Thoracic Outlet Syndrome Thoracic Outlet Syndrome/Brachial Plexopathy. In Memory Of DeAnne Marie.


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Old 05-22-2011, 10:04 AM #11
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I would have thought sleeping on your right side was a bad idea as it would be likely to close the thoracic outlet, but then again if you don't get symptoms overnight then it may not be so bad. Sleeping on my side is a definite no no for me and everytime I do I wake up with symptoms. Slleeping on your back is probably best (with a pillow tucked under your knees to support your lower back) as long as your mattress isn't too soft. If you can't sleep on you back then try the left but try to find a posture that prevents your right shoulder falling forwards and inwards

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Old 05-22-2011, 11:27 AM #12
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Quote:
Originally Posted by boytos View Post
I'm sure it is the exercice now.
how long have you been doing it for

im gonna try, it doesnt look like it could cause any damage
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Old 05-22-2011, 11:36 AM #13
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Quote:
Originally Posted by kyoun1e View Post
Very interested in this thread.

I've been thinking about my sleep position and my particular TOS situation. In my case, I have a compression of my subclavian artery on the right side. I also sleep consistently on my right side/shoulder with my right arm outstretched/straight.

For somebody with TOS on the right side, would this position be problematic?

As for the exercises and this particular case, this is encouraging. If a serious athelete can overcome this with a systematic approach to exercise and stretching I'm wondering if I can as well. I've been looking for a strict approach here. What I'm doing on my own with scalene stretches seems to be helping the symptoms I have around the elbow and last two fingers, but the scapular pain on the right side remains a problem...and it all definitely flares up with serious exercise...just like this particular football player when he has contact.

Are you sure it was just exercise 2 that did the job? What about the others?

KY
Are you sure it was just exercise 2 that did the job? What about the others?

Yes
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Old 05-22-2011, 11:59 AM #14
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With this type of conservative treatment the athlete did not see much improvement and continued to progressively get worse after each lifting and conditioning session. After a month of conservative treatment, the athlete began to contemplate having surgery and ending his football career. Because the athlete was not making progress, clinician one asked another clinician to take over his case.

i def find it encouraging AN ATHLETE didnt respond well to conservative tx. you cant blame anything on the patient there. hes in good health, young, and knows how to exercise properly and it still didnt work!!
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Old 05-22-2011, 12:04 PM #15
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Quote:
Originally Posted by kyoun1e View Post
the scapular pain on the right side remains a problem...and it all definitely flares up with serious exercise...

KY

Are you sue it is actually scapular pain?
Or where exactly do you feel it & what does it feel like?
Could it be the rhomboids underneath the scapula?


I sometimes get a deep achy burning under the edges of the scapula & it is the rhomboids.
They are actually a fairly weak muscle and can be overstretched/fatigued by having the shoulder forward posture - that's when they start to burn and hurt.

I can get rid of that pain easily by doing the ball stretches or laying on the foam roll & paying better attention to my shoulder postures.
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Old 05-22-2011, 12:07 PM #16
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I also read long ago that when the pain/symptoms is resolved the strength will return easily.
I found that to be true in my case.

The pain & symptoms really need to be resolved before moving onto strengthening.
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Old 05-22-2011, 12:18 PM #17
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Quote:
Originally Posted by Jo*mar View Post
Are you sue it is actually scapular pain?
Or where exactly do you feel it & what does it feel like?
Could it be the rhomboids underneath the scapula?


I sometimes get a deep achy burning under the edges of the scapula & it is the rhomboids.
They are actually a fairly weak muscle and can be overstretched/fatigued by having the shoulder forward posture - that's when they start to burn and hurt.
yeah this happens on my left side, my shoulder blade itself never hurt but you start to notice everything touching the shoulder is really irritated bc its out of place.
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Old 05-22-2011, 12:31 PM #18
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Quote:

Are you sure it was just exercise 2 that did the job? What about the others?

KY

Manual techniques consisted of four techniques: left anterior interior chain (L AIC), superior T4, subclavius stretch (right and left), and infraclavicular pump with opposition.23,28,41 These techniques were done to assist with the postural correction goals for repositioning of the pelvis and trunk including soft tissue and bones. These were done for five breaths, each twice daily.

are the others, im assuming a pt did them.

then his sx went away for 6 wks and he moved onto strengthening
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Old 05-22-2011, 01:15 PM #19
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I talked about me. But i did the exercice like 1 time every 2 hours, 8weeks.

And more than 45 secondes each^^
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Old 05-22-2011, 01:47 PM #20
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Quote:
Originally Posted by plexus View Post
I would have thought sleeping on your right side was a bad idea as it would be likely to close the thoracic outlet.Sleeping on your back is probably best (with a pillow tucked under your knees to support your lower back) as long as your mattress isn't too soft. If you can't sleep on you back then try the left but try to find a posture that prevents your right shoulder falling forwards and inwards
Ugh.

Well that would be a problem. I've been sleeping on my right side like that for years. It's my primary sleeping position. If I end up on my back (which I do often) it's totally by accident.

KY
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