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Muscles/Neck

Neck

scalenus posterior

ska-LEE-nus pos-TEER-ee-or

The posterior scalene attaches lower cervical vertebrae to second rib, flexing neck and aiding inhalation. Supports posture in endurance sports by stabilizing ribs. Less commonly injured but tightens with chronic coughs.

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Common Pain & Injury

Pain to posterior arm and fourth/fifth fingers. Mimics ulnar nerve issues. Doctor for hand weakness.

Anatomy & Function

Origin

Transverse processes of C4-C6 vertebrae

Insertion

Second rib

Actions

  • Lateral neck flexion
  • Contralateral rotation
  • Elevation of second rib

Innervation

Anterior rami of C6-C8

Muscle Relationships

Antagonists

Scalenus anteriorSternocleidomastoid

Synergists

Scalenus mediusLongus colli

Trigger Points

Refers to posterior shoulder, triceps, and ring/pinky fingers.

Stretches

1Posterior scalene tilt
2Rib cage opener
3Side bend with arm raise

Common Conditions

Scalene myofascial pain syndromeUlnar nerve entrapment mimicCosto-vertebral strain

Anatomical Parts

Right scalenus posteriorLeft scalenus posterior

FAQ

Scalenus posterior pain pattern?

Refers to back arm and pinky; stretch gently.

Role of scalenus posterior?

Flexes neck laterally and elevates second rib.

Scalene posterior stretch?

Head tilt with slight rotation opposite.

Scalenes in breathing?

Accessory muscles for deep breaths in exercise.

Exercises for scalenus posterior

8

Also Works scalenus posterior

1

Related Neck Muscles

arytenoid cartilage
Paired laryngeal cartilages in throat enabling voice production via vocal cord movement. Not muscle but closest for neck; singers train supporting muscles. Vital for breathing/speaking.
Ascending part of right trapezius
The ascending part of the right trapezius is the uppermost portion of the trapezius muscle on the right side, running from the base of the skull and upper cervical spine up toward the clavicle and shoulder. It elevates the scapula (shoulder blade) and assists in neck extension and rotation, crucial for shrugging movements and maintaining upright posture during lifts. Strong ascending traps prevent neck strain in overhead presses and rows.
cervical rotator
Cervical rotators are deep neck muscles like obliquus capitis inferior and splenius cervicis that turn the head side-to-side. Located deep in the upper cervical spine, they enable rotation for looking over shoulder. Vital for neck mobility in sports and daily turns.
cricothyroid
The cricothyroid is a small intrinsic laryngeal muscle in the anterior neck, tensing vocal cords for higher pitch. Located between cricoid and thyroid cartilages, it's key for singing and speaking. Matters for vocal athletes like singers.
digastric
The digastric has anterior and posterior bellies under the jaw, opening the mouth by depressing mandible. Runs from mandible to mastoid via sling, key for chewing and yawning.
geniohyoid
Thin neck muscle under chin pulling hyoid forward/up, geniohyoid aids swallowing and tongue movement. Supports neck stability in planks.
hyoglossus
The hyoglossus is a thin tongue muscle running from the hyoid bone (under chin) up into the tongue's side. It depresses and retracts the tongue, aiding swallowing and speech. Rarely targeted in fitness, but dysfunction affects eating and breathing mechanics.
iliocostalis cervicis
Iliocostalis cervicis is the neck portion of the erector spinae, running vertically along upper back to cervical ribs. It extends and laterally bends the neck, vital for posture in overhead lifts and sports. Supports head stability in fitness.

Neck Pain Guide

Common causes and relief

Activities & Sports

See which activities use scalenus posterior

Pinpoint·Interactive 3D Anatomy & Exercise Guide