When scalene muscle is the cause of pain
, the pain
is referred to (either all or a combination of) chest
, inner lining of scapula (shoulder bone), shoulder, posterior and lateral sides of the arm right up to the thumb and index finger. Treatment is by physiotherapy that involves indentifying the trigger points, and massaging them, and other exercises to relieve the muscle tension.
Pleuritis and Pulmonary embolism are other possibilities causing shortness of breath with chest pain.