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Thoracic Outlet Syndrome Thoracic Outlet Syndrome/Brachial Plexopathy. In Memory Of DeAnne Marie. |
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08-03-2015, 07:47 PM | #1 | ||
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Yes, I was mostly doing just breathing and relaxation exercises and that helped with the shoulder pain plus the neck flexor strengthening with a pressure cuff.
I also stopped almost all computer work. For stretches I was only doing neck stretches. Basically tilting my head in all possible directions wherever it felt tight (for many hours a day). Did not do any shoulder exercises because I could not tolerate any. I think shoulder pain was due to accessory nerve and/or brachial plexus compression. I now have little pain, but some atrophy in the trapezius. Now that the pain is diminished, I am working on building strength (doing back flys, prone cobras, rubber bands etc). The strength is getting better though there is not much change in the athrophy. I also do pec and arm stretches now (foam roll, doorframe stretches and the like). |
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08-03-2015, 11:30 PM | #2 | ||
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08-03-2015, 11:49 PM | #3 | ||
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I don't think it claims that it is a cure.
I see it a way to control bad flare-ups and as a start of a progression to other exercises which will actually correct the underlying problems (like bad posture or scapular instability). |
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"Thanks for this!" says: | Tallila (06-26-2019) |
08-04-2015, 09:44 AM | #4 | ||
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08-05-2015, 05:47 PM | #5 | ||
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Hiker, I like this idea of posting regular progress updates, it is very useful! I am going to try and do something similar myself.
Btw, I followed the Edgelow protocol and some modification of it with Steve for quite a while last year. Good to hear a story similar to mine. Thanks to Steve (he's the most honest, straightforward PT I've met so far!), I was able to get rid of my immediate nagging pain and felt significantly better. After a while, though, I felt that the full solution was in a more comprehensive posture correction, so I started to see the Egoscue folks. For example, I noticed that apart from problems with my right arm, shoulder, scapula, I also had pain in my right hip, right knee and foot. I was not and am not yet sure if these are cause or effect but it felt like addressing all of them together might yield more progress. All the best and let me know if you have any questions. |
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"Thanks for this!" says: | Akash (08-06-2015) |
08-05-2015, 08:14 PM | #6 | ||
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Have you figured out the solution to your leg/foot problem yet?
A few months ago I noticed some on and off numbness in my feet and then some on and off pain in the hip area (on both sides). There are some L5-S1 disk/vertebrae issues showing on my MRI which may be a direct cause of this, but I suppose the root of all problems is in the overall faulty posture. Most exercises for the lower spine I tried seem to make the problem worse so I'm not sure how to proceed. I am progressing to more strenuous workouts for the upper body and these work very well. I regained much of the arm and shoulder strength I lost and stopped dropping things. Scapular stabilization still needs a lot more work though. I am curious what Egoscue exercises you find helpful. |
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08-06-2015, 09:04 AM | #7 | ||
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PS: Thanks a ton for the regular updates you provide. They offer a lot of hope for all those of us hitting walls in trying to figure out how to address this TOS stuff. Last edited by Akash; 08-06-2015 at 10:09 AM. |
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08-06-2015, 12:41 PM | #8 | ||
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@Hiker, I have a similar theory - the problem is the overall structure/posture instead of a clinical fix in the neck/shoulder area. The clinical fixes in the local area of the pain do provide relief but each time I go back to doing significant work at the computer or sit for a long time, the symptoms reappear. There's a bunch of people (Egoscue, Esther Gokhale, others) who point out problems in the spine arch (http://www.healthandlovepage.com/wp-...-Back-Pain.jpg) as a possible root cause. I am still not 100% convinced about the cause and effect cycle here (did shoulder issues cause back pain or did consistent lower back issues cause shoulder instability?) but my current theory is that everything needs to be addressed. In my case, I could see that despite doing shoulder opening exercises, the weight of my body was more on the front face than on my heels, butt etc. After I started doing the exercises that the Egoscue folks recommended, I can clearly see the distribution shifting to the back, albeit slowly and steadily. With this change, I seem to be able to slouch less and maintain an open shoulder pose for longer. However, I need at least 3 more months before I conclude that this is a successful direction (after 3 months of doing their exercises so far). If you want to try to address your lower back and see if it helps, I have some suggestions. 1. Try to do something like http://www.oregonexercisetherapy.com/blog/static-back for 15 mins with good diaphragm breathing and check if you feel straighter/better right after. 2. Do the (relatively simple) exercises in Egoscue "Pain Free at your PC" chapter "For those in pain" and see if you feel better/straighter right afterwards. This is what I started with, which convinced me to pay a visit to their clinic. 3. Egoscue has a clinic in SF, Esther Gokhale has one in Palo Alto. There are many others who do overall posture correction, but these are the ones I know enough about. I believe both offer an initial consultation for just evaluating and suggesting exercises to start with. 4. Han Yoga in the Bay Area offers a low intensity therapeutic yoga class that might help. Pain in my hands/shoulder did not allow me to do this a few months ago but I can manage to do this regularly now. Let me know if you need any more details, all the best. |
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08-06-2015, 09:03 AM | #9 | ||
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01-03-2016, 08:20 PM | #10 | ||
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I also have pain in hips and both shoulders too. It is very pricey to go to their facility. |
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