I'm not an anatomy expert, but when I read the description at:
http://en.wikipedia.org/wiki/Serratus_anterior_muscle

It does not sound like those muscles can pull the ribs in an upward vertical direction. I also don't get the impression they could when I look at google image search results.

i mean..holding your ribs down in place. or it holds your shoulder to your ribs. hrm.

i hear my ribs thudding around a bit which i guess is better than them being completely stuck.

im trying to google about muscle temperature increasing and blood. all i can read about is how its a good thing, i give up. gah.

Does anyone have the text on his presentation? His Vimeo has a Privacy lock on it now and I can't view it. Teaches me for making fun of his exceptional speaking skills. :eek:

LOL.

I did not save the text. Unfortunately, when I search for it on Google, I do not get a "cache" link like I do for many other pages. Also, the presentation is not on YouTube.

Can anyone dig it out of their local browser cache?

I think I found a copy of the video here-
http://airtravelhorrorstories.magnif...Syndrome-by-Dr

no transcript tough...

:ROTFLMAO: Air Travel Horror Stories? LOL

Thanks Jo-Mar! Better listen to the part I want to hear before he locks this one up too.

Anne, I volunteer you to make a transcript. ;)

Ha, ha - funny! On the positive side, there will be plenty of pauses for writing sloooooooowly. I will transcribe the bits and pieces which I found interesting. (ie. rib adjustment and shoving that muscle up under your collarbone).

Wonder if he made Air Travel Horror stories as someone sat next to him on a long haul flight and heard um's, huh, mm, um's for 10 hours. :D

Ha, ha - funny, but true. :D

Here are my notes from when I originally watched it:


== Tips from Dr. James Stoxen, DC

773-735-5200 Office Line
773-735-8656 Fax
info@teamdoctors.org
6430 S. Pulaski Rd. Chicago, IL

http://www.youtube.com/user/TeamDoctorsStore

http://www.teamdoctors.org/

http://vimeo.com/drjamesstoxendc

Goals:
Lower the first rib.
Reduce the tension of the scalene muscles.
The rib has to be manually adjusted because there are no muscles to pull it down.
Manual adjustments are required.
Chiropractors emphasize this correction.

Pillow for side sleeping must keep head level so the neck is in a neutral position.

Don't lean back in recliner (or bed when watching TV). This causes the scalene muscles to engage to keep the head level. This is worse than leaning over which engages the cervical muscles which are not related to reducing the thoracic area.

Don't laterally stretch the neck because it raises the top rib (superior subluxation).
Stoxen thinks this makes the condition worse.

Lateral flexion test can often produce an incredibly tight scalene muscle band.

You must fix all ergonomic problems all the time.

Vascular compression is often relieved when the patient raises their arm.
That's me.

At http://vimeo.com/22362794 0:46 he shows swelling in the supraclavicular space

DC:

Physiotherapy such as ultrasound on the upper thoracic area and lower cervical can reduce inflammation and promote healing.

EMS in some areas.


== Presentation: Thoracic Outlet Syndrome presented at 12th Annual World Congress Anti-aging Medicine, Las Vegas, 2004

Dr. James Stoxen

http://vimeo.com/22362794

Conservatie management of TOS

Postural epidemiology

Most written material is by medical physician's who emphasize surgery.

"Surgery is unnecessary with the right approach

We have a very high rate of recovery from thoracic outlet syndrome with conservative care, and I am very happy to present that form of treatment to you today. I have not referred a patient for surgery for a thoracic outlet syndrome in 18 years of practice. That includes thousands of patients over these 18 years. I was very shocked when I looked into the literature. I was aware of the rhizectomy, removal of the first rib. I was curious about other therapies so I reviewed over 325 scientific papers that discussed conservative methods of therapy, including stretching and what the procedures and protocols were used to treat these patients conservatively."

Sidenotes:
He implies that ~10 visits and more are necessary for recovery, or 12 weeks or so.

He saw an CT angiogram that showed a narrowing of the artery as it passed through the scalene muscles.

He does not introduce therapuetic exercises until he has reduced spasm and eliminated first rib subluxation.