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Thoracic Outlet Syndrome Thoracic Outlet Syndrome/Brachial Plexopathy. In Memory Of DeAnne Marie. |
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09-21-2015, 10:31 AM | #1 | ||
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Greetings,
I get burning pain in my triceps, and it's particularly bad when I raise my arms over my head, such as when hanging laundry on the line. Assuming my TOS diagnosis is correct, does anyone have an inkling as to whether this type of pain signifies pectoralis, rib/clavicle, or scalene issues as the source of the problem? Many thanks! |
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09-21-2015, 03:13 PM | #2 | ||
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Could be forward head posture (do you have bad posture and kyphosis?), so you tend to put more pressure on the base of the neck in daily activities, so when you raise your arms, you are trying to compensate for limited shoulder mobility by stressing your neck further, which may put pressure on the C7 nerve root. |
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09-24-2015, 10:07 AM | #3 | ||
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09-24-2015, 11:49 AM | #4 | ||
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A PT once told me - if it pains, don't do it. I know its hard to follow that though, because we end up doing it.
What exercises have you been given to correct the FHP? I suspect cervical retraction. It will cause pain in the back of the neck, because what you may end up doing is translation, i.e, you are moving the vertebra backwards which stresses the back of the neck and is painful. Instead, do gentle chin nods as versus chin tucks/ backward horizontal movements. Another thing to do would be to massage the back of your neck, just below the hairline. Those muscles are often very tight in those with FHP and perpetuate the issue. Best of luck! |
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09-24-2015, 07:49 PM | #5 | ||
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Can you explain the distinction between a "chin nod" and a "chain tuck"? Is there information online about the difference? |
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09-25-2015, 10:46 AM | #6 | ||
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Both these seem ok. That's exactly the gentle kind of exercise you are meant to do. The reason I think you are getting a lot of pain on the back of the neck is probably your suboccipitals are super tight and facilitated.
https://upload.wikimedia.org/wikiped..._muscles06.png Is this where your pain is? They respond very well to massage if you do it regularly. They are very tight in people with FHP and by relaxing them, you will get back mobility. Chin nod would be akin to gently looking down or nodding downwards while lengthening the back of the neck ("long spine"). Chin tuck, would be trying to move the chin horizontally backwards using (say) a finger as a cue on the chin. First is what you are doing, that's fine (its use depends on person to person). Second is aggressive strengthening prescribed by some chiros etc and its very painful for the wrong person. |
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