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there are three sets of trigger points in the pectoralis major muscles and they correspond to the three divisions of the muscle that we discussed before the first set is our in the clavicular brand and they will give pain in the front of the shoulder the second group is in the sternal division so this is attaching to the breastbone and there are actually two separate pain distributions the first is just local over the chest and the second is over the chest and down the inside of the arm this is the typical pain that you would find in heart related pain so angina or pain arising from a heart attack a myocardial infarction often gives pain in this kind of distribution I think at this point I will just discuss as a disclaimer it is really important that if you feel pain across the front of your chest which may or may not radiate down the inside of your arm you need to first rule out whether this is actually coming from your heart therefore you should go and see a competent medical practi
