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Thoracic Outlet Syndrome Thoracic Outlet Syndrome/Brachial Plexopathy. In Memory Of DeAnne Marie. |
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08-04-2015, 11:16 AM | #41 | ||
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Supraspinatus works on arm abduction (raising arm to the side) and middle trap does scapular stabilization and retraction when reaching backwards. If any of these movements increase the pain, it might be the clue. |
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"Thanks for this!" says: | Akash (08-04-2015) |
08-04-2015, 12:52 PM | #42 | ||
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Another thing is I can work with elbows to the side on laptop with horrible posture from time to time, and my shoulders hiked (which would mean Upper Trap is working, right?) but this pain occurs when i work with my hand to the side since my chair has an arm rest located to the sides. http://www.med.umich.edu/lrc/coursep...r_limb_05.html This says serratus and upper trap become useful only after 90 degrees. http://anatomyresources.hsc.wvu.edu/...Abduction.html Neuromuscular deficit: Weakness/paralysis when abducting at the shoulder under resistance. In normal subjects the supraspinatus initiates the first 15 degrees of abduction along the vertical plane. The deltoid functions from 15 to 90 degrees, while synergistic actions of the trapezius and serratus anterior abduct from 90 to 180 degrees by rotating the scapula laterally. Denervation is accompanied by muscular atrophy, shoulder adduction, ‘winged’ scapula, and cutaneous deficit along the distribution of the axillary (superior lateral brachial cutaneous) nerve. Another thing I just realized is this always made me feel worse. But this comes up as a supraspinatus stretch too in the google image search! http://www.teachpe.com/images/jenny/...r_stretch2.jpg I was trying to stretch my rhomboids since they would be overstrong with a very weak serratus. So its probably supraspinatus i guess.. is that logical Question is how to rehab it. |
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08-04-2015, 03:17 PM | #43 | ||
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Yes, for me computer mouse is the worst offender. I think this is the prolonged static load on the muscles that is the problem, not so much a particular motion.
I switched to a handheld trackball which I hold behind my back so that I don't need to use any shoulder muscles. It helps. |
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08-05-2015, 12:20 AM | #44 | ||
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Yep we have the exact same symptoms and likely the exact same (or similar) problem. Do let me know how your recovery goes alright? Feel free to PM me or anything. I am glad you are optimistic and looking to get things fixed 100%, that's always the best mindset. It can be hard to maintain when the aching shoulders are at their worst. |
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08-05-2015, 02:38 AM | #45 | ||
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But here's where I might confuse you a bit, my supraspinatus tear was confirmed by ultrasound and did take a long time to heal but I'm sure it is definltely healed by now as I can easliy abduct my arm and am strong (lateral raise in weightlifting). So the original diagnosis of of supraspinatus tear is different to my current TOS sypmtoms, and quite possibly my original tear may have been caused by the then unrecognised TOS. As for PT I did; nothing seemed to make it significantly better. I did external rotations and shoulder abduction with therabands mostly. I finally made progress when I started lifting decent weights and concentrating on the back muscles. Dumbbell rows significantly strengthened my trap and rhomboids and provided stability. Doctors are now shocked at first when the hypertrophy of my trap muscles in the injured shoulder. If you want to know more details let me know. Either way I'm going to get to the bottom of it so I'll keep you posted Also I'll check out Lynn Watson, I appreciate the tip |
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08-05-2015, 11:21 AM | #46 | ||
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There are only three things I can think of when abducting the arm in "computer mouse" position.
Serratus problem Trapezius issue (upper, mid traps) Supraspinatus - Deltoid I am thinking it shouldn't be Long Thoracic Nerve/Serratus as if we are sitting with arms very slightly abducted, the Serratus requirement should be minimized, correct? Is your pain area the same as I linked? http://www.physio-pedia.com/File:Self_Exercise.png |
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08-07-2015, 05:19 PM | #47 | ||
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Supraspinatus injury is very common with scapular instability. Mine has tendonosis. I think that it is mostly a symptom of a larger problem. But what do I know. Also, jarroddethan, please share any info with me, because our conditions are so similar that your progress might be super helpful. |
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"Thanks for this!" says: | Akash (08-07-2015) |
08-07-2015, 05:36 PM | #48 | ||
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Can strengthening the rotator cuff take some of the load off the traps and scapular stabilizers? I think mine are very weak as I get my humeral head click/impinge when I reach overhead. |
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08-08-2015, 04:57 PM | #49 | ||
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JZP, just sent you a PM. Please check.
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08-09-2015, 12:18 AM | #50 | ||
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For unknown reason, be it postural change, trauma, the scalenes become the primary stabilizing muscles of the cervical spine--> the brachial plexus become pinched between the anterior and medial scalene--> the increased size of the scalenes may cause the first rib to rise, further compressing the nerves--> serratus misfires-->shoulder blade unstable-->decreased subacromial soace--> supraspinatus injury |
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"Thanks for this!" says: | Akash (08-09-2015) |
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