13/10/2025
Most people with neck pain focus on the back of the neck or the upper traps.
But one area that often gets missed is the scalenes.
Three small muscles that run down the side of the neck and attach onto the first rib.
When they get tight, they can do more than just cause local neck stiffness.
Because they attach to the first rib, they can actually lift it slightly, which puts extra tension through the upper back and shoulder.
That’s why some people with neck pain also feel a deep ache around the shoulder blade or mid-back. It’s all connected.
The scalenes are also important because the long thoracic nerve runs through this space, between the rib and the collarbone.
If that area gets tight or compressed, it can irritate the nerve, sometimes leading to shoulder weakness, changes in how the shoulder blade moves or arm pain.
So when you’re treating neck pain, it’s worth thinking beyond the obvious because the scalenes can quietly contribute to a lot more than people realise.
The Sharp Physio Team