thoracic outlet syndrome

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

Change or Avoid these Activities: 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 …

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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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Pectoralis Minor – Functional Anatomy

Pectoralis minor is a fan-shaped muscle in the front of the shoulder that secures the lateral angle of the scapula to the rib cage. Superficially, it is covered by the pectoralis major. Origin – ribs 3-5. dissections show that it commonly attaches to the second rib and, occasionally attaches to the 6th rib. Insertion – the medial …

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Trigger Points – Pain Along the Collar Bone and Down the Arm

People seldom have any part of this pattern as their primary complaint, but when they do, it is usually biceps pain. When this is a problem, the entire pattern can usually be elicited by pressing up under the collar-bone near the sternum. It is surprisingly intense for a pattern that is seldom a part of …

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Trigger Points – Pain in the Front of Shoulder When Lifting Arm

People complain of pain in the front of the shoulder when lifting the elbow above the shoulder or back at shoulder level. This pain is less distinct and focused unless the person has a specific activity that they need to do and cannot adapt to their movement. For instance, one case was a weightlifting enthusiast who …

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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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