oitf-thoracic-outlet

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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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 – 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 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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NMT Protocols – Scalenes Supine

Scalenes are a sensitive and, often, complicated treatment approach. There are a number of things that need to be done so that the treatment is effective, longer-lasting and more comfortable for the client. Here is a proven approach: Forward head posture and thoracic outlet syndrome are often predicated on a binding atlas. Most often, The …

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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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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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