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Self Care – Pain in the Biceps, Maybe Collarbone, Forearm

This post describes how you can get relief from pain in the biceps that is sometimes felt in the collar bone or forearm. More detail about how patients describe this and activities that aggravate it can be found in this other post. Once this trigger point has become irritated, activities that press down will elicit …

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Pectoralis Minor – Massage Therapy Notes

These notes on massage and bodywork are focused on the pectoralis minor. They offer the classical neuromuscular massage protocol in the latter part of the sequence. Also, there is a link to a self-care post that is helpful follow-up for patients. Assess for Targeted Treatment Pectoralis minor can be confusing during an assessment. Its pain …

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

Here, you can find ways to get relief on your own from trigger points in the pectoralis minor. Typically, this includes pain in the front of the shoulder and, often, pain in the forearm, and occasionally the hand. You can read more about how people describe this pain and activities that typically create the problem …

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Self Care – Scalene Pain of the Torso, Arm & Hand

Scalene muscles produce a number of patterns that can be experienced separately. These strategies are great for relief from that tingling in your index finger and thumb with pain in the upper back, along the shoulder blade. Also, this can be helpful for the pattern in front of the shoulder that people get when relined. …

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Self Care – Breathing Exercises to Reduce Shoulder Tension

One of my clients describes this as the best exercise for shoulder and upper back tension. He thinks that it should be the first exercise that I give people. Regardless of their problem. It really does reduce shoulder and upper back tension in a magical way. I noticed big differences over the 1st month 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 many 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 that release …

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Thoracic Outlet – Functional Anatomy

Then anatomy of thoracic outlet structures is complex in several ways. Many bones are both origin and insertion for muscles in this complex. Secondly, several of the muscles have statistically significant variations in cadaver studies. This post starts with a brief overview, then, a video that walks through the structures from front to back. After …

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Scalenes – Massage Therapy Notes

Neuromuscular massage can be an effective approach to treating scalene muscles. Additional work and self-care retrains posture and corrects Forward-Head Posture is often needed. 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 cervical transverse process’s lateral tip …

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Pain in the upper back, index finger and thumb

People complain about pain just inside of the shoulder blade, and in the thumb, and index finger. It doesn’t always create pain in the hand; sometimes it is tingling like it is “falling asleep” or “going numb.” Sometimes, they have pain or tingling when reaching out with the hands near shoulder level, like when you’re driving …

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