Hi Dontbeamelvin,

I'm really happy for your continuous recovery.

This said, i have a few question for you that are the following ?

1) Before things got better for you, did you have pain/disconfort in your ulnar nerve, from shoulder to little finger (that is now my case) ?

2) If it was the pain, how long did it it take to relief these ulnar symptoms by constantly raising your shoulder blade (in other words shrugging) ?

3) Also, have you had "first rib mobilization" ? I ask you because a chiro show me a self rib mobilization's exercise and I have the feeling it has increased my discomfort in this ulnar zone..

Thank you again for your thoughts.

God bless you.

I will add, there is no one thing that works for everyone..it takes some experimenting to find what works for you..
But if something you try increases your pain/discomfort for more than a few days, you either pushed too much or it isn't the thing for you..

Baby steps to adding any activity is the best way to move forward.. pushing too hard will set you back..

Many with TOS have the delayed pain, a day or so after the activity.. (even a dr visit or PT) so that is something to be aware of also..

The first rib mobilisation is in my experience somewhat useless. It is a symptom reducer but your scalenes will pull it right back up if they are weak and spasming. A lot of the self mobilisations also release the upper trap. You don't want this because it causes the trap to deactivate and further weaken. I had a lot of pain down the inside of my arm and it actually usually bothered my middle finger. Not sure why. I still get irritation and I'm not 100% by any means but I am improving. The first 2 weeks of raising the shoulders actually caused a lot more discomfort because the muscles are weak and unable to hold proper positioning. Now it is pretty natural but sometimes they still drop and I have to be aware of that.

I have overdone my work outs several times since I had my Skype appointment with Kjetil. It is really easy to overdo because you want to get better fast! However the body just does not work like that. Like I always say, it likely took you years/months to get here. It can take years/months to get you out. The key is knowing how to get out so you have a clear path to recovery.

Good luck

You have to approach all parts, spasms and or trigger points in the muscles as well as any stuck or raised top rib..
Just focusing on 1 part will not do much in the long term..

Other areas to look at -
pec minor
lymph drainage
overall body postures & uses..
past whiplash or old injuries
sleeping postures- pillows/mattresses
ergonomics

site search can find those topics for more on them..and more in the sticky threads..
https://www.neurotalk.org/search.php

Hi Dontbeamelvin,

And so, if i well understood you, you didn't experimented instant relief of your arm pain with elevating/shrugging your shoulder blade ?

How many days/weeks did it took roughly before your had relief of your arm's pain with this shoulder blade's constant elevation ?

I thank you again for your thoughts.

Best wishes for your recovery