has been identified as a muscle that is implicated in scapula dysfunction and subsequent shoulder pathologies. Tightness in the muscle can restrict full scapula upward rotation, posterior tilt and elevation – movements that are required to fully allow clearance of the acromian process away from the humeral head in full elevation positions. Stretching exercises for the PMI have been offered to lengthen and reduce tone through this problematic muscle.

What happens if you shorten your PMI?

Due to its attachment on the coracoid process, a shortening of PMi will lead to anterior tilting and downward rotation of the scapula, and prevent full upward rotation, elevation and posterior tilting of the scapula, which is required for full shoulder elevation. Sahrmann (2002) has described a number of clinical syndromes that are associated with a shortening of PMi 16. These include; thoracic outlet syndrome, scapular winging and tilting syndrome, scapular abduction syndrome, scapular depression syndrome and scapular downward rotation syndrome. Bhatia et al (2007) proposed an injury defined as an insertional tendinopathy of PMi caused by bench pressing and called this ‘Bench Presser’s Shoulder’ 17. They argue it is a previously undescribed cause of shoulder pain in weightlifters/ sportsmen.

How to help inspiration muscles during breathing?

Anterior tilt the scapula (along with rhomboid and levator scapulae). Depress the scapula (along with the inferior trapezius). Internally rotate the scapula. Assist the inspiration muscles during breathing (due to its attachment onto the rib cage).

Where is the PMI tendon located?

In a further study, it was found that in some cadaver specimens, the PMi tendon has an ectopic insertion, that is, somewhere away from the corocoid process 14.

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General Information

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Pectoralis minor is a skeletal muscle that pushes forward and draws down the scapula or raises the ribs. It also stabilizes the scapula during movement.
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Interesting Information

  • Pectoralis minor is a thin, triangular muscle, located at the upper part of the chest, beneath the Pectoralis major. It attaches the front of the shoulder blade to ribs 3, 4, and 5, pulling the shoulder and shoulder blade down. This muscle is responsible for actions, such as pushing things away from the body and lifting with arms straight in front of the body. Injuries occur to pectoralis mino…
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Relevant Research

  • Surgeons typically prefer the use of arthroscopic shoulder reconstruction to correct shoulder instability. Surgeons are now using a new procedure, the arthroscopic Latarjet procedure, which combines the benefits of both open and arthroscopic procedures. This procedure enables surgeons to better dissect around the pectoralis minor. Lafosse, L., Lejeune, E., Bouchard, A., Ka…
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Doorway Modified Chest Stretch

  • Stand in a doorway or at the end of a wall, facing perpendicular to the wall. Start with the left arm. Place front of left shoulder and inside of left arm on the surface of the wall. Position left elbow at shoulder height. Position both feet back behind original stance. Lean into wall, allowing the left shoulder to be pushed back. Turn the body to the right, away from positioned arm. Hold this posi…
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Symptoms

Treatment

  • General health websites prescribe Rest, Ice, Compression, and Elevation (R.I.C.E) for every muscle ache and pain. Lucky for you, Facts & Physio doesn’t endorse outdated, ineffective treatments. Despite its popularity, the R.I.C.E. protocol slows recovery for musculoskeletal sprains and strains. Ice and anti-inflammatory medications disrupt and delay the body’s natural healing processes (2…
See more on factsandphysio.com

Soft Tissue Treatment

  • These exercises address trigger points in the pectoral muscles. Recall from the Symptomssection that pec trigger points cause chest, shoulder, elbow, and hand pain.
See more on factsandphysio.com

Stretching

  • You probably know that I’m not a huge fan of stretching. Stretching by itself won’t speed up recovery from a muscle strain. But gentle mobility work has its place–it prevents an injured pec from healing in a shortened position.
See more on factsandphysio.com

Push-Ups

  • Rebuilding pec muscle strength is vital to recovery and regaining function. Push-up variations strengthen the pecs and remodel the injured tissue.
See more on factsandphysio.com

Bench Press

  • The bench press exercise (or a chest press on weight training machines) is the best way to build powerful pectoral muscles.
See more on factsandphysio.com

Caution!

  • Muscle strains aren’t the only cause of chest pain. A serious medical issue, like a heart attack or panic attack, can cause chest pain. If you’re unsure about the source of your chest pain, it’s a good idea to talk with a qualified healthcare provider to rule out serious issues–especially if you have a medical history of heart problems. It could save your life! Read more about chest and mid back r…
See more on factsandphysio.com

Wrapping Up

  • Like any muscle strain, the severity of a pec injury determines how long it takes to recover. Healing can take a few days to a few months (5). Fortunately, muscles have good blood flow so they heal faster than tendons and ligaments. If you’ve been nursing a chest strain for a long time or suffered a severe injury, it’s a good idea to see an orthopedic physician or physical therapist. …
See more on factsandphysio.com

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