Wrist

Therapist Notes – Serratus Posterior Superior

Anatomy Review? The neuromuscular considerations in the Structural Overview are particularly interesting for the structural therapist. Serratus posterior superior is strongly governed by the costovertebral joints of the upper thoracic spine. These fixations are almost always associated with locally displaced vertebrae, especially the shearing of C7 and the upper thoracics in Forward Head posture. Serratus …

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Therapy Notes – Scalenes

Palpation Structural anomalies are common in the scalenes. Developed palpation skills are needed to reach the proper belly for assessment and treatment. Be aware that the lateral tip of the cervical transverse process is blunt and puts significant space between the attachments of the anterior scalene on anterior tubercle and the attachment of the scalenes …

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Self Care – Stiff, Swollen Hands in the Morning

Stiff and swollen hands are usually a problem when one sleeps on their back (as is often recommended) with their arms by their side. Some people avoid this problem, as well as “numbing and tingling in their arms and hands” by sleeping on their side, sleeping ontheir back or putting their hands above their head. …

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Trigger Points – Stiff, Swollen Hands in the Morning

People complain about awakening with stiff and swollen hands. Some of them have problems with tingling and sleeping hands in the night. They often get up and move their arms around until the tingling stops, and the arms are awake again. Sometimes, they have pain or tingling when they hold their arms near shoulder level as …

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Trigger Points – Pain Behind the Shoulder When Lifting Arm

Client’s Description When the trigger point is less advanced, people hold their arm out with the elbow away from their side,  reach around to touch the back of the shoulder behind the arm pit and say that it hurts there. If I ask if they can reproduce the pain, they cautiously rotate their hand back to …

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Trigger Points – Can’t Reach Pain Under the Shoulder Blade

Client’s Description People complain of pain under the shoulder blade that can’t be reached. It aches fairly constantly. This pain can become so vague, unreachable and constant that people do not consider it in their pain patterns anymore. When that happens, and this trigger point continues to worsen, people begin to complain about the elbow and wrist …

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