thoracic outlet syndrome

Self Care – Seated Stretches for Stiff, Swollen Hands

This simple set of stretches has 3 parts: Part 1: Release the Top of the Neck I’ve worked with neck specialists for over 20 years. I’ve seen hundreds of cases where balancing the upper neck immediately changes the lower neck without ever working on the lower neck directly. Don’t underestimate the importance of these first […]

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Scalenes Supine – Neuromuscular Massage Protocol

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Thoracic Outlet – Functional Anatomy

The anatomy of thoracic outlet structures is complex in several ways. First, many of the bones are both origin and insertion for muscles. Second, several of the muscles have statistically significant variations in cadaver studies. Here, you will find a brief overview of Thoracic Outlet Syndrome followed by a walk-through of the structures from back

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Scalenes – Massage Therapy Notes

Integrative Works is hosting some content on Patreon so that we can devote more time and energy to creating the resources that you need. Basically, the majority of our content is still available to the public. Content that is oriented toward bodywork professionals is available with a nominal subscription to Patreon. Log in to Patreon

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Pain in the upper back, index finger, and thumb

Pain around Thumb Pad People complain about pain just inside the shoulder blade, thumb, and index finger. Notably, it doesn’t always create pain in the hand; sometimes, it tingles 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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Scalene Muscles – Functional Anatomy

Overview Scalene anatomy is more variable than most muscles. They vary in their attachments and size in 40-71% of the reviewed studies. Scalenes are 3 (sometimes 4) muscles on either side of the neck. This is one of those muscles that makes it hard to say which end is the origin and which end is

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Subclavius- Functional Anatomy

The subclavius is a short, thick triangular muscle along the inferior aspect of the clavicle. Origin – first rib Insertion – medial clavicle. Function – lowers clavicle. The origin is a flat tendon that attaches on the first rib, near the sternal cartilage. It gradually transitions to muscle fibers. The insertion is a tendon that

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Pectoralis Minor – Functional Anatomy

Overview Pectoralis minor is a fan-shaped muscle in the front of the shoulder. Notably, its anatomy has frequent variations. Basically, it secures the coracoid process of the scapula to the rib cage. Superficially, the pectoralis major covers the pectoralis minor. Overview of Pectoralis Minor Anatomy Origin Insertion Function Innervation Anomalies are clinically significant on attachments and innervation.

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Pain Along the Biceps, Maybe Collar Bone & Forearm

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. This response is surprising and intense for a pattern that is seldom a

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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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