oitf-chest-extrinsic

Therapist Notes – Subclavius

Anatomy Review? Paget-Schroetter syndrome is a specific form of thoracic outlet syndrome where the subclavian artery moves medially until it is restricted with pressure from the subclavius muscle. The arm becomes chronically swollen and bluish. It is more common among athletes that weight lift or play tennis. In one case, I noticed that a woman’s …

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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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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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Therapy Notes – Pectoralis Major

The pectoralis major is a broad, fan-shaped muscle made of flat overlapping strips that covers the anterior ribs. Pecs are often the victim of cervical problems. They are innervated by the brachial plexus and are intertwined with THORACIC OUTLET SYNDROME. They also perpetuate THORACIC OUTLET SYNDROME by holding pectoralis minor short, which entraps the brachial …

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Self Care – Doorway stretches for Chest Muscles

These doorway stretches are classic because they’re quick, effective and can be done almost anywhere. It is easy to stop at most doorways on your way back from the kitchen, office or bathroom. Even with minimal effort, a few stretches a day can offer notable relief and postural change. These stretches target more than pec …

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Therapy Notes – Serratus Anterior

This muscle is often overlooked and not treated until other muscles, which produce similar pain patterns, have been treated. These patterns include scalenes, rhomboids, erectors, pectorals, and multifidi. Serratus anterior can be hard to resolve when the shoulder girdle is chronically protracted by a weight problem. The chronically protracted shoulders act as a counter-balance to …

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Self-Care – Nagging Pain Inside The Bottom of the Shoulder Blade

This pain is more likely to be caused by a weak and overstretched muscle instead of a short-tight one. As much fun as it is to shop online, it is better for your back if you don’t lean into those elbows. Prolonged periods of leaning on your elbows, whether it is shopping, Zoom conference, finances, …

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Nagging Pain Inside The Bottom of the Shoulder Blade

People complain of nagging pain in the upper or mid-back, just inside the base of the shoulder blade. They have trouble determining what causes it or what to do for relief. They may also complain of sore ribs on that side, just under the armpit or fibrocystic breasts. They usually have a straighter upper back …

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Functional Anatomy – Extrinsic Chest Muscles

 Extrinsic chest muscles, as you can see, originate on the front of the axial skeleton and insert on the upper extremity. Generally speaking, they protract the scapula and draw the humerus toward the midline. This gets a little more complicated with the pectoralis major as the clavicular head as it allows us to flex the …

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