Thoracic Outlet Syndrome

Self Care – Pain Along the Collar Bone and Down the Arm

Once this trigger point has become irritated, activities that press down will elicit the pattern. Those activities include things like kneading dough, push up to get out of a chair, chiropractic adjustments, or digging holes to plant flowers. It is even more aggravated, and usually created by the downward motion that has a forceful jerk. …

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Forward-Head Posture

These people complain of neck pain, stiffness and headaches that come from their neck. It often creates problems with restricted breathing and pain that radiates into the chest, upper back and arms. Forward-Head Posture (FHP) is a syndrome. That means that it is a collection of symptoms that lead to more specific diagnoses. FHP, defined …

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Self Care – Forward-Head Posture

Forward-Head Posture (FHP) is also known as iHunch or iPosture because it is so often created by texting. Keep your hips against the back of the chair while sitting for long periods. The guy on this end of the picture is the worst but it isn’t just that his head is forward. The woman next …

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Self Care – Tuck, Tilt, Turn and Lift – Retraining Your Forward-Head Posture

This is a key exercise for Forward-Head Posture and Thoracic Outlet problems like swollen hands in the morning. It will reveal stiffness and pain that will help you be more specific in understanding and targeting your neck problem with self-care. This series of stretches helps you sleep if you do it before bed. It offers …

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Therapy Notes – Pectoralis Minor

A chronically shortened pectoralis minor produces the distinctive protracted shoulder that does not lay down like the other shoulder when the client is on their back. It is easy to release with a little posterior static pressure on the greater tubercle while lifting displaced ribs off the upper thoracic vertebrae. Even in chronic cases, this …

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Self Care – Pain in the Front of Shoulder When Lifting Arm

This typically comes in one of two postures: rounded shoulders with short tight pecs and shoulder blades that lay close to the back or high and tight shoulder with overstretched pecs and shoulder blades that wing out. Working on a low desk with a laptop can also lead to the hooked shoulders and a short, …

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Self Care – Pain in the Upper Back, Index Finger and Thumb

Feeling some sensation into your torso and arm? Getting some sensation into the scalene referral areas while doing Stretches for Scalenes is a good sign. It doesn’t always happen but it indicates that the trigger points are activated by the stretch. It doesn’t happen as much when you use the ice, as ice inhibits that …

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Self Care – Seated Stretches for Stiff, Swollen Hands

This stretch routine is much faster and effective if it is done with the ice-and-stretch method. I’ve done this routine with a number of clients, first without ice and then with ice-and-stretch. They all remark that it is amazingly easier and more effective with ice. This simple set of stretches has 3 parts: 2 stretches …

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Functional Anatomy – Thoracic Outlet

This is a short video walking through the structures from posterior to anterior followed by a more detailed document of the same structures. This post on the anatomy of the scalene muscles is worth reviewing for its information about the frequency and types of anomalies in those muscles. This video uses the convention throughout the …

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Self Care – Stiff, Swollen Hands in the Morning

This can come on gradually from habitual activities. Habitually sitting while leaned forward, especially with your hips pulled forward, can lead to changes in breathing patterns that use the front of the neck to lift the rib cage and develop strong, short scalenes. Competitive swimming and some musical instruments, like flute or violin, can also …

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