Order by Phone (USA) 1 800 741 5716

Order by Phone (Int) +44 161 802 0161



Pectoralis Major - Trigger Point Overview



Active Trigger Points in Pectoralis Major are Common - and Relatively Simple to Treat

Trigger points in pectoralis major are common and may be associated with a number of painful disorders including  mid-scapular back pain, breast pain and hypersensitivity, thoracic outlet syndrome, anterior shoulder pain, golfer’s and tennis elbow, chest pain, chronic fatigue, and hyperventilation syndrome.


Pectoralis Trigger Points

Pectoralis Major - Common Trigger Point Pain Maps



Pec major trigger points are typically posture related but may also be caused by heavy lifting, chilling of muscle in air conditioning, immobilization of shoulder or arm in cast or sling, anxiety and poor breathing, sports overload (e.g. weight training, rowing, boxing, push-ups).



Trigger Points in the Pec Major are common and usually "Posture-Related"


NAT Trigger Point Master Course - Home Study/Certification


Trigger Point Therapy

Trigger point therapy can be extremely effective. These trigger points are easy to access and generally quite straightforward to identify.

Stretching is almost always an important part of the treatment process, and muscle energy techniques (MET's) are particularly useful.


Adducts and medially rotates humerus.
Clavicular portion: flexes and medially rotates shoulder joint, and horizontally adducts humerus toward opposite shoulder. Sternocostal portion: obliquely adducts humerus toward opposite hip.

Pectoralis major is one of the main climbing muscles, pulling the body up to the fixed arm.


Pectoralis Major Trigger Point Therapy


Differential Diagnosis

C5–C6 radiculopathy. Biceps tendonitis. Rotator cuff muscle lesions. Intrathoracic pathology. Esophageal pathology. Tietze’s syndrome. Ischemic heart disease (angina). Thoracic outlet syndrome.

Trigger Point Self Help

Patients will often require advice on posture. There are many good stretching exercises for the pec major, and the accessibility of the trigger points make them a good candidate for self-help tools (hard balls, etc).


There are a number of simple stretching exercises for the pecs, but patients must follow correct procedure and safe rules of stretching



Find a Trigger Point Professional in your area

More Articles About Shoulder Pain

More Articles About Rotator Cuff Injuries

More Articles About Frozen Shoulder

Neuromuscular Stretching

NAT Professional Courses

Certify as a Trigger Point Therapist



About NAT Courses

As a manual therapist or exercise professional, there is only one way to expand your business - education!

Learning more skills increases the services that you offer and provides more opportunity for specialization.

Every NAT course is designed to build on what you already know, to empower you to treat more clients and grow your practice, with a minimal investment in time and money.

Help Desk


About Niel Asher Education

Niel Asher Education is a leading provider of distance learning and continued education courses.

Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.

Our courses are accredited by over 90 professional associations and national accreditation institutions including the National Academy of Sports Medicine (NASM) and National Certification Board for Therapeutic Massage and Bodywork (NCBTMB). Full details of all international course accreditations can be found on our website.  

Printed course materials and other products offered on our websites are despatched worldwide from our 3 locations in the UK (London), USA (Pennsylvania) and Australia (Melbourne).

More About Us



We are honored to have received the "Excellence in Education" Award from the National Association of Myofascial Trigger Point Therapists.

Since 1999 Niel Asher Education has won numerous awards for education and in particular for education and services provided in the field of trigger point therapy.

Read Full Article 


Award Winning Instructors

Niel Asher Healthcare course instructors have won a host of prestigious awards including 2 lifetime achievement honorees - Stuart Hinds, Lifetime Achievement Honoree, AAMT, 2015, Education Award NAMTPT 2019, Paul Townley, Elsevier Education Award 2013, and Dr. Jonathan Kuttner, MD, Lifetime Achievement Honoree, NAMTPT, 2014.

Meet the Instructors



If you are a qualified/licensed manual therapist or exercise/fitness professional you can expand your credentials with NAT certification.

In addition to national accreditation for continued education, each course that we offer includes "NAT Learning Credits". By taking and completing courses you can accumulate NAT credits to qualify for NAT certification.

There are currently 3 levels of NAT certification. Certifying NAT is a valuable way to show your clients that you take continued education seriously, and to promote your skills and qualifications.

Most of our courses are accredited for CE/CPD/CPE. A full list of CE accreditations can be found by clicking on the link below. 

About NAT Certification


Niel Asher Technique

Since 1999 the Niel Asher Technique for treating trigger points has been adopted by over 100,000 therapists worldwide, and has been applied to the treatment of a number of common musculoskeletal injuries.

The Niel Asher Technique for treating frozen shoulder was first introduced and published in 1997 and has been widely adopted by therapists and exercise professionals working within elite sports and athletics.

Read More


International Students

Most of our courses are available as either "Printed" or 'Download" editions, wherever you live. Internet connection is required to access online and downloadable material.

When you purchase a download edition, you receive immediate lifetime access to all course material. Course texts can be downloaded and printed if required. 

When you purchase a "Printed" edition, you will also receive free access to the download edition.

We ship Worldwide from locations in the USA, UK, and Australia. Most items are despatched within 24 hours and shipping is FREE for all orders over US$50.



Where to Start?

We offer a range of over 50 courses, presented by some of the worlds leading manual therapists. All courses are reviewed annually, and new courses are regularly added.

Our courses are modular, and designed to build on what you already know. For more information, please visit our "Where to Start?" page.

Start Here


Trigger Point Therapy CE Course

Trigger Point Therapy Master Course

Click for Details


Education Membership Plans from $19.95/monthly


feel good learning
NAT Global Campus Logo
NAT global campus

Learn More for Less

Unlimited access to all courses for just $19.95/mo