Ultrasonography-guided osteopathic manipulative treatment
 

[J Am Osteopath Assoc. 2011 Sep;111(9):543-7.
Ultrasonography-guided osteopathic manipulative treatment for a patient with thoracic outlet syndrome.
Sucher BM.
Source

EMG Labs of Arizona Arthritis & Rheumatology Associates, 10599 N Tatum Blvd, Suite F-150, Paradise Valley, AZ 85253-1053, USA. drsucher@msn.com
Abstract

Patients with thoracic outlet syndrome can be treated with osteopathic manipulative treatment (OMT) to alleviate dysfunction and restriction of the pectoralis minor muscle (PMM) and the resulting compression of the brachial plexus. Neuromuscular ultrasonography (US) can demonstrate abnormalities in the thoracic outlet that are amenable to OMT and can be used to monitor intervention. The present report identifies PMM deformation and brachial plexus compression in a 32-year-old woman with thoracic outlet syndrome who was treated successfully with OMT. Neuromuscular US results were used to measure the degree of PMM deformation with the pectoral bowing ratio and confirm the diagnosis. Osteopathic manipulative treatment was applied and monitored using neuromuscular US to confirm that the operator's manipulating hand had direct contact with the PMM. Symptoms abated immediately after treatment. Results of a second neuromuscular US examination showed that the pectoral bowing ratio decreased into the normal range and thus confirmed that PMM deformation had resolved.

PMID:
21955534
[PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/pubmed/2...?dopt=Abstract

[QUOTE=Jo*mar;882287][J Am Osteopath Assoc. 2011 Sep;111(9):543-7.
Ultrasonography-guided osteopathic manipulative treatment for a patient with thoracic outlet syndrome.
Sucher BM.
Source


Thanks for posting this. I have actually been in contact with this dr by e-mail. He is actually a Rheumotologist but is very knowledgable about TOS and has written several articles. Although he didnt know anyone in L.A. that does this technique,He referred me to a Dr. Bernhard in Pasadena. He seems to be a workmans comp dr and travels all over CA. I havent contacted him-has anyone heard of him?

I may consider taking a trip to Arizona if my symptoms arent resolved by the pt here. He actually just does the diagnosis this way and then refers people to a PT in Phoenix named Peggy Langley. If anyone lives in Arizona I think it would be worth going to him.