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THERE ARE SEVERAL CAUSES of trigger points. These include direct trauma (an accident or injury), unusual exertion and repetitive strain. Direct trauma involves impact, as from a fall, or an automobile or skiing accident.
Trigger points in the sternocleidomastoid can be activated by a tight or tense pectoralis major muscle as the clavicular head of the pec major pulls down on and forward on the clavicle which puts tension on the clavicular branch of the SCM.he SCM may become tight and cause painful stiffness in the neck forcing the head to tilt to one side. This may indicate the presence of trigger points, which may be responsible for frequent headaches or ear pain (mistaken for an ear infection).